Preoperative Anxiety, Virtual Reality
Conditions
Keywords
Video 2D, 360° video, Virtual Reality
Brief summary
Background Previous research on ambulatory care pathways has highlighted recurring issues such as elevated patient anxiety, disorientation, and insufficient access to information, all of which negatively affect the patient experience. However, evidence remains limited regarding the effectiveness of different preparatory media in mitigating these issues in real-world clinical settings. Objectives The present study aims to assess whether viewing a video of an outpatient ophthalmologic care pathway prior to the day of surgery-either as a standard 2D video or as a 360° immersive video experienced in virtual reality (VR)-reduces patient anxiety and disorientation compared with a control condition without media support. In addition, the study aims to determine which medium is most effective and to explore methods for assessing anxiety, orientation, and information in ecological clinical settings.
Detailed description
Background Previous research on ambulatory care pathways has identified recurring issues such as high patient anxiety, disorientation, and insufficient information, all of which negatively impact the patient experience. However, evidence remains limited regarding how different preparatory media may effectively mitigate these factors in real clinical settings. Objectives The present study aims to assess whether viewing a video of an outpatient ophthalmologic pathway prior to the day of surgery-either as a conventional 2D video or as a 360° immersive video experienced in virtual reality (VR)-reduces patient anxiety and disorientation compared with a control condition without media support. In addition, the study aims to determine which medium is most effective and to explore how anxiety, orientation, and information can be assessed in ecological clinical settings. An in-the-wild user study is planned with approximately 180 patients undergoing outpatient ophthalmologic surgery. Participants will be assigned to one of three groups: a control group (no video), a 2D video group, or a 360° VR video group. Preoperative state anxiety will be measured using a Visual Analog Scale for Anxiety (VAS-A) at two time points: baseline (preoperative consultation) and immediately before surgery. The primary outcome will focus on the proportion of patients whose preoperative anxiety is lower than baseline anxiety. Disorientation, perception of signage, and patient information will be assessed using post-operative questionnaires. Secondary outcomes will include perceived anxiety during hospitalization, perceived quality of information, and reported feelings of disorientation during the ambulatory pathway.
Interventions
OTHERWatching a video of the outpatient care pathway
Before surgery, patients watch an informational video explaining the outpatient journey at IOO Jules Verne.
OTHERNo viewing of the video
The control group does not view the video and receives only verbal information delivered by the administrative staff.
Sponsors
Institut Ophtalmologique de l'Ouest Jules Verne
Nantes University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
The primary objective of this research is to evaluate the effectiveness of a 360° video, presented in Virtual Reality, in enhancing patient information and reducing anxiety and disorientation among patients undergoing outpatient ophthalmology surgery, compared to a traditional 2D video and a baseline condition with no media intervention.
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Participants should be over 18 * Have all the cognitive and mental abilities * Speak french * Have a programmated ophthalmology surgery in outpatient * Have binocular corrected visual acuity \> 5/10 (20/40 Snellen)
Exclusion criteria
* Persons referred to in Articles L.1121-6 to L.1121-8 of the French Public Health Code (CSP) (guardianship, trusteeship, legal protection, etc.) * Patients undergoing surgery under general anesthesia * Patients undergoing emergency surgery * Surgery not performed within one month following the preoperative appointment (except for the control group) For the group participating in the VR experiment: \- Any medical condition preventing immersion in virtual reality (e.g., epilepsy, dizziness/vertigo, psychiatric history, use of medication or substances with psychoactive effects, etc.)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients with reduced preoperative anxiety compared to baseline | Baseline (preoperative consultation) and Day 1 (preoperative assessment before surgery) | The proportion of patients whose preoperative state anxiety (measured immediately before surgery using a Visual Analog Scale for Anxiety \[VAS-A\]) is lower than baseline anxiety (measured during the preoperative consultation using the VAS-A). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anxiety, quality of information, and disorientation during hospitalization and the ambulatory pathway | Day 1 (postoperative assessment) | Patients' perceived anxiety during hospitalization, measured using Likert-scale questionnaires. Patients' perceived quality of information, measured using Likert-scale questionnaires. Patients' reported feelings of disorientation and perception of information during the ambulatory pathway, measured using Likert-scale questionnaires. |
Countries
France
Contacts
PRINCIPAL_INVESTIGATORFrank BECQUET, Docteur
Institut Ophtalmologique de l'Ouest Jules Verne
STUDY_DIRECTORJean Philippe RIVIERE, Maître de conférences
Laboratoire des Sciences du Numérique de Nantes UMR-6004
Outcome results
None listed