Anxiety, Depression, Stress
Conditions
Keywords
Virtual Reality Technology, Depression, Anxiety, Stress, Breast Biopsy, Palestinian Patients
Brief summary
The goal of this randomized controlled trial was to investigate the impact of Virtual Reality (VR) technology on depression, anxiety, and stress levels among Palestinian patients undergoing breast biopsy. The study aimed to evaluate the effectiveness of VR as a non-pharmacological intervention to reduce psychological distress associated with the biopsy procedure. The main research hypotheses are: H01: There will be no significant difference in depression levels between patients who receive immersive VR during breast biopsy and those who receive standard care. H02: There will be no significant difference in anxiety levels between patients who receive immersive VR during breast biopsy and those who receive standard care. H03: There will be no significant difference in stress levels between patients who receive immersive VR during breast biopsy and those who receive standard care. Participants will: Receive either a VR intervention or standard care during their breast biopsy. Wear a VR headset for 15-30 minutes, experiencing a calming virtual environment designed to promote relaxation. Complete assessments of depression, anxiety, and stress before and after the procedure using validated psychological questionnaires.
Detailed description
Title: The Impact of Using Virtual Reality Technology on Depression, Anxiety, and Stress Among Palestinian Patients Undergoing Breast Biopsy: A Randomized Controlled Trial Background: Breast biopsy is an essential diagnostic procedure for detecting breast abnormalities but often induces significant psychological distress, including depression, anxiety, and stress, which can negatively affect patient wellbeing and procedure outcomes. Virtual Reality (VR) technology provides immersive and calming environments that may help alleviate these emotional burdens without pharmacological intervention. This study aims to assess the effectiveness of VR in reducing depression, anxiety, and stress among Palestinian patients undergoing breast biopsy. Methods: A randomized controlled trial will be conducted at a healthcare facility in Palestine, enrolling a total of 80 patients scheduled for breast biopsy. Participants will be randomly assigned to either the VR intervention group (n=40) or the control group receiving standard care (n=40). The VR group will wear a head-mounted VR device for 15 to 30 minutes during the biopsy, immersing themselves in soothing virtual environments such as peaceful natural landscapes with accompanying relaxing music and nature sounds. Psychological assessments measuring depression, anxiety, and stress levels will be administered before and after the procedure using validated questionnaires. The data collection and intervention period will span approximately two months.
Interventions
DEVICEMeta Quest 2 VR headset
The VR intervention will utilize a head-mounted VR headset with built-in headphones. Patients will be selected for VR environments from a predefined list of natural scenes, including a tropical beach, diving, forest, and snowy landscape, each accompanied by relaxing music and nature sounds. The Guided Meditation VR application from Cubicle Ninjas (https://guidedmeditationvr.com/) provides 360-degree immersive nature environments with standardized calming background audio. VR will be applied during the procedure, with sessions lasting 15 to 30 minutes and discontinued if the patient experiences nausea, dizziness, or requests removal.
Sponsors
Nablus University for Vocational and Technical Education
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Participants in the VR group will wear a VR headset, while the control group will receive standard care without VR. The intervention involves a VR application featuring immersive 360-degree natural environments, including peaceful forests, tranquil beaches, and serene gardens. Patients can choose one environment, enhanced by relaxing music and nature sounds. VR sessions will last 15 to 30 minutes, with the headset used to immerse patients in their selected calming environment. The session will be terminated if the patient experiences discomfort or requests removal.
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Female patients scheduled to undergo a breast biopsy. * Patients older than 18 years. * Patients who are able to provide informed consent. * Patients with no prior history of severe psychiatric disorders that could affect the assessment of depression, anxiety, or stress. * Patients who are willing and able to participate in the VR intervention and complete self-report questionnaires.
Exclusion criteria
* Patients who have a history of severe psychiatric disorders, epilepsy, hypertension, or chronic pain. * Patients who are mute and cannot read or write, patients with visual, hearing, or cognitive impairment. * Patients who have implanted hearing aids or cardiac pacemakers. * Patients who will receive any anxiolytic, sedative, or hypnotic drugs before or during the procedure. * Patients who may be exposed to complications during the procedure.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Depression Anxiety Stress Scale-21 (DASS21) | before the procedure and then 60 minutes post-procedure | (DASS21) consists of 21 statements designed to measure symptoms of depression, anxiety, and stress experienced over the past week. Each statement is rated on a 4-point scale from 0 to 3. |
Contacts
Primary Contactkhulud Mansor, PhD
Outcome results
None listed