Virtual Reality Use for Symptom Management in Palliative Care: A Pilot Study to Assess User Perceptions

Johnson, Tracy; Bauler, Laura; Vos, Duncan; Hifko, Alan; Garg, Paras; Ahmed, Mohammad; Raphelson, Michael

doi:10.1089/jpm.2019.0411

Cited by 49 publications

(128 citation statements)

References 21 publications

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“…While preliminary findings suggest a reduction in ESAS-R scores, there were no statistically significant findings. This is comparative to the previous work, 11,12 and provides the data to inform a future larger trial. Future studies, in a fully powered trial, should explore the structure of VR (session length and number of sessions) to further understand the clinical benefit to patients under palliative care services.…”

Section: What This Study Addsmentioning

confidence: 75%

“…Johnson et al 12 reported that participants in their study felt that multiple sessions would be more useful than a single session. Neither of these studies explored the possibility of personalizing the content of the VR.…”

Section: Introductionmentioning

confidence: 99%

“…9,10 Evidence for VR in a palliative care setting is sparse, however there have been 2 international studies that have done this. 11,12 Both studies used a single-arm design and used a single VR session (lasting 30 minutes). Both studies found trends for improvements on symptoms following VR using the Edmonton Symptom Assessment System-Revised (ESAS-R).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Potential of Personalized Virtual Reality in Palliative Care: A Feasibility Trial

Msw

Lund

White

et al. 2021

Am J Hosp Palliat Care

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Background: Virtual Reality can help alleviate symptoms in a non-palliative care population. Personalized therapy can further alleviate these symptoms. There is little evidence in a palliative care population. Aim: To understand the feasibility of repeated personalized virtual reality sessions in a palliative care population. Design: A feasibility randomized control trial. Intervention: personalized virtual reality, Control: non-personalized virtual reality. All participants completed a 4-minute virtual reality session for 4 weeks. At each point, the Edmonton Symptom Assessment System-Revised (scored 0 = none up to 100 = worst) was completed pre- and post- each session. A time-series regression analysis was completed for the overall effect. Setting/Participants: The research took place in one hospice. The main inclusion criteria was: (1) under the care of the hospice (2) advanced disease (3) over 18 years (4) physically able to use virtual reality set (5) capacity (6) proficient English. Results: Twenty-six participants enrolled, of which 20 (77%) completed all sessions. At baseline, the intervention group had a mean pre- score of 26.3 (SD 15.1) which reduced to 11.5 (SD 12.6) after the first session. At the same time point, the control group had a mean pre- score of 37.9 (SD 21.6) which reduced to 25.5 (SD 17.4) post-session. The mean scores dropped following each session, however this was not significant (mean difference = −1.3, 95% CI: −6.4 to 3.7, p = 0.601). Conclusions: It is feasible to complete repeated virtual reality sessions within a palliative care population. Future research should explore the structure and effectiveness of virtual reality in a fully powered trial.

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Section: What This Study Addsmentioning

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Potential of Personalized Virtual Reality in Palliative Care: A Feasibility Trial

Msw

Lund

White

et al. 2021

Am J Hosp Palliat Care

View full text Add to dashboard Cite

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“…Displays can vary greatly in terms of technological capability, with features such as motion interfaces and haptic feedback elements employed in high-end devices to further enhance the level of user immersion and interaction. VR technology has found extensive use in recreational pursuits, healthcare settings (Garcia-Palacios, et al, 2002;Keefe et al, 2012;Özer & Yöntem, 2019;Johnson et al, 2020), business (Flavián, Ibáñez-Sánchez, & Orús, 2019) and in education and training. In the latter case it has been used for such purposes as simulation and exploratory learning (Logishetty, Rudran, & Cobb, 2019).…”

Section: The Use Of Virtual Reality In Health Educationmentioning

confidence: 99%

Blending virtual reality with traditional approaches to encourage engagement with core chemistry concepts relevant to an undergraduate pharmacy curriculum

