Virtual Reality for Pain
(PRISM Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine if immersive virtual reality (iVR) can reduce pain during wound care for individuals in long-term care facilities. Participants will wear VR headsets displaying calming scenes to distract them and alleviate discomfort during procedures like dressing changes. Ideal candidates are residents with pressure ulcers who can use a VR headset and have no vision issues or sensitivities to headset materials. As an unphased trial, this study provides a unique opportunity for participants to explore innovative pain management techniques.
Do I have to stop taking my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It seems focused on using virtual reality during wound care, so you likely won't need to change your medication routine.
What prior data suggests that immersive virtual reality is safe for use during wound care?
Research has shown that immersive virtual reality (iVR) is generally safe and helps reduce pain during wound care. Studies have found that VR effectively lowers pain levels and distracts patients from focusing on pain during procedures. For example, one study found that 40% of patients using VR felt no pain, while another 30% experienced only moderate pain during dressing changes.
Moreover, VR technology does not seem to cause significant side effects. Studies using VR for pain management have reported no major negative effects. This suggests that VR is a low-risk option for managing pain during treatment. Overall, the evidence supports that immersive VR can be a safe and helpful tool to make wound care less painful and more comfortable.12345Why are researchers excited about this trial?
Researchers are excited about using immersive virtual reality for pain management during wound care because it offers a unique, non-pharmacological approach. Unlike traditional pain treatments that often rely on medications like opioids or analgesics, this method uses a fully immersive experience to distract patients and potentially reduce their perception of pain. The technology engages the senses and can transport patients to a different environment, which may help them feel more comfortable and less anxious during procedures. By offering an innovative way to manage pain without the side effects associated with drugs, this approach has the potential to improve patient experiences significantly.
What evidence suggests that immersive virtual reality is effective for reducing pain during wound care?
Studies have shown that virtual reality (VR) can help reduce pain during medical procedures, such as wound care. A review of several studies found that VR can lower the most intense pain and make the experience less unpleasant. In this trial, some participants will receive immersive virtual reality during wound care procedures, while others will receive usual care without VR. Research indicates that VR effectively manages pain for both adults and children, especially during painful treatments. It serves as a non-drug method to distract patients, helping them focus less on their pain. In essence, virtual reality can make wound care more comfortable and less distressing.26789
Who Is on the Research Team?
Machelle Wilchesky, PhD
Principal Investigator
Lady Davis Institute-CIUSSS du Centre-Ouest-de-l'Île-de-Montréal
Are You a Good Fit for This Trial?
This trial is for long-term care residents who have been there at least two weeks and are getting regular wound care for pressure ulcers. Participants must be able to use a virtual reality headset, understand English or French, and not have allergies to headset materials, severe vision problems, head/ear wounds, recent aggressive behavior, or peripheral neuropathy.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Baseline
Standard wound care without iVR
Intervention
Wound care performed while the resident uses iVR
Washout
Standard wound care resumed without iVR
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Immersive Virtual Reality
Trial Overview
The study tests if using an immersive virtual reality headset showing calming scenes can reduce pain and discomfort during wound care compared to usual care. Each participant experiences both standard wound care and VR-assisted sessions over six weeks.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Immersive virtual reality will be used during wound care procedures
No immersive reality use during wound care procedures
Find a Clinic Near You
Who Is Running the Clinical Trial?
McGill University
Lead Sponsor
Lady Davis Institute
Collaborator
Citations
The effect of virtual reality on patients' experiences of pain ...
Virtual reality shows promise in reducing pain during a wound care procedure. However, large-scale methodologically sound randomized controlled ...
Effects of Virtual Reality on Analgesia in Wound Care and ...
The results of this meta-analysis indicate that VR can effectively reduce worst pain intensity, pain unpleasantness intensity, and time spent thinking about ...
The effect of virtual reality therapy on pain and anxiety during ...
This updated systematic review aims to assess the impact of VR on pain and anxiety during wound care in adults, both in hospital and outpatient settings.
The impact of virtual reality (VR) on pain management in the ...
Overall, VR offers effective pain management in adults and pediatric patients with non-procedural acute pain and those undergoing painful ...
Virtual reality as a pain reduction method in burn and wound ...
Eligible studies included randomized controlled trials comparing virtual reality interventions to standard care or other distraction techniques ...
Virtual reality as a pain reduction method in burn and wound ...
Data on pain outcomes, as well as physiological indicators, were extracted. Meta-analysis was performed using a random-effects model and ...
Monitoring pain during use of virtual reality in debridement ...
The aim of this study was to assess pain during the treatment of hard-to-heal wounds of vascular origin using VR as an adjunct non- ...
The effects of virtual reality technology on reducing pain in ...
VR technology can effectively reduce the pain degree and sensation of patients during wound care, which may be an effective auxiliary non‐drug method used for ...
Can we safely manage pain using virtual reality (VR)?
Such studies can generate evidence-based clinical practice guidelines to guarantee that VR-pain management interventions' pros outweigh their cons. We can look ...
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