Virtual-Reality Effects on Acute Pain During Office Hysteroscopy: A Randomized Controlled Trial

Brunn, E.; Cheney, Megan; Hazen, Nicholas; Morozov, Vadim; Robinson, James K.

doi:10.1089/gyn.2021.0121

Cited by 7 publications

(4 citation statements)

References 13 publications

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“…23,43 The evidence supporting VR extends to pain and anxiety management in gynecology and perinatal care. VR has been shown effective for episiotomy repair, 42 hysteroscopy, 44 and labor pain management. [45][46][47][48]…”

Section: Discussionmentioning

confidence: 99%

The Effect of Virtual Reality On Pain and Anxiety Management During Pelvic Examination: A Randomized Controlled Trial

Kurt,

Ozcan

2024

J Midwife Womens Health

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IntroductionIt is important for health care professionals to address women's pain and anxiety during pelvic examinations. This study aimed to evaluate the impact of virtual reality (VR) on pain and anxiety management during pelvic examinations.MethodsThe study was a randomized controlled clinical trial reported in according to the Consolidated Standards of Reporting Trials 2010 Guidelines. The research was conducted with 128 women (64 intervention, 64 control) who received care at a tertiary hospital outpatient clinic between November 2021 and February 2022. The intervention group received VR application via virtual glasses during pelvic examination, while the control group received routine care. Anxiety was measured using the State‐Trait Anxiety Inventory before and after the pelvic examination, and the Visual Analog Scale was used to assess pain after the pelvic examination. The study was registered at ClinicalTrials.gov (NCT05545488).ResultsThe mean anxiety scores of the women in the intervention and control groups were similar pretest (59.00 and 57.77). The mean anxiety score decreased after the pelvic examination to 36.53 in the intervention group and 47.55 in the control group. Results indicated a significant main effect for group assignment (F9.56; η2 = .071; P = .002), a significant main effect for time (F384.14; η2 = .753; P < .001), and a significant interaction between group and time (F53.95; η2 = .300; P < .001). Pain scores after the pelvic examination were lower in the intervention group (4.25) than in the control group (6.41; P < .001).ConclusionVR was effective in the management of pain and anxiety during pelvic examination. Future studies should compare the effectiveness of VR with other methods in reducing pain and anxiety during a pelvic examination.

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Section: Discussionmentioning

confidence: 99%

The Effect of Virtual Reality On Pain and Anxiety Management During Pelvic Examination: A Randomized Controlled Trial

Kurt,

Ozcan

2024

J Midwife Womens Health

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“…These findings agree with a previous study which found no statistically difference in pain scores or heart rate during OPH. 20 This study did not measure the effect on anxiety directly; however, the majority (88%) of patients in the intervention group found the experience calming. 20 A second trial involving 82 participants 21 also found that the use of VRT did not significantly reduce pain.…”

Section: Main Findingsmentioning

confidence: 93%

“…20 This study did not measure the effect on anxiety directly; however, the majority (88%) of patients in the intervention group found the experience calming. 20 A second trial involving 82 participants 21 also found that the use of VRT did not significantly reduce pain. Additionally, in that study, pulse rate and respiratory rate were measured during the procedure to obtain more objective measures of pain and anxiety.…”

Section: Main Findingsmentioning

confidence: 93%

“…This provides the user with a realistic immersive virtual environment which can be interacted with. 14 VRT has been utilised in the medical field to aid surgical training, patient education, rehabilitation as well as pain and anxiety management for a variety of diverse scenarios including burns management, medical procedures, dentistry and labour [14][15][16][17][18] However, currently there are only three published trials [19][20][21] investigating the use of VRT during OPH and these offer conflicting results on its effectiveness, meaning clarification is needed.…”

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confidence: 99%

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Does virtual reality technology reduce pain and anxiety during outpatient hysteroscopy? A randomised controlled trial

Sewell

Fung

Al-Kufaishi

et al. 2023

BJOG

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ObjectiveTo evaluate the effectiveness of virtual reality technology in reducing pain and anxiety during outpatient hysteroscopy.DesignA prospective randomised controlled trial.SettingA London University Teaching Hospital.PopulationWomen aged 18–70 years undergoing outpatient hysteroscopy procedures.MethodsAn unblinded randomised controlled trial was performed between March and October 2022 comparing standard outpatient hysteroscopy care with standard care with the addition of a virtual reality headset playing a virtual reality immersive scenario as a distraction technique.Main outcome measuresPain and anxiety numeric rating scores (NRS) from 0 to 11.ResultsEighty‐three participants were randomly allocated to the control (n = 42) and virtual reality groups (n = 41). The virtual reality group experienced significantly less anxiety during the procedure than the control group (mean NRS 3.29 versus 4.73, mean difference 1.50; 95% confidence interval [CI] 0.12–2.88; P = 0.03). There was no difference in reported average pain (mean NRS 3.73. versus 4.24, mean difference 0.51; 95% CI −1.76 to 0.64; p = 0.41) or maximum pain scores (mean NRS 5.32 versus 5.07, mean difference 0.25; 95% CI −1.05 to 1.55; P = 0.71).ConclusionsThe use of virtual reality technology as an adjunct to standard care can reduce patient‐reported anxiety but not pain during outpatient hysteroscopy procedures. Continued improvements in the technology and the development of increasingly immersive environments may continue to increase the potential to improve the patient experience in this setting.

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Pain and anxiety management with virtual reality for office hysteroscopy: systemic review and meta-analysis

Cohen,

Nasra,

Paz

et al. 2023

Arch Gynecol Obstet

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Virtual-Reality Effects on Acute Pain During Office Hysteroscopy: A Randomized Controlled Trial

Cited by 7 publications

References 13 publications

The Effect of Virtual Reality On Pain and Anxiety Management During Pelvic Examination: A Randomized Controlled Trial

The Effect of Virtual Reality On Pain and Anxiety Management During Pelvic Examination: A Randomized Controlled Trial

Does virtual reality technology reduce pain and anxiety during outpatient hysteroscopy? A randomised controlled trial

Pain and anxiety management with virtual reality for office hysteroscopy: systemic review and meta-analysis

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