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Virtual Reality for Pain Management and Patient Satisfaction During Outpatient Hysteroscopy

Not Applicable
Completed
Conditions
Pain, Acute
Satisfaction, Patient
Interventions
Device: Virtual reality as a distraction technique
Registration Number
NCT06463210
Lead Sponsor
Hospital Universitario 12 de Octubre
Brief Summary

The investigators conducted a randomized controlled trial in 120 patients undergoing an outpatient hysteroscopy (OH).

60 patients were randomly allocated to the control group and 60 patients were randomly allocated to the study group.

The intervention in the study group was to use a virtual reality (VR) device (Meta Quest2) as a distraction technique during the OH.

The investigators wanted to study if the distraction generated by the VR could improve patients' perceived pain or satisfaction with the OH

Detailed Description

The investigators conducted a randomized controlled trial in 120 patients undergoing an outpatient hysteroscopy (OH).

60 patients were randomly allocated to the control group and 60 patients were randomly allocated to the study group.

In the standard hysteroscopy protocol, all patients are advised to take an Ibuprofen 400-600mg or Paracetamol 650-1000 mg two hours before the procedure. They are also suggested to take Bromazepam 1.5 mg two hours before the procedure if they feel anxious.

The standard care group had a trained nurse providing distraction and emotional support.

The study group had a VR device (Meta Quest 2) with a video consisting of a gondola ride through the canals of Venice with relaxing music played on the headset The investigators wanted to study if the distraction generated by the VR could improve patients' perceived pain or satisfaction with the OH, comparing it with the standard care group.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
120
Inclusion Criteria
  • Consecutive women candidates to undergo an OH
  • Women aged 18 to 70 years old
Exclusion Criteria
  • Visual impairment
  • Hearing impairment
  • Language barrier impeding the correct explanation of the study
  • Contraindication for using the VR device
  • Confirmed malignant endometrial disease
  • Anatomical characteristics impeding the office hysteroscopy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Virtual reality during hysteroscopy: study groupVirtual reality as a distraction techniqueIn our standard hysteroscopy protocol, all patients are advised to take an Ibuprofen 400-600mg or Paracetamol 650-1000 mg two hours before the procedure. They are also suggested to take Bromazepam 1.5 mg two hours before the procedure if they feel anxious. A 360º video was administered to the study group through an Oculus Quest 2™ headset (Meta Platforms, CA. USA). The video was administered through the headset just before the start of the procedure. The video chosen showed a gondola ride through the canals of Venice with relaxing music played on the headset
Primary Outcome Measures
NameTimeMethod
Peak pain5-10 minutes after the procedure

a Visual analogue score (VAS score) between 0 and 10, patients reported their peak perceived pain during the procedure, being 0 no pain and 10 worst pain imaginable

Mean pain5-10 minutes after the procedure

a VAS score between 0 and 10, patients reported their mean perceived pain during the procedure worst pain imaginable

Secondary Outcome Measures
NameTimeMethod
Patient satisfaction with the VR intervention5-10 min after the procedure

Patients on the VR group were also asked whether they would like to use the VR if they need to undergo another OH in the future (Yes/No)

Patient satisfaction with the information received5-10 min before the procedure

Prior to the OH all patients were interrogated about their perception of the information received about the procedure through the question "How has been the information received about the procedure?" (Not enough/Normal/Very good

Patient overall satisfaction with the procedure (OH)5-10 min after the procedure

Overall satisfaction with the OH was assessed through a question formulated as follows: "What is your level of satisfaction with the hysteroscopic procedure?", where patients could evaluate their opinion on a 5-point scale (Very satisfied, Fairly satisfied, Neutral, Somewhat unsatisfied, Very unsatisfied

Trial Locations

Locations (1)

Hospital Universitario 12 de Octubre

🇪🇸

Madrid, Comunidad De Madrid, Spain

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