Preoperative Anxiety
Conditions
Keywords
Preoperative Anxiety, Virtual Reality
Brief summary
Brief Summary: Preoperative anxiety is a common phenomenon in surgical patients, with a pooled global prevalence of 48%. Surgical patients with preoperative anxiety may negatively impact their psychological health and surgical outcomes. Recent studies have revealed the promising effects of virtual reality-enhanced interventions to improve preoperative anxiety symptoms among adults undergoing elective surgery. There is a lack of interventional studies to compare and evaluate the co-designed preoperative virtual reality-enhanced interventions in adult surgical patients. This study aims to examine the effects of co-designed virtual reality educational video and virtual reality distraction video on preoperative anxiety symptoms, vital signs, Satisfaction with Life Scale (SWLS), and postoperative anxiety compared to usual care. This study will contribute by evaluating evidence-based, user-centered VIPA that may be effective for improving preoperative anxiety among adult surgical patients.
Interventions
OTHERVirtual Reality
The Virtual Reality-enhanced Interventions on Preoperative Anxiety for adults undergoing elective surgery (VIPA) was developed based on theoretical basis, systematic review evidence, and qualitative study.
Sponsors
Sin Lun CHAN
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age aged ≥18 years old * Surgical patients attending Nurse Pre-anaesthetic Assessment Clinic (NPAC) * American Society of Anesthesiology (ASA) physical status ASA I or ASA II * Able to communicate in Chinese
Exclusion criteria
* Patients who have a cognitive, communication or physical impairment precluding their ability to complete the study * Patients who are prone to epilepsy or other neurological conditions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Preoperative anxiety | Baseline, Immediate post-intervention, Day of surgery | Preoperative anxiety will be measured using the Short Chinese Version of the State-Trait Anxiety Inventory (Du et al., 2022). Items are rated on a 4-point Likert scale ranging from 1 to 4, with higher scores indicating higher anxiety. The Short Chinese Version of the State-Trait Anxiety Inventory demonstrates good psychometric properties. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart rate | Baseline, Immediate post-intervention, Day of surgery | Heart rate will be measured in beats per minute (bpm) using physiological monitors to provide a more objective measurement for anxiety. |
| Blood pressure | Baseline, Immediate post-intervention, Day of surgery | Blood pressure will be measured in millimeters of mercury (mmHg) using physiological monitors to provide a more objective measurement for anxiety. |
| Temperature | Baseline, Immediate post-intervention, Day of surgery | Temperature will be measured in degrees Celsius (°C) using tympanic thermometers to provide a more objective measurement for anxiety. |
| Life satisfaction | Baseline, Immediate post-intervention, Day of surgery, Post-operative day 7 | Life satisfaction will be measured using the Chinese version of Satisfaction with Life Scale (SWLS) (Diener et al., 1985). Items are rated on a 7-point Likert scale ranging from 1 to 7, with higher scores indicating higher life satisfaction. The Chinese version of Satisfaction with Life Scale (SWLS) demonstrates good psychometric properties (Wu \& Yao, 2006). |
| Evaluation of Virtual reality-enhanced interventions questionnaire | Immediate post-intervention | Virtual reality-enhanced interventions questionnaire was developed to evaluate virtual reality-enhanced interventions in terms of programme content, content adequacy, content usefulness, willingness to recommend others, satisfaction, and improvement suggestions. The questions are either 4-point Likert scale or open-end questions. The score ranges from 1 to 4, higher scores indicate higher satisfcation and higher agreement. |
| Postoperative anxiety | Post-operative day 7 | Postoperative anxiety will be measured using the Short Chinese Version of the State-Trait Anxiety Inventory (Du et al., 2022). Items are rated on a 4-point Likert scale ranging from 1 to 4, with higher scores indicating higher anxiety. The Short Chinese Version of the State-Trait Anxiety Inventory demonstrates good psychometric properties. |
Countries
Hong Kong
Contacts
CONTACTSin Lun CHAN
Outcome results
None listed