Hall

Allman

2020

Pharm Educ

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Students studying pharmacy often lack motivation to engage with chemical principles. In particular, they often find fundamental chemical concepts such as the visualisation of three-dimensional structures challenging. This programme description reports the design and implementation of a teaching session where stand-alone virtual reality (VR) technology was offered alongside traditional methods of instruction in an attempt to encourage students to engage with fundamental chemistry concepts relating to the three-dimensional structures of drug molecules. By using VR technology in combination with paper-based in-class exercises and supporting material delivered via a virtual learning environment, the authors demonstrate that virtual reality could be used to both reinforce learning and enhance engagement with a topic which students often find challenging. A blended approach employing different methods of delivery presents the advantage that it allows the user control over the level of interaction with each individual element. As such, VR becomes a valuable instructional tool rather then the focus of the session or a distraction. To evaluate the sessions, student feedback was collected using a ‘ballot-box’ system where students could provide anonymous free response comments. Feedback from the session was overwhelmingly positive and it was noted that the optional use of VR technology kept students engaged in tackling paper-based exercises in an area of curriculum which learners often find difficult. It is noted that a blended approach can help to overcome several of the barriers in the use of VR in a classroom setting. In addition, it highlights that effective deployment of such technology is both viable and beneficial on a classroom scale. In the future, the authors hope to apply these methods to other parts of the curriculum

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“…Thus, most MIS operations, including robotic surgery, require high de nition stereoscopic images. Stereoscopic images can be created in a variety of ways such as using an anaglyph, a shutter, and polarization; however, these methods use a single display and have the disadvantages of a low resolution, icker, ghosting, and discomfort that is caused by posture limitation [10][11][12]. However, a dual-display system can overcome these drawbacks since it provides high-de nition images with realistic depth perception.…”

Section: Introductionmentioning

confidence: 99%

Development & Evaluation of Virtual Reality (VR) based Novel Vision System for the da Vinci Surgical Robot

Mun

Kim

et al. 2020

Preprint

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Background: Robot surgery has become prevalent because of its various advantages as a progressive method based on empirical researches of conventional open surgery and minimally invasive surgery. However, the da Vinci surgical robot system, the most widely used and researched surgical robot, still requires an ergonomic improvement because of the uncomfortable posture in which it has to be operated. The stereo viewer—the current vision system of the da Vinci surgical robot—requires a user to maintain a posture wherein the user is looking down, which causes discomfort and results in musculoskeletal disorders. To overcome this limitation, a virtual reality (VR) head-mounted display (HMD) is proposed by previous researchers as an appropriate option to replace the stereo viewer, as it enables surgeons to move freely during surgery instead of having to look down on the stereo viewer. Presently, there is no direct comparison between the stereo viewer and a VR HMD by surgeons. Comparative evaluations were performed using peg transfer tasks, a questionnaire, and a NASA-Task Load Index (TLX). These were planned and performed by surgeons and novices to determine if the stereo viewer can be replaced by the VR HMD and to investigate whether the VR HMD has ergonomic.Results: Based on the results of peg transfer tasks, completion times when using VR HMD were shorter than those when using the stereo viewer. In these tasks, the participants performed more executions using the VR HMD compared to the stereo viewer. Based on the questionnaire, the participants favored the VR HMD compared to the stereo viewer, with respect to its visual and ergonomic performance. The modified NASA-TLX showed positive perceptions for the VR HMD.Conclusions: This comparative evaluation confirmed that the VR HMD can be employed as a potential alternative for the stereo viewer in a surgical robot system to achieve ergonomic improvements. The VR HMD improved the task performance of the surgical robot system, and it provided an ergonomic operation environment.

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Virtual Reality Use for Symptom Management in Palliative Care: A Pilot Study to Assess User Perceptions

Cited by 49 publications

References 21 publications

The Potential of Personalized Virtual Reality in Palliative Care: A Feasibility Trial

The Potential of Personalized Virtual Reality in Palliative Care: A Feasibility Trial

Blending virtual reality with traditional approaches to encourage engagement with core chemistry concepts relevant to an undergraduate pharmacy curriculum

Development & Evaluation of Virtual Reality (VR) based Novel Vision System for the da Vinci Surgical Robot

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Virtual Reality Use for Symptom Management in Palliative Care: A Pilot Study to Assess User Perceptions

Cited by 49 publications

References 21 publications

The Potential of Personalized Virtual Reality in Palliative Care: A Feasibility Trial

The Potential of Personalized Virtual Reality in Palliative Care: A Feasibility Trial

Blending virtual reality with traditional approaches to encourage engagement with core chemistry concepts relevant to an undergraduate pharmacy curriculum

Development &amp; Evaluation of Virtual Reality (VR) based Novel Vision System for the da Vinci Surgical Robot

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Product

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About

Development & Evaluation of Virtual Reality (VR) based Novel Vision System for the da Vinci Surgical Robot