Anxiety Clinical Trial
Official title:
Assessing the Impact of Immersive Virtual Reality Experience on Injection-related Anxiety in Patients Undergoing Interventional Pain Spine Procedures: a Prospective Randomized Trial
Periprocedural anxiety is a common problem for patients who undergo interventional pain procedures. Virtual Reality (VR) is an immersive experience that has gained acceptance in the medical field as a tool for reducing anxiety and pain for patients.Research Aim: To evaluate the effect of immersive virtual reality (VR) on periprocedural anxiety related to therapeutic cervical epidural steroid injections (ESI). The investigators hypothesize that immersive virtual reality will result in a clinically meaningful anxiety reduction, defined as the proportion of participants with > 50% reduction in Numeric Rating Scale (NRS) anxiety scores when compared to participants in the non-treatment group who will have standard preprocedural waiting time conditions in clinic, but no VR experience. Similarly, the investigators hypothesize a significant reduction in objective sympathetic tone as measured by skin sympathetic nerve activity (SKNA).
Status | Recruiting |
Enrollment | 64 |
Est. completion date | November 30, 2024 |
Est. primary completion date | October 31, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria: - Age 18-80 years old at day of enrollment - Neck pain patient deemed to be a candidate for pain control treatment with interventional fluoroscopically guided cervical epidural steroid injection as determined by their pain medicine provider based on history, physical exam, and radiographic findings - Willingness to undergo pre-procedural intervention of VR viewing experience or equivalent pre-procedural wait time - No history of prior epidural steroid injections - Did not receive sedatives prior to or during procedure Exclusion Criteria: - Refusal / inability to participate or provide consent - Contraindications to injection (anticoagulated states, allergy to components of injection, local infection at injection site, current infectious process or treatment of antibiotics for current infection) - Uncontrolled anxiety disorder or untreated/inadequately treated psychiatric disorder - History of Alzheimer's, dementia, or cognitive dysfunction - Patient currently taking benzodiazepines - Severe motion sickness - Seizure disorder - Vision loss - Non-English speaking patients |
Country | Name | City | State |
---|---|---|---|
United States | Anesthesiology Pain Medicine Center | Chicago | Illinois |
Lead Sponsor | Collaborator |
---|---|
Northwestern University |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Numeric rating score for anxiety while positioning on the fluoroscopy table. | Numeric rating score for anxiety on an 11-point scale, ranging from 0 (no anxiety at all) to 10 (worst possible level of anxiety) when positioning on the fluroscopy table. | Before planned procedure | |
Primary | Numeric rating score for anxiety when local anesthetic is injected. | Numeric rating score for anxiety on an 11-point scale, ranging from 0 (no anxiety at all) to 10 (worst possible level of anxiety) when local is injected. | Start of planned procedure | |
Primary | Numeric rating score for anxiety when the epidural needle is removed. | Numeric rating score for anxiety on an 11-point scale, ranging from 0 (no anxiety at all) to 10 (worst possible level of anxiety) after the epidural needle is removed | End of planned procedure | |
Secondary | Procedural pain during epidural steroid injection reported by participants. | NRS Level of subjective procedural pain during epidural steroid injection recorded by numeric rating score on a scale of 0 (no pain) to 10 (worst pain imaginable) Level of subjective procedural pain during epidural steroid injection recorded by NRS | During planned procedure | |
Secondary | Timepoint at peak of numeric rating score anxiety rating | Timepoint at peak numeric rating score for anxiety (NRS) 0 (no anxitey) to 10 (worst anxiety). | Through study completion average of 2 hours |
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