Feasibility of an Immersive Virtual Reality Intervention for Hospitalized Patients: An Observational Cohort Study

Background Virtual reality (VR) offers immersive, realistic, three-dimensional experiences that “transport” users to novel environments. Because VR is effective for acute pain and anxiety, it may have benefits for hospitalized patients; however, there are few reports using VR in this setting. Objective The aim was to evaluate the acceptability and feasibility of VR in a diverse cohort of hospitalized patients. Methods We assessed the acceptability and feasibility of VR in a cohort of patients admitted to an inpatient hospitalist service over a 4-month period. We excluded patients with motion sickness, stroke, seizure, dementia, nausea, and in isolation. Eligible patients viewed VR experiences (eg, ocean exploration; Cirque du Soleil; tour of Iceland) with Samsung Gear VR goggles. We then conducted semistructured patient interview and performed statistical testing to compare patients willing versus unwilling to use VR. Results We evaluated 510 patients; 423 were excluded and 57 refused to participate, leaving 30 participants. Patients willing versus unwilling to use VR were younger (mean 49.1, SD 17.4 years vs mean 60.2, SD 17.7 years; P=.01); there were no differences by sex, race, or ethnicity. Among users, most reported a positive experience and indicated that VR could improve pain and anxiety, although many felt the goggles were uncomfortable. Conclusions Most inpatient users of VR described the experience as pleasant and capable of reducing pain and anxiety. However, few hospitalized patients in this “real-world” series were both eligible and willing to use VR. Consistent with the “digital divide” for emerging technologies, younger patients were more willing to participate. Future research should evaluate the impact of VR on clinical and resource outcomes. ClinicalTrial Clinicaltrials.gov NCT02456987; https://clinicaltrials.gov/ct2/show/NCT02456987 (Archived by WebCite at http://www.webcitation.org/6iFIMRNh3)

[1]  K. A. Ericsson,et al.  Protocol Analysis: Verbal Reports as Data , 1984 .

[2]  L. Milling,et al.  The effectiveness of virtual reality distraction for pain reduction: a systematic review. , 2010, Clinical psychology review.

[3]  Philippe S. Archambault,et al.  Virtual reality treatment and assessments for post-stroke unilateral spatial neglect: A systematic literature review , 2017, Neuropsychological rehabilitation.

[4]  R. Darin Ellis,et al.  Modeling Computer Interest in Older Adults: The Role of Age, Education, Computer Knowledge, and Computer Anxiety , 1999, Hum. Factors.

[5]  Shih-Ching Yeh,et al.  A Virtual Reality Lower-Back Pain Rehabilitation Approach: System Design and User Acceptance Analysis , 2015, HCI.

[6]  G. Riva,et al.  Virtual Reality for Enhancing the Cognitive Behavioral Treatment of Obesity With Binge Eating Disorder: Randomized Controlled Study With One-Year Follow-up , 2013, Journal of medical Internet research.

[7]  Antonio Giordano,et al.  Virtual Reality in Health System: Beyond Entertainment. A Mini‐Review on the Efficacy of VR During Cancer Treatment , 2016, Journal of cellular physiology.

[8]  G. Riva.  The Key to Unlocking the Virtual Body: Virtual Reality in the Treatment of Obesity and Eating Disorders , 2011, Journal of diabetes science and technology.

[9]  Sarah Nichols,et al.  Health and safety implications of virtual reality: a review of empirical evidence. , 2002, Applied ergonomics.

[10]  Andrea Gaggioli,et al.  Virtual Reality-Enhanced Cognitive-Behavioral Therapy for Morbid Obesity: A Randomized Controlled Study with 1 Year Follow-Up , 2016, Cyberpsychology Behav. Soc. Netw..

[11]  Joseph Sharit,et al.  Factors predicting the use of technology: findings from the Center for Research and Education on Aging and Technology Enhancement (CREATE). , 2006, Psychology and aging.

[12]  Azucena Garcia-palacios,et al.  Tratamiento de los trastornos de ansiedad con terapia de exposición a realidad virtual , 2012 .

[13]  Russell A. McCann,et al.  Virtual reality exposure therapy for the treatment of anxiety disorders: an evaluation of research quality. , 2014, Journal of anxiety disorders.

[14]  Giuseppe Riva,et al.  Assessment and rehabilitation of neglect using virtual reality: a systematic review , 2015, Front. Behav. Neurosci..

[15]  A. Nahvi,et al.  The Effect of Virtual Reality on Pain in Primiparity Women during Episiotomy Repair: A Randomize Clinical Trial , 2015, Iranian journal of medical sciences.

[16]  S. Czaja,et al.  Age differences in attitudes toward computers. , 1998, The journals of gerontology. Series B, Psychological sciences and social sciences.

[17]  K. Grimmer-Somers,et al.  The Effectiveness of Virtual Reality on Reducing Pain and Anxiety in Burn Injury Patients: A Systematic Review , 2009, The Clinical journal of pain.

[18]  B. Rothbaum,et al.  Treating anxiety disorders with virtual reality exposure therapy. , 2012, Revista de psiquiatria y salud mental.

[19]  É. Malbos,et al.  L'utilisation de la réalité virtuelle dans le traitement des troubles mentaux , 2013 .

[20]  Yun Hua,et al.  The Effect of Virtual Reality Distraction on Pain Relief During Dressing Changes in Children with Chronic Wounds on Lower Limbs. , 2015, Pain management nursing : official journal of the American Society of Pain Management Nurses.