Health TrialsbyHealthPanel

Effects of Virtual Reality Education on Anxiety and Learning in Patients Undergoing Urolithiasis Surgery

ConditionsUrolithiasisKidney StoneUreter Stones
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorWei-Lin, Huang

About this trial

This randomized controlled trial aims to evaluate the effects of two-tier virtual reality-based preoperative education on anxiety, learning knowledge, self-care ability, and cognitive load in patients undergoing urolithiasis surgery. Participants will be randomly assigned to routine education, standard virtual reality education, or two-tier virtual reality education groups. Outcomes will be assessed using anxiety scales, knowledge questionnaires, self-care ability measures, and cognitive load assessments before and after the intervention.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients scheduled to undergo urolithiasis surgery with procedure codes 77026B, 77027B, 77028B, or 76016B.

Aged 18 years or older.

Conscious and mentally alert.

Able to communicate in Mandarin Chinese and read written text.

Disqualifiers

Patients with current psychiatric disorders or substance abuse.

Patients with hearing or visual impairment.

Patients with visual dizziness, vertigo, or virtual reality motion sickness symptoms.

Patients who are unable to cooperate or unwilling to participate in the study.

Trial design

Design model

Parallel

Treatments tested in this trial

  • VR Education

    Behavioral

    Participants receive standard virtual reality-based preoperative education before urolithiasis surgery. The VR program includes immersive 360-degree educational content covering the preoperative process, operating room environment, postoperative care, and self-care instructions.

  • Two-Tier VR Education

    Behavioral

    Participants receive two-tier virtual reality-based preoperative education before urolithiasis surgery. The intervention combines immersive 360-degree VR educational content with a two-tier testing mechanism designed to enhance learning comprehension, self-care knowledge, and cognitive engagement.

Treatment groups

90 Participants
are divided into 3 treatment groups
Group A: Routine Patient EducationNo intervention 0 interventions
Group B: VR EducationExperimental treatment 1 intervention
Group C: Two-Tier VR EducationExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Anxiety Score Measured by the Amsterdam Preoperative Anxiety and Information Scale (APAIS) and Hospital Anxiety and Depression Scale-Anxiety Subscale (HADS-A)

Anxiety will be assessed using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) and the Anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A). The APAIS consists of 6 items scored on a 5-point Likert scale. Total scores range from 6 to 30, with higher scores indicating greater preoperative anxiety and information needs. The HADS-A consists of 7 items scored from 0 to 3. Total scores range from 0 to 21, with higher scores indicating greater anxiety.

Time frame
Baseline before intervention, 2 hours after intervention, and postoperative day 1

Secondary outcomes

1

Urolithiasis Surgery Knowledge Questionnaire Score

Knowledge regarding perioperative care for urolithiasis surgery will be assessed using a researcher-developed Urolithiasis Surgery Knowledge Questionnaire. The baseline questionnaire consists of 10 multiple-choice items and the post-intervention questionnaire consists of 20 multiple-choice items covering surgical preparation, operating room orientation, perioperative care, urinary catheter care, Double-J stent management, dietary management, hydration, complication recognition, and prevention of stone recurrence. Scores range from 0 to 10 at baseline and from 0 to 20 after intervention. Higher scores indicate better understanding of urolithiasis surgery and postoperative self-care

Time frame
Baseline before intervention and 2 hours after intervention
2

Postoperative Self-Care Ability Score Measured by the Urolithiasis Self-Care Ability Scale

Postoperative self-care ability will be assessed using the Urolithiasis Postoperative Self-Care Ability Scale developed by Hu et al. (2024). The scale consists of 30 items across five domains, including disease management, diet and fluid intake, psychosocial management, activity and elimination, and disease-related information. Each item is rated on a 5-point Likert scale. Total scores range from 30 to 150. Higher scores indicate better postoperative self-care ability.

Time frame
Postoperative day 1
3

Cognitive Load Score Measured by the Cognitive Load Questionnaire

Cognitive load will be assessed using the Cognitive Load Questionnaire developed by Klepsch et al. (2017). The questionnaire contains 8 items assessing intrinsic cognitive load, extraneous cognitive load, and germane cognitive load. Each item is rated on a 5-point Likert scale. Total scores range from 8 to 40. Higher scores indicate greater perceived cognitive load during learning.

Time frame
2 hours after intervention

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Wei-Lin, Huang

Lead sponsor

Chang Gung Memorial Hospital

Sponsor institution

Source ClinicalTrials.gov
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