Virtual Reality Distraction for Reduction

NCT ID: NCT04416555

Last Updated: 2023-11-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

113 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-03

Study Completion Date

2022-05-03

Brief Summary

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Using a randomized controlled design, the investigators goal is to estimate the effect of VR on postoperative analgesia and opioid consumption.

Detailed Description

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Specifically, the investigators propose to test the primary hypothesis that the use of AppliedVR software in Pico G2 4K headsets decreases acute postoperative pain scores (with a 1 point difference considered clinically important) compared to sham treatment on a 0-10 scale 15 minutes after each use in the first 48 hours after surgery or hospital discharge, whichever comes first.

Conditions

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Postoperative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

parallel assignment (one arm will receive the full immersive virtual reality experience and the other arm will receive a static presentation in the same device)
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Single (Outcomes Assessor)

Study Groups

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VR googles using exposure sham program

The study groups will receive VR googles and the sham program

Group Type PLACEBO_COMPARATOR

Placebo comparator: VR googles and the non reality experience

Intervention Type DEVICE

parallel assignment (this arm will receive a static presentation in the same device)

VR googles and the real VR program experience.

The study group will receive the VR googles and the real VR program experience.

Group Type ACTIVE_COMPARATOR

Active Comparator: VR googles and the real VR program to enter act with and experience

Intervention Type DEVICE

Parallel assignment (this arm will receive the full immersive virtual reality experience

Interventions

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Placebo comparator: VR googles and the non reality experience

parallel assignment (this arm will receive a static presentation in the same device)

Intervention Type DEVICE

Active Comparator: VR googles and the real VR program to enter act with and experience

Parallel assignment (this arm will receive the full immersive virtual reality experience

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* American Society of Anesthesiology Physical Status 1-3;
* Scheduled for elective, primary total hip arthroplasty;
* Anticipated hospitalization of at least 1 night;
* Expected to require parenteral opioids for postoperative pain;
* Able to use IV PCA systems.

Exclusion Criteria

* History of chronic pain or care by a pain management specialist;
* Use of more than 30 mg/day of oral oxycodone (or equivalent);
* Greater than 12 weeks of current and continued opioid use;
* History of seizures, epilepsy, motion sickness, stroke, dementia;
* Non-English speaking;
* Women who are pregnant or breastfeeding;
* History of substance use disorder.
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role collaborator

The Cleveland Clinic

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sabry Ayad, MD

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Locations

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Cleveland Clinic Fairview Hospital

Cleveland, Ohio, United States

Site Status

Countries

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United States

References

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Araujo-Duran J, Kopac O, Montalvo Campana M, Bakal O, Sessler DI, Hofstra RL, Shah K, Turan A, Ayad S. Virtual Reality Distraction for Reducing Acute Postoperative Pain After Hip Arthroplasty: A Randomized Trial. Anesth Analg. 2024 Apr 1;138(4):751-759. doi: 10.1213/ANE.0000000000006642. Epub 2023 Sep 6.

Reference Type DERIVED
PMID: 37678233 (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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R44DA049640

Identifier Type: NIH

Identifier Source: secondary_id

View Link

19-769

Identifier Type: -

Identifier Source: org_study_id