Designing a Virtual Reality Intervention to Improve Physical and Psychological Health in Intensive Care Units
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Feasibility as measured by nursing time required
研究概览
简要总结
The goal of this study is to explore if Virtual Reality helps patients in the cardiothoracic ICU move more and feel better. Participants will be asked to answer a survey about anxiety, depression, and loneliness. The study team will teach participants how to use the VR device and how to play the game. Participants will play the game at least once per day, but can play as much as they want. Study activities include nurse facilitated patient use of VR applications that involve upper body movement (e.g., using arms and hands to dance or hit objects in a virtual reality environment).
详细描述
Patients who survive critical illness and prolonged intensive care unit (ICU) stays are at risk for debilitating physical (deconditioning, skin injury, and infection), and mental health impairment (depression, anxiety and PTSD). Early mobility improves these deleterious outcomes but is challenging to implement in patients on prolonged bedrest. The purpose of this study is to compare a nurse-led implementation of a Virtual Reality (VR) experience in the Cardio-Thoracic Intensive Care Unit (CT-ICU) to standard of care to improve mobility for patients on prolonged bedrest. The investigators hypothesize that nurse-led implementation of VR experiences in the CT-ICU, in combination with engineering-led patient-centered customization of the VR applications, will improve both the physical and psychological function of ICU patients on prolonged bedrest.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •English speaking
- •3+ days ICU admission with limited mobility
排除标准
- •Pregnancy
- •Blind/severe visual impairment
- •History of seizures
- •Intubation/sedation
- •Special enteric contact isolation
研究组 & 干预措施
Virtual Reality (VR) intervention
Cohort for observing the effects of the VR intervention on ICU mobility.
干预措施: VR assisted mobility (Behavioral)
结局指标
主要结局
Feasibility as measured by nursing time required
时间窗: up to 6 months
For each participant, the total nursing time spent (in minutes) setting up and delivering the intervention will be recorded.
次要结局
- Usability as measured by patient-reported ease of playing the game(up to 6 months)
- Change in Hospital Anxiety and Depression Scale (HADS) - depression(Baseline to day 10 or ICU transfer, whichever comes first)
- Usability as measured by patient-reported ease of hand controller use(up to 6 months)
- Usability as measured by patient-reported wearability of headset(up to 6 months)
- Number of participants who find the intervention acceptable(up to 6 months)
- Change in mobility activity frequency(Baseline, 6 months)
- Usability as measured by patient-reported comfort of headset(up to 6 months)
- Change in mobility activity time(Baseline, 6 months)
- Change in Hospital Anxiety and Depression Scale (HADS) - anxiety(Baseline to day 10 or ICU transfer, whichever comes first)
- Change in UCLA 3-item Loneliness Scale(Baseline to day 10 or ICU transfer, whichever comes first)