Trial Outcomes & Findings for Virtual Reality Alternative to Pharmacological Sedation During Colonoscopy (NCT NCT04349150)

NCT ID: NCT04349150

Last Updated: 2021-12-20

Results Overview

Measured as (x/n) \* 100, where x = number of participants who completed colonoscopy using virtual reality and no pharmacological rescue, and n = total number of participants who initiated colonoscopy using virtual reality.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

31 participants

Primary outcome timeframe

This data will be collected within 60 minutes of completion of the colonoscopy

Results posted on

2021-12-20

Participant Flow

All individuals scheduled for screening/surveillance colonoscopy who had previously undergone more than one colonoscopy under conscious sedation and were patients of any of four endoscopists at our institution were invited to participate.

Participant milestones

Participant milestones
Measure
Virtual Reality
Participants on this arm will have their colonoscopy initiated under virtual reality instead of standard sedatives and narcotics Virtual reality: Intervention consists of providing virtual reality in place of standard sedatives and narcotics for a portion or the duration of the colonoscopy
Overall Study
STARTED
31
Overall Study
COMPLETED
27
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Virtual Reality Alternative to Pharmacological Sedation During Colonoscopy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Virtual Reality
n=27 Participants
Participants on this arm will have their colonoscopy initiated under virtual reality instead of standard sedatives and narcotics Virtual reality: Intervention consists of providing virtual reality in place of standard sedatives and narcotics for a portion or the duration of the colonoscopy
Age, Continuous
63.9 Years
STANDARD_DEVIATION 8.4 • n=5 Participants
Sex: Female, Male
Female
14 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
7 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
24 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
Medical history potentially impacting exam difficulty
Abdominal/pelvic surgery
11 Participants
n=5 Participants
Medical history potentially impacting exam difficulty
Tortuous colon
1 Participants
n=5 Participants
Medical history potentially impacting exam difficulty
None
15 Participants
n=5 Participants

PRIMARY outcome

Timeframe: This data will be collected within 60 minutes of completion of the colonoscopy

Measured as (x/n) \* 100, where x = number of participants who completed colonoscopy using virtual reality and no pharmacological rescue, and n = total number of participants who initiated colonoscopy using virtual reality.

Outcome measures

Outcome measures
Measure
Virtual Reality
n=27 Participants
Participants on this arm will have their colonoscopy initiated under virtual reality instead of standard sedatives and narcotics Virtual reality: Intervention consists of providing virtual reality in place of standard sedatives and narcotics for a portion or the duration of the colonoscopy
Percentage of Participants Who Complete Colonoscopy Using Virtual Reality and no Pharmacological Rescue
26 Participants

PRIMARY outcome

Timeframe: This data will be collected within 60 minutes of completion of the colonoscopy

Number of Participants with Cecal Intubation using virtual reality and no pharmacological sedation. Measured as x/n, where x = number of participants in whom cecal intubation is achieved when participant is using virtual reality and no pharmacological sedation, and n = total number of participants who initiated colonoscopy using virtual reality.

Outcome measures

Outcome measures
Measure
Virtual Reality
n=27 Participants
Participants on this arm will have their colonoscopy initiated under virtual reality instead of standard sedatives and narcotics Virtual reality: Intervention consists of providing virtual reality in place of standard sedatives and narcotics for a portion or the duration of the colonoscopy
Number of Participants With Cecal Intubation
27 Participants

SECONDARY outcome

Timeframe: This data will be collected within 60 minutes of completion of the colonoscopy

Population: The 26 participants who did not request medication during colonoscopy.

participants will rate their pain and discomfort on a numeric rating scale of 1-10 (1 = no pain/discomfort, 10 = extreme pain/discomfort)

Outcome measures

Outcome measures
Measure
Virtual Reality
n=26 Participants
Participants on this arm will have their colonoscopy initiated under virtual reality instead of standard sedatives and narcotics Virtual reality: Intervention consists of providing virtual reality in place of standard sedatives and narcotics for a portion or the duration of the colonoscopy
Participant-reported Pain and Discomfort Levels
Pain
3.6 units on a scale
Standard Deviation 1.6
Participant-reported Pain and Discomfort Levels
Discomfort
4.0 units on a scale
Standard Deviation 1.4

SECONDARY outcome

Timeframe: This data will be collected within 60 minutes of completion of the colonoscopy

Population: The 26 participants who did not request medication during colonoscopy.

