Virtual Reality for Pain and Anxiety During HyFoSy

ConditionInfertility
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorHaEmek Medical Center, Israel

About this trial

This randomized controlled study will evaluate whether virtual reality (VR) reduces procedural pain and anxiety in women undergoing hysterosalpingo-foam sonography (HyFoSy), a minimally invasive ultrasound-based procedure used to assess uterine anatomy and fallopian tube patency. Participants will be randomly assigned to either a VR intervention group or a standard-care control group. The primary outcome will be maximum pain experienced during the procedure, assessed using a Visual Analog Scale (VAS). Secondary outcomes will include state anxiety, heart rate variability (as a physiological measure of autonomic response to procedural stress) and patient satisfaction

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • virtual reality

    Behavioral

    Participants will use commercially available virtual reality goggles to view relaxing immersive content selected by the participant. The VR intervention will begin approximately 5 minutes before the HyFoSy procedure and will continue throughout the procedure

  • rest

    Other intervention

    resting before the procedure- standard care

Treatment groups

68 Participants
are divided into 2 treatment groups
Group A: Virtual RealityExperimental treatment 1 intervention
Group B: Standard CareActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Maximum Procedural Pain Score on the Visual Analog Scale

Maximum pain experienced by the participant during the HyFoSy procedure, assessed using a Visual Analog Scale (VAS) ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst pain imaginable. The maximum pain score reported during the procedure will be compared between the virtual reality and standard-care groups.

Time frame
Immediately after completion of the HyFoSy procedure

Secondary outcomes

1

Change in State Anxiety Score on the STAI-S

State anxiety will be assessed using the State subscale of the Spielberger State-Trait Anxiety Inventory (STAI-S). Higher scores indicate greater state anxiety. The change in STAI-S score from immediately before the procedure to immediately after the procedure will be compared between the virtual reality and standard-care groups.

Time frame
From immediately before the HyFoSy procedure to immediately after the procedure
2

Change in Current Pain Score on the Visual Analog Scale

Current pain will be assessed using a Visual Analog Scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst pain imaginable. The change in current pain score from immediately before the procedure to immediately after the procedure will be compared between study groups.

Time frame
From immediately before to immediately after the HyFoSy procedure
3

Heart Rate During the HyFoSy Procedure

Heart rate will be continuously recorded using a Polar H10 chest strap. Mean heart rate during predefined pre-procedure, procedural, and post-procedure periods will be compared between study groups.

Time frame
During the 5-minute pre-procedure period, throughout the HyFoSy procedure, and during the 5-minute post-procedure period
4

Heart Rate Variability: RMSSD

Heart rate variability will be assessed using the root mean square of successive differences (RMSSD), derived from continuous heart rate recordings obtained using a Polar H10 chest strap. RMSSD will be evaluated during predefined pre-procedure, procedural, and post-procedure periods and compared between study groups.

Time frame
During the 5-minute pre-procedure period, throughout the HyFoSy procedure, and during the 5-minute post-procedure period

Other outcomes

Sponsors and contacts

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