Agitation Associated With Critical Illness, Anxiety Acute, Delirium in the Intensive Care Unit, Sleep Quality in Adult ICU Patients
Conditions
Keywords
Virtual reality, Intensive care unit, Pain, Agitation, Anxiety, Sleep Quality
Brief summary
This is a pilot feasibility study examining the use of immersive virtual reality (VR) in adult intensive care unit (ICU) patients. The study evaluates whether brief, non-interactive VR sessions delivered using a commercially available standalone head-mounted display with calming, nature-based content can be delivered safely and effectively within routine SICU workflow. Exploratory objectives assess whether VR sessions are associated with changes in anxiety, agitation, delirium, pain, and sedative medication requirements. This research is not intended to evaluate the safety or effectiveness of the headset and/or the specific VR software used for the research
Interventions
BEHAVIORALVirtual reality (VR) therapy
VR sessions will use a commercially available headset with non-interactive, immersive content displaying calming nature-based content (e.g., ocean/beach scenes, forests, mountains) delivered through a commercially available VR application
Sponsors
Milton S. Hershey Medical Center
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
1. Aged ≥ 18 years old admitted to the Surgical Intensive Care Unit (SICU) at Penn State Health Milton S. Hershey Medical Center. 2. No significant uncorrectable visual or auditory impairments 3. Estimated ICU length of stay \> 48h 4. At the time of each VR session, able to keep eyes open for at least 30 seconds, follow simple commands and able to indicate discomfort or request to stop. 5. English speaking
Exclusion criteria
1. Significant hemodynamic instability 2. Known psychotic disorders associated with delusions (e.g. schizophrenia) 3. Severe dementia (e.g. inability to communicate or follow simple commands) 4. History of disequilibrium syndrome or vertigo 5. Acute hyperactive delirium, requiring physical restraints
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility of Intervention Measure (FIM) | From time of enrollment to end of intervention at 3 days |
| Acceptability of Intervention Measure (AIM) | From time of enrollment to end of intervention at 3 days |
| Intervention Appropriateness Measure (IAM) | From time of enrollment to end of intervention at 3 days |
Countries
United States
Contacts
CONTACTPauline H Go, MD
CONTACTAleksandr Davtyan
Outcome results
None listed