Participants will rate their satisfaction with their experience using virtual reality during colonoscopy on a numeric rating scale of 1-10 (1 = not satisfied, 10 = extremely satisfied).

Outcome measures

Outcome measures
Measure
Virtual Reality
n=26 Participants
Participants on this arm will have their colonoscopy initiated under virtual reality instead of standard sedatives and narcotics Virtual reality: Intervention consists of providing virtual reality in place of standard sedatives and narcotics for a portion or the duration of the colonoscopy
Participant Satisfaction
7.3 units on a scale
Standard Deviation 2.5

SECONDARY outcome

Timeframe: This data will be collected within 60 minutes of completion of the colonoscopy

Population: The 26 participants who did not request medication during colonoscopy.

Participants will rate their willingness to undergo future colonoscopies using virtual reality and no pharmacological sedation as "Yes," "Maybe," or "No."

Outcome measures

Outcome measures
Measure
Virtual Reality
n=26 Participants
Participants on this arm will have their colonoscopy initiated under virtual reality instead of standard sedatives and narcotics Virtual reality: Intervention consists of providing virtual reality in place of standard sedatives and narcotics for a portion or the duration of the colonoscopy
Number of Participants Who Would Undergo Future Colonoscopies Using Virtual Reality and no Pharmacological Sedation
Yes
18 participants
Number of Participants Who Would Undergo Future Colonoscopies Using Virtual Reality and no Pharmacological Sedation
Maybe
7 participants
Number of Participants Who Would Undergo Future Colonoscopies Using Virtual Reality and no Pharmacological Sedation
No
1 participants

SECONDARY outcome

Timeframe: This data will be collected within 60 minutes of completion of the colonoscopy

Population: The 26 participants who did not request medication during colonoscopy.

Endoscopists will rate their satisfaction performing colonoscopy on participants using virtual reality instead of pharmacological sedation on a numeric rating scale of 1-10 (1 = not satisfied, 10 = extremely satisfied).

Outcome measures

Outcome measures
Measure
Virtual Reality
n=26 Participants
Participants on this arm will have their colonoscopy initiated under virtual reality instead of standard sedatives and narcotics Virtual reality: Intervention consists of providing virtual reality in place of standard sedatives and narcotics for a portion or the duration of the colonoscopy
Endoscopist Satisfaction
8.6 units on a scale
Standard Deviation 1.8

SECONDARY outcome

Timeframe: This data will be collected within 60 minutes of completion of the colonoscopy

Population: The four endoscopists participating in the study

Endoscopists will indicate whether they would incorporate virtual reality into their regular colonoscopy practice by selecting one of the following: * yes * no * yes, but I would use virtual reality as an adjunct therapy rather than a standalone therapy

Outcome measures

Outcome measures
Measure
Virtual Reality
n=4 Participants
Participants on this arm will have their colonoscopy initiated under virtual reality instead of standard sedatives and narcotics Virtual reality: Intervention consists of providing virtual reality in place of standard sedatives and narcotics for a portion or the duration of the colonoscopy
Number of Endoscopies Following Which Endoscopists Indicated Willingness to Incorporate Virtual Reality Into Regular Colonoscopy Practice
No
0 Endoscopies
Number of Endoscopies Following Which Endoscopists Indicated Willingness to Incorporate Virtual Reality Into Regular Colonoscopy Practice
Yes, but I would use virtual reality as an adjunct therapy rather than a standalone therapy
6 Endoscopies
Number of Endoscopies Following Which Endoscopists Indicated Willingness to Incorporate Virtual Reality Into Regular Colonoscopy Practice
Yes
19 Endoscopies

Adverse Events

Virtual Reality

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Daniel C. Chung, MD

Massachusetts General Hospital

Phone: 6177263544

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place