Using Hypnosis and Virtual Reality During Pre and Postoperative Cardiovascular Surgery.

NCT ID: NCT03820700

Last Updated: 2020-01-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-06

Study Completion Date

2020-12-28

Brief Summary

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Nowadays, the use of cognitive behavioral therapies has become quite common in the clinical care. Different non-pharmacological techniques, including hypnosis and virtual reality are currently used as complementary tools in the treatment of acute and chronic pain (Pourmand et al., 2017; Vanhaudenhuyse et al., 2009). A new technique called 'virtual reality hypnosis' (VRH) (Patterson et al., 2004), which encompasses a combination of both tools, is regularly used although its actual function remains unknown to this date. With the goal to improve our understanding of VRH combination effects, it is necessary to elaborate randomized and controlled research studies in order to understand their actual function in individual's perception.

100 patients who are undergoing a cardiovascular surgery at the Liège University Hospital will be randomly assigned to four conditions (control, hypnosis, VR and VRH). Each participant will receive two sessions of one of the techniques: one the day before the surgery and one other session the day after, in intensive care units.

Physiological parameters will be taken and participants will fill in a questionnaire which evaluates their level of perceived immersion, their level of anxiety, fatigue, pain and relaxation. A short interview will also be conducted to give participants the opportunity to openly describe their experience.

This study will help to expand the knowledge regarding the influence of these techniques on patient's cognition, perception and sensation .

Detailed Description

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Primary outcome (anxiety) and secondary outcomes (pain, fatigue, relaxation and physiological parameters) will be investigated at four measurement times: the day before the surgery (Day -1) before the intervention (T0: baseline) and after the intervention (T1); the day after the surgery (Day+1) before the intervention (T2) and after (T3).

Conditions

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Thoracic Surgery Pain, Postoperative Anxiety Fatigue

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Control group

\[Randomized\] Patients in control group will receive regular nursing care but no behavioral therapy intervention.

Group Type NO_INTERVENTION

No interventions assigned to this group

Hypnosis (Hypn)

\[Randomized\] Patients will receive a hypnosis recorded audiotape.

Group Type EXPERIMENTAL

Hypnosis (Hypn)

Intervention Type BEHAVIORAL

The hypnosis session will consist of a 20-minute hypnosis recording created by Marie-Elisabeth Faymonville and recorded by Anne-Sophie Nyssen, both professionals in hypnosis from University of Liège. The recording includes suggestions about relaxation, corporal sensations, respiratory techniques and visual imaginative stimuli about a beautiful landscape. With this tool, the hypnosis session is standardized for all patients and there is no need of a psychotherapist to deliver hypnosis.

Virtual reality (VR)

\[Randomized\] Patients will see a 3D movie with a beautiful landscape.

Group Type EXPERIMENTAL

Virtual reality (VR)

Intervention Type BEHAVIORAL

VR sessions. This session will consist in using a head-mounted 3D graphical display with goggles. With this tool, participants will be able to visualize a 3D immersive landscape for 20 minutes consisting of a shed near a lake at sunrise followed by a relaxing moment in the clouds. The session ends on the lake's edge.

Virtual reality hypnosis (VRH)

\[Randomized\] Patients will see the same 3D film combined with a hypnotic voice.

Group Type EXPERIMENTAL

Virtual reality hypnosis (VRH)

Intervention Type BEHAVIORAL

The combined tool sessions. Participants will be simultaneously subjected to the same hypnosis recording and 3D visual stimuli used in the Hypn and VR conditions.

Interventions

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Hypnosis (Hypn)

The hypnosis session will consist of a 20-minute hypnosis recording created by Marie-Elisabeth Faymonville and recorded by Anne-Sophie Nyssen, both professionals in hypnosis from University of Liège. The recording includes suggestions about relaxation, corporal sensations, respiratory techniques and visual imaginative stimuli about a beautiful landscape. With this tool, the hypnosis session is standardized for all patients and there is no need of a psychotherapist to deliver hypnosis.

Intervention Type BEHAVIORAL

Virtual reality (VR)

VR sessions. This session will consist in using a head-mounted 3D graphical display with goggles. With this tool, participants will be able to visualize a 3D immersive landscape for 20 minutes consisting of a shed near a lake at sunrise followed by a relaxing moment in the clouds. The session ends on the lake's edge.

Intervention Type BEHAVIORAL

Virtual reality hypnosis (VRH)

The combined tool sessions. Participants will be simultaneously subjected to the same hypnosis recording and 3D visual stimuli used in the Hypn and VR conditions.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Adults undergoing cardiac surgery
* Who have given consent for their participation.

Exclusion Criteria

* Psychiatric antecedents
* Claustrophobia
* Acrophobia,
* Heavy hearing
* Visual impairment
* Infectious cases (example: conjunctivitis)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Liege

OTHER

Sponsor Role lead

Responsible Party

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Audrey Vanhaudenhuyse

PhD, Responsible of the Sensation and Perception Research Group, in the GIGA CONSCIOUSNESS department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Audrey Vanhaudenhuyse, PhD

Role: STUDY_DIRECTOR

CHU of Liège

Anne-Sophie Nyssen, Professor

Role: STUDY_DIRECTOR

University of Liege

Locations

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University of Liège

Liège, Province De Liège, Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Floriane Rousseaux

Role: CONTACT

003243663462

Facility Contacts

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Floriane Rousseaux

Role: primary

003243663462

References

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Rousseaux F, Dardenne N, Massion PB, Ledoux D, Bicego A, Donneau AF, Faymonville ME, Nyssen AS, Vanhaudenhuyse A. Virtual reality and hypnosis for anxiety and pain management in intensive care units: A prospective randomised trial among cardiac surgery patients. Eur J Anaesthesiol. 2022 Jan 1;39(1):58-66. doi: 10.1097/EJA.0000000000001633.

Reference Type DERIVED
PMID: 34783683 (View on PubMed)

Rousseaux F, Faymonville ME, Nyssen AS, Dardenne N, Ledoux D, Massion PB, Vanhaudenhuyse A. Can hypnosis and virtual reality reduce anxiety, pain and fatigue among patients who undergo cardiac surgery: a randomised controlled trial. Trials. 2020 Apr 15;21(1):330. doi: 10.1186/s13063-020-4222-6.

Reference Type DERIVED
PMID: 32293517 (View on PubMed)

Other Identifiers

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VRHICUliège

Identifier Type: -

Identifier Source: org_study_id

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