Improving Patient Experience: BMBA

Not Applicable

Completed

• Conditions: Bone Marrow Cancer; Leukemia; Lymphoma; Multiple Myeloma; Hematologic Cancer
• Interventions: Other: Virtual reality; Other: Environmental changes

• Registration Number: NCT05690230
• Lead Sponsor: Thomas Jefferson University

Brief Summary

This study seeks to determine if patients undergoing a bone marrow biopsy/aspiration (BMBA) procedure who receive distraction techniques have lower levels of distress and pain, and higher post-procedure satisfaction, compared to those receiving standard-of-care. Intervention 1 is guided meditation in a virtual reality (VR) headset. Intervention 2 is comprised of environmental changes to the room (via nature-themed decals) and music.

Detailed Description

This study seeks to determine if patients undergoing a bone marrow biopsy/aspiration (BMBA) procedure who receive distraction techniques have lower levels of distress and pain, and higher post-procedure satisfaction, compared to those receiving standard-of-care. Intervention 1 is guided meditation in a virtual reality (VR) headset. Intervention 2 is comprised of environmental changes to the room (via nature-themed decals) and music.

Study Timeline

• Study Start: 2022-12-05
• Study First Submitted: 2022-12-21
• Study First Submitted QC: 2023-01-09
• Study First Posted: 2023-01-19
• Primary Completion: 2024-01-29
• Study Completion: 2024-06-05
• Status Verified: 2025-04
• Last Update Submitted: 2025-04-22
• Last Update Posted: 2025-04-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Provide signed and dated informed consent form
• Willing to comply with all study procedures
• Over 18 years of age
• Prior history of at least 1 (one) BMBA at Jefferson outpatient oncology office within the past 2 (two) years
• Visiting the Jefferson outpatient oncology office for a BMBA procedure during the study duration

Exclusion Criteria

• Inability to read questions in English
• Inability to answer questions autonomously
• History of vertigo
• Legal blindness in both eyes
• Severe or profound hearing loss, or deafness

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention 1: Virtual reality	Virtual reality	-
Intervention 2: Environmental changes	Environmental changes	-

Primary Outcome Measures

Name	Time	Method
Distress score	Within 10 minutes post-procedure	The primary outcome will be reported on a scale of 0-10, based on the National Comprehensive Cancer Network (NCCN) Distress Thermometer, 0 signifying "no distress" and 10 signifying "extreme distress." This scale is standardly used with oncology patients to determine their distress levels-distress refers to "an unpleasant experience of a mental, physical, social, or spiritual nature. It can affect the way you think, feel, or act. Distress may make it harder to cope with having cancer, its symptoms, or its treatment."

Secondary Outcome Measures

Name	Time	Method
Patient satisfaction	Within 10 minutes post-procedure	To assess patient satisfaction with their procedure. This will be assessed through a patient satisfaction survey including Likert-type questions.
Pain intensity	Within 10 minutes post-procedure	To assess patient pain scores related to their BMBA procedure. This will be measured through the 0-10 Numeric Pain Intensity Scale, 0 signifying "no pain" and 10 signifying "the worst pain imaginable."

Trial Locations

Locations (1)

Thomas Jefferson University Hospital; 🇺🇸 Philadelphia, Pennsylvania, United States