Critical Illness, Intensive Care Units, Stress, Psychological
Conditions
Keywords
Virtual Reality, ICU Survivors, Relocation Stress, Heart Rate Variability, Transitional Care, Unplanned ICU Readmission, Randomized Controlled Trial
Brief summary
This study aims to evaluate the effectiveness of a virtual reality (VR)-based transitional care program for adult survivors of intensive care unit (ICU) care. ICU survivors frequently experience relocation stress, anxiety, pain, and physiological instability after transfer from the ICU to general wards, which may increase the risk of unplanned ICU readmission. Participants will be randomly assigned to receive either standard transitional care or additional VR-based intervention sessions during their ICU stay. The VR intervention is designed to provide psychological support, environmental orientation, and stress reduction. Primary outcomes include short-term physiological indicators within 48 hours after ICU transfer. Secondary outcomes include pain, relocation stress, and unplanned ICU readmission within 7 days.
Detailed description
This is a single-center, randomized controlled trial designed to investigate the effects of a virtual reality (VR)-based transitional care intervention on physiological stability and psychological adaptation among adult ICU survivors. Critically ill patients often experience relocation stress syndrome following transfer from the ICU to general wards. This transition period is associated with increased anxiety, pain perception, autonomic imbalance, and a higher risk of unplanned ICU readmission. Eligible participants will be randomized using block randomization into the intervention or control group. The intervention group will receive three VR sessions during their ICU stay in addition to standard transitional care. The control group will receive standard care alone. The primary outcome is short-term physiological stability measured within 48 hours after ICU transfer. Secondary outcomes include heart rate variability parameters, pain intensity, relocation stress, and unplanned ICU readmission within 7 days. This study seeks to determine whether VR-assisted transitional care can enhance recovery, reduce stress-related responses, and improve patient outcomes following ICU discharge.
Interventions
BEHAVIORALVirtual Reality-Based Transitional Care
Participants assigned to this arm will receive three structured virtual reality (VR) sessions during their ICU stay in addition to standard transitional care. Each VR session is designed to provide environmental orientation, psychological support, and stress reduction through immersive audiovisual content. The intervention aims to improve short-term physiological stability and reduce relocation stress following ICU transfer.
Sponsors
Mackay Memorial Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Participants will be randomly assigned in a 1:1 ratio to either the VR intervention group or the standard care control group using block randomization.
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 20 years or older * Adult patients admitted to the intensive care unit (ICU) * Planned transfer from ICU to the general ward * Able to communicate and provide informed consent or have a legal representative provide consent
Exclusion criteria
* Severe cognitive impairment or delirium preventing participation * Severe visual or hearing impairment interfering with VR use * Hemodynamic instability requiring immediate life-saving intervention * Isolation precautions prohibiting device use * Participation in another interventional study that may affect outcomes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Heart Rate Variability - RMSSD | Within 48 hours after transfer from the ICU to the general ward | Heart rate variability measured using the Root Mean Square of Successive Differences (RMSSD) derived from electrocardiographic recordings. |
| Heart Rate Variability - High Frequency Power | Within 48 hours after transfer from the ICU to the general ward | Heart rate variability measured using high-frequency (HF) power derived from electrocardiographic recordings. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | Within 48 hours after ICU transfer | Pain intensity will be assessed using the Defense and Veterans Pain Rating Scale (DVPRS), a numeric rating scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst possible pain. |
| Unplanned ICU Readmission | Within 7 days after ICU transfer | Occurrence of unplanned readmission to the ICU within 7 days after transfer to the general ward. |
| Relocation Stress | Within 48 hours after ICU transfer | Relocation stress will be assessed using the Relocation Stress Syndrome Scale - Short Form (RSSS-SF). The scale consists of items rated on a Likert scale, with higher scores indicating greater relocation stress. |
Countries
Taiwan
Contacts
CONTACTYu-Ling Yang, RN, NP
PRINCIPAL_INVESTIGATORTe-Yu Wu, PhD
MacKay Medical University
Outcome results
None listed