Virtual Reality for Burn Wound Care Pain Control

NCT00663013 | Unknown

• 1 other identifier: 0701008961
• Study Type: interventional
• Target: 12
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators propose to study the effects of virtual reality (VR) on patients' pain perception during burn wound care. Such variables include psychiatric diagnosis and standard pain coping (i.e. pain catastophizer vs. non-pain catastrophizer).Aims: The investigators intend to evaluate the use of virtual reality in pain distraction for burn patients undergoing burn wound care. To that end our aims are: 1) To determine if pain perception will be less during the portion of the procedure in which the patient is immersed in the VR session in comparison to the portion of wound care which will occur without VR immersion. 2) To determine if anticipatory anxiety will be less for the portion of wound care that includes the virtual reality in comparison to the portion without virtual reality. 3) To determine if current psychiatric diagnosis, especially acute stress disorder and depression, is related to higher pain perception and greater decrease in pain with the virtual reality distraction. 4) To determine if being a "pain catastrophizer" is related to higher pain perception and greater benefits from the

Conditions

Pain; Anxiety

Keywords

burn; pain; anxiety

Outcome Measures

Primary Outcomes (4)

• pain perception

  immediate

• anticipatory anxiety

  immediate

• current psychiatric diagnosis, is related to pain

  immediate

• "pain catastrophizing" is related to higher pain perception and greater benefits from the VR

  immediate

Study Arms (2)

1

ACTIVE COMPARATOR

The first treatment session will involve 5-7 minutes of burn wound care while distracted by VR, and 5-7 minutes of burn wound care without the distraction of VR. The second session of burn wound care (performed within the next 3 days) will involve 5-7 minutes of burn wound care without the distraction of VR, and 5-7 minutes of burn wound care with the distraction of VR. The treatment order will be randomized.

Other: Virtual Reality

2

ACTIVE COMPARATOR

The first treatment session will involve 5-7 minutes of burn wound care while distracted by VR, and 5-7 minutes of burn wound care without the distraction of VR. The second session of burn wound care (performed within the next 3 days) will involve 5-7 minutes of burn wound care without the distraction of VR, and 5-7 minutes of burn wound care with the distraction of VR. The treatment order will be randomized.

Other: Virtual Reality

Interventions

Virtual Reality OTHER

Virtual reality (VR) gives patients an illusion of going into the 3-D computer generated environment/virtual world. During VR, the subject wears a head-mounted virtual reality helmet