Virtual Reality Therapy to Improve Arthroplasty Outcomes

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorNHS Highland Research, Development and Innovation Organisation

About this trial

Virtual reality (VR) has recently emerged as a non-medication-based method to manage anxiety. The patient wears a VR headset and is offered an immersive environment with hypnotic components with sound and imagery in a 3D environment. VR creates an immersive 3D environment and diverts attention away from worrying thoughts (anxiety) and pain and has been found useful to manage minor procedural pain and related anxiety.

This is a pilot feasibility trial to evaluate the effectiveness of VR in improving patient related outcomes (PROM) after joint replacement surgery.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

NHS Highland patients

Able to provide written informed consent (remotely)

ASA Grade 1 and 2

Listed for elective surgery at NHSH NTC

Disqualifiers

Not able to provide written informed consent

Considered unsuitable by Clinician (with reason)

Vision /hearing difficulties which preclude interaction with immersive environment

Unable or unwilling to comply with study procedures and activities

Trial design

Design model

Parallel

Treatments tested in this trial

  • Virtual Reality Headset

    Device

    Use of VR Headset for 20 minutes per day, from between 10 and 7 days pre surgery to 30 days post surgery

  • Blood Samples

    Diagnostic test

    Blood samples will be collected from 5 participants randomly selected from each arm. Samples will be collected at baseline, day of surgery, 24 hours post surgery, 30 days post surgery and 90 days post surgery

  • Questionnaires

    Behavioral

    Baseline and then FU data at 7, 14, 21, 30 and 90 days post-operative will be collected from participants via questionnaires

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: VR Headset + QuestionnairesActive comparator 3 interventions
Group B: Usual Standard of Care + QuestionnairesActive comparator 2 interventions

Trial outcomes

Primary outcomes

1

Percentage of patients who refuse to participate in the study

This will be measured as a percentage of the total number of potential participants approached. This figure should not be greater than 70%.

Time frame
From 10 days pre surgery to 90 days post surgery
2

Percentage of participants with complete questionnaires

This will be measured as a percentage of the total number of participants recruited. This figure should be greater than 80%.

Time frame
From 10 days pre surgery to 90 days post surgery
3

Participant VR Headset Use Compliance Rate

This will be measured by recording the number of days the VR headset is used for 20 minutes per day over 37 days. (These compliance rates will be measured by data which is recorded by the VR headset itself).

Time frame
From 7 days pre surgery to 30 days post surgery

Secondary outcomes

1

Number of patients approached for the study

Total number of potential participants approached to join the study

Time frame
From 10 days pre surgery to 90 days post surgery
2

Number of participants recruited overall

Total number of participants recruited to the study

Time frame
From 10 days pre surgery to 90 days post surgery
3

Percentage of patients excluded overall

This will be measured as a percentage of the total number of potential participants approached.

Time frame
From 10 days pre surgery to 90 days post surgery
4

Participant VR Headset Use Compliance Rate - Pre Operative

This will be measured by recording the participant's use of the VR headset during the pre-operative period (number of days VR headset is used for 20 minutes per day over 7 days) (These compliance rates will be measured by data which is recorded by the VR headset itself)

Time frame
For 7 days pre day of surgery

Other outcomes

1

VR Headset Technical Complications Experienced

The number of VR headset technical complications experienced by participants will be recorded from feedback gathered at study visits

Time frame
From 7 days pre surgery to 30 days post surgery

Sponsors and contacts

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