Educating Outpatients for Bowel Preparation Before Colonoscopy Using Conventional Methods vs Virtual Reality Videos Plus Conventional Methods

Chen, Guorong; Zhao, Yi; Xie, Feng; Shi, Wen; Yang, Yingyun; Yang, Aiming; Wu, Dong

doi:10.1001/jamanetworkopen.2021.35576

Cited by 33 publications

(35 citation statements)

References 44 publications

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“…Higher satisfaction (mean, 8.68 vs. 8.16; p = 0.01), a greater compliance rate (68.8% vs. 50.3%; p < 0.001), and an improvement of detection rate for polyps (41.9% vs. 26.7%; p = 0.003) and adenomas (32.6% vs. 22.1%; p = 0.03) was also reported in the iVR group. The high educational, economic and social status of included patients limit the generalisation of this study results for the general population [ 33 ].…”

Section: Resultsmentioning

confidence: 99%

State-of-the-Art Review on Immersive Virtual Reality Interventions for Colonoscopy-Induced Anxiety and Pain

Găină

Szalontay

Ştefănescu

et al. 2022

JCM

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Background: Colonoscopy related fear impairs the current gold standard screening of colorectal cancer. Compared to other minimally invasive procedures for cancer screening, colonoscopy-induced anxiety exceeds the procedure through bowel preparation. Immersive virtual reality’s (iVR) role in alleviating the complex stress–pain relationship encountered during medical procedures is directly proportional to the rising affordability of state-of-the-art Head-Mounted-Displays (HMDs). Objective: to assess the effect of iVR on patients’ colonoscopy-induced anxiety and pain. Materials and methods: A systematic search was conducted in PubMed, Cochrane Central Register of Controlled Trials, Web of Science, Embase and Scopus databases up to January 2022. Clinical trials evaluating anxiety as an outcome were included without language restriction. Results: Four clinical trials were included: three on the patients’ intraprocedural anxiety and one on patient education. Intraprocedural iVR interventions for colonoscopy-induced anxiety and pain revealed a similar effect as conventional sedation, while a statistically significant reduction was reported for non-sedated patients. iVR patient education improved the quality of bowel preparation and reduced patient anxiety before colonoscopy. Conclusions: The current research highlights the need to use high-end HMDs and appropriate interactive iVR software content for colonoscopy-induced anxiety. Methodological frameworks regarding the eligibility of participants, double-blinding and randomization of iVR studies can facilitate the development of iVR implementation for anxiety and pain management.

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Section: Resultsmentioning

confidence: 99%

State-of-the-Art Review on Immersive Virtual Reality Interventions for Colonoscopy-Induced Anxiety and Pain

Găină

Szalontay

Ştefănescu

et al. 2022

JCM

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“…Educating health care professionals, patients and policymakers about the FDA-approved VR and mobile apps for pain should be led by both patient advocacy groups (e.g., The American Chronic Pain Association and the US Pain Foundation) and professional organizations (e.g., The American College of Physicians and The American Academy of Neurologists). Integrated healthcare systems and hospitals can create VR simulation centers for patient education about their diagnosis and treatment options including digital interventions ( 94 , 95 ). Educating pharmacists, nurses and physician assistants about digital health technologies will accelerate clinical workflow redesign to incorporate their “internal champions” roles in decision making for pain management ( 64 – 66 , 77 , 96 ).…”

Section: Discussionmentioning

confidence: 99%

Adjunct Digital Interventions Improve Opioid-Based Pain Management: Impact of Virtual Reality and Mobile Applications on Patient-Centered Pharmacy Care

Giravi

Biskupiak

Tyler

et al. 2022

Front. Digit. Health

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Digital therapeutics (DTx, mobile medical apps, software as a medical device) are rapidly emerging as clinically effective treatments for diverse chronic diseases. For example, the Food and Drug Administration (FDA) has recently authorized a prescription virtual reality (VR) app for treatment of moderate to severe low back pain. The FDA has also approved an adjunct digital therapy in conjunction with buprenorphine for opioid use disorder, further illustrating opportunities to integrate digital therapeutics with pharmacotherapies. There are ongoing needs to disseminate knowledge about advances in digital interventions among health care professionals, policymakers, and the public at large. This mini-review summarizes accumulating clinical evidence of digital interventions delivered via virtual reality and mobile apps to improve opioid-based analgesia. We identified relevant randomized controlled trials (RCTs) using Embase and PubMed databases which reported pain scores with a validated pain scale (e.g., visual analog scales, graphic rating scale, numeric rating scale) and use of a digital intervention in conjunction with opiates. Among identified RCTs, the majority of studies reported improved pain scores in the digital intervention group, as compared to “treatment as usual” group. Our work suggests that VR and mobile apps can be used as adjunct digital therapies for pain management. We discuss these findings in the context of how digital health technologies can transform patient-centered pharmacy care.

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“…For older patients with low health literacy, simulation-based education in which patients can directly participate and interact may be useful, along with interactive audio–visual materials that can be repeatedly accessed at any time and place [ 33 , 48 ]. Educators may also consider technological interventions, such as augmented reality and virtual reality, to create an immersive learning-experience for older patients [ 27 , 57 ]. Because such patients may also have weak cognitive abilities [ 39 ], ensuring that they have retained all the information is necessary through the teach-back method, which has been known to be effective for this age group [ 58 ].…”

Section: Discussionmentioning

confidence: 99%

Relationship between Health Literacy and Knowledge, Compliance with Bowel Preparation, and Bowel Cleanliness in Older Patients Undergoing Colonoscopy

Gwag

Yoo

2022

IJERPH

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Compared to young adults, it is difficult for the older people with relatively low health literacy to perform proper bowel preparation for a colonoscopy. This study aims to identify the relationship between knowledge, compliance with bowel preparation, and bowel cleanliness with health literacy in older patients undergoing colonoscopy. The participants were 110 older people undergoing colonoscopy, recruited from an endoscopy hospital in G metropolitan city, South Korea. Data obtained from a structured questionnaire that included items on health literacy and knowledge of and compliance with bowel preparation, and the Aronchick bowel cleanliness scale. The data were analyzed using descriptive statistics, χ-test, Pearson’s correlation, t-test, and ANCOVA. Participants who were younger and those with a higher education level and better economic status had a statistically significantly higher health literacy level. Older people with a health literacy level of 7 points and above had a higher knowledge level and bowel cleanliness index, a showed better compliance with bowel preparation. The results highlight the need for developing a customized education intervention program that can improve health literacy for successful bowel preparation and examination of the older population undergoing colonoscopy.

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Educating Outpatients for Bowel Preparation Before Colonoscopy Using Conventional Methods vs Virtual Reality Videos Plus Conventional Methods

Cited by 33 publications

References 44 publications

State-of-the-Art Review on Immersive Virtual Reality Interventions for Colonoscopy-Induced Anxiety and Pain

State-of-the-Art Review on Immersive Virtual Reality Interventions for Colonoscopy-Induced Anxiety and Pain

Adjunct Digital Interventions Improve Opioid-Based Pain Management: Impact of Virtual Reality and Mobile Applications on Patient-Centered Pharmacy Care

Relationship between Health Literacy and Knowledge, Compliance with Bowel Preparation, and Bowel Cleanliness in Older Patients Undergoing Colonoscopy

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