Virtual Reality in Labor and Delivery for Reduction in Pain

NCT ID: NCT03437031

Last Updated: 2021-11-26

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-01

Study Completion Date

2019-02-19

Brief Summary

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The purpose of this study is to identify whether use of virtual reality devices can improve the pain management of women in labor and delivery. The investigators will perform a randomized controlled trial of patients in labor at Cedars-Sinai Medical Center.

Detailed Description

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The purpose of this study is to identify whether use of virtual reality devices can improve the pain management of women in labor and delivery. The investigators hypothesize that use of virtual reality devices will result in a reduction in pain medication use, in epidural use, and prolong the duration of time prior to the patient receiving an epidural.

The study will be conducted as two parallel randomized controlled trials: one for latent labor patients and one for patients in active labor (defined by whether they are \< 6 cm or \> 6 cm). Within each phase of labor, there will be 20 in the Virtual Reality arm and 20 in the Control arm for a total of 80 patients.

Conditions

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Labor Pain Virtual Reality Alternative Medicine

Keywords

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Labor Pain Virtual Reality Alternative Medicine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel randomized controlled trials
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Latent-Control

Patients in the latent phase of labor who will receive no intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Latent-Virtual Reality (VR)

Patients in the latent phase of labor who will receive the Virtual Reality (VR) intervention.

Group Type EXPERIMENTAL

Virtual Reality device

Intervention Type DEVICE

For those patients randomized to VR, the study staff member will explain the use of the Samsung VR goggle set, and thereafter will allow the patient to use the device freely for up to 30 minutes. Intervals of 2-5 minutes is suggested for first-time use, and patients will be to allowed to discontinue it at any time as long as they are not experiencing any discomfort or side effects (dizziness, motion sickness, etc.). The study staff member will be present at all times, and will work with hospital staff as necessary to ensure the patient is receiving appropriate clinical care throughout the duration of the intervention.

Interventions

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Virtual Reality device

For those patients randomized to VR, the study staff member will explain the use of the Samsung VR goggle set, and thereafter will allow the patient to use the device freely for up to 30 minutes. Intervals of 2-5 minutes is suggested for first-time use, and patients will be to allowed to discontinue it at any time as long as they are not experiencing any discomfort or side effects (dizziness, motion sickness, etc.). The study staff member will be present at all times, and will work with hospital staff as necessary to ensure the patient is receiving appropriate clinical care throughout the duration of the intervention.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. Female
2. \>18 years old
3. Pregnant with term gestation
4. Nullipara
5. Pain due to contractions rated from 4-7
6. Contractions at least every 5 minutes x 30 minutes preceding
7. Pain scores obtained at least every 60 minutes

Exclusion Criteria

1. Parous
2. Use of intravenous medications for pain relief prior to the intervention
3. Use of an epidural
4. Preterm gestation
5. Pain not due to contractions
6. Pain score of 3 or below or 8 or above
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Cedars-Sinai Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Kimberly Gregory

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Cedars-Sinai Medical Center

Los Angeles, California, United States

Site Status

Countries

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United States

References

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Tashjian VC, Mosadeghi S, Howard AR, Lopez M, Dupuy T, Reid M, Martinez B, Ahmed S, Dailey F, Robbins K, Rosen B, Fuller G, Danovitch I, IsHak W, Spiegel B. Virtual Reality for Management of Pain in Hospitalized Patients: Results of a Controlled Trial. JMIR Ment Health. 2017 Mar 29;4(1):e9. doi: 10.2196/mental.7387.

Reference Type BACKGROUND
PMID: 28356241 (View on PubMed)

Mosadeghi S, Reid MW, Martinez B, Rosen BT, Spiegel BM. Feasibility of an Immersive Virtual Reality Intervention for Hospitalized Patients: An Observational Cohort Study. JMIR Ment Health. 2016 Jun 27;3(2):e28. doi: 10.2196/mental.5801.

Reference Type BACKGROUND
PMID: 27349654 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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Pro00050082

Identifier Type: -

Identifier Source: org_study_id