Treatment Efficacy of Virtual Reality Distraction in the Reduction of Pain and Anxiety During Cystoscopy

Walker, Macie B.; Kallingal, George; Musser, John E.; Folen, Raymond A.; Stetz, Melba C.; Clark, Joseph Y.

doi:10.7205/milmed-d-13-00343

Cited by 78 publications

(102 citation statements)

References 13 publications

(2 reference statements)

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“…Some successes have been reported in the use of VR in the treatment of acute pain as an adjunctive method for pain control [2-7]. Clinical studies exploring its use for chronic pain remain minimal [8-10].…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality as an Adjunct Home Therapy in Chronic Pain Management: An Exploratory Study

Garrett¹,

Taverner²,

McDade³

2017

JMIR Med Inform

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BackgroundVirtual reality (VR) therapy has been successfully used as an adjunct therapy for the management of acute pain in adults and children, and evidence of potential efficacy in other health applications is growing. However, minimal research exists on the value of VR as an intervention for chronic pain.ObjectiveThis case series examined the value of VR to be used as an adjunctive therapy for chronic pain patients in their own homes.MethodsAn exploratory approach using a case series and personal interviews was used. Ten chronic pain patients received VR therapy for 30 min on alternate days for 1 month. Pre- and postexposure (immediately afterwards, 3 h, and at 24 h) pain assessment was recorded using the Numerical Rating Scale (NRS), and weekly using the Brief Pain Inventory (BPI) and Self-completed Leeds Assessment of Neuropathic Symptoms and Signs pain scale (S-LANSS). Terminal semistructured personal interviews with the patients were also undertaken.ResultsOf the 8 patients who completed the study, 5 of them reported that pain was reduced during the VR experience but no overall treatment difference in pain scores postexposure was observed. VR was not associated with any serious adverse events, although 60% of patients reported some cybersickness during some of the experiences.ConclusionsOf note is that the majority of these study participants reported a reduction in pain while using the VR but with highly individualized responses. One patient also reported some short-term improved mobility following VR use. Some evidence was found for the short-term efficacy of VR in chronic pain but no evidence for persistent benefits.

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Section: Introductionmentioning

confidence: 99%

Virtual Reality as an Adjunct Home Therapy in Chronic Pain Management: An Exploratory Study

Garrett¹,

Taverner²,

McDade³

2017

JMIR Med Inform

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“…This mechanism has anecdotally proposed by other VR rehabilitation studies (Perry et al, 2014). Alternatively, VR systems have been used to distract attention from pain (Keefe et al, 2012;Guo et al, 2014;Walker et al, 2014;Wiederhold et al, 2014) and decrease negative emotions about pain (Herrero et al, 2014;Triberti et al, 2014;Garcia-Palacios et al, 2015). The VR environment itself might distract attention and thus decrease pain (Wiederhold et al, 2014).…”

Section: Discussionmentioning

confidence: 94%

“…One study found that an amputee patient who perceived a vivid subjective experience of moving their phantom limb reportedly showed the bimanualcoupling effect during the BCT, although another patient without this experience did not show the coupling effect (Franz and Ramachandran, 1988). Alternatively, VR systems have been used to distract attention from pain (Keefe et al, 2012;Guo et al, 2014;Walker et al, 2014;Wiederhold et al, 2014) and decrease negative emotions about pain (Herrero et al, 2014;Triberti et al, 2014;Garcia-Palacios et al, 2015). A high OI associated with BCT performance would indicate vivid movement representations of the affected hand (drawing circles), independent of real movements.…”

Section: Discussionmentioning

confidence: 99%

Restoring movement representation and alleviating phantom limb pain through short‐term neurorehabilitation with a virtual reality system

Osumi

Ichinose

Sumitani

et al. 2016

European Journal of Pain

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“…Studies of distraction techniques during flexible cystoscopy have had mixed results; background music during the procedure may reduce anxiety and pain, 18, 19 while a virtual-reality distraction intervention did not. 20 In addition to these peri-procedural interventions to reduce invasiveness, another focus for improving the patient experience should be on pre- and post-procedural counseling that addresses cancer recurrence, given our finding that concern about recurrence contributes substantially to patients’ anxiety and worry.…”

Section: Discussionmentioning

confidence: 99%

The Burden of Cystoscopic Bladder Cancer Surveillance: Anxiety, Discomfort, and Patient Preferences for Decision Making

Koo

Zubkoff

Sirovich

et al. 2017

Urology

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Objective To examine discomfort, anxiety, and preferences for decision-making in patients undergoing surveillance cystoscopy for non-muscle-invasive bladder cancer (NMIBC). Methods Veterans with a prior diagnosis of NMIBC completed validated survey instruments assessing procedural discomfort, worry, and satisfaction, and were invited to participate in semi-structured focus groups about their experience and desire to be involved in surveillance decision-making. Focus group transcripts were analyzed qualitatively, using (1) systematic iterative coding, (2) triangulation involving multiple perspectives from urologists and an implementation scientist, and (3) searching and accounting for disconfirming evidence. Results Twelve patients participated in three focus groups. Median number of lifetime cystoscopy procedures was 6.5 (interquartile range 4–10). Based on survey responses, two-thirds of participants (64%) experienced some degree of procedural discomfort or worry, and all participants reported improvement in at least two dimensions of overall well-being following cystoscopy. Qualitative analysis of the focus groups indicated that participants experience pre-procedural anxiety and worry about their disease. While many participants did not perceive themselves as having a defined role in decision-making surrounding their surveillance care, their preferences to be involved in decision-making varied widely, ranging from acceptance of the physician’s recommendation, to uncertainty, to dissatisfaction with not being involved more in determining the intensity of surveillance care. Conclusions Many NMIBC patients experience discomfort, anxiety, and worry related to disease progression and not only cystoscopy. While some patients are content to defer surveillance decisions to their physicians, others prefer to be more involved. Future work should focus on defining patient-centered approaches to surveillance decision-making.

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Treatment Efficacy of Virtual Reality Distraction in the Reduction of Pain and Anxiety During Cystoscopy

Abstract: We concluded no benefit to VR distraction mitigating pain in male patients during cystoscopy.

Cited by 78 publications

References 13 publications

Virtual Reality as an Adjunct Home Therapy in Chronic Pain Management: An Exploratory Study

Virtual Reality as an Adjunct Home Therapy in Chronic Pain Management: An Exploratory Study

Restoring movement representation and alleviating phantom limb pain through short‐term neurorehabilitation with a virtual reality system

The Burden of Cystoscopic Bladder Cancer Surveillance: Anxiety, Discomfort, and Patient Preferences for Decision Making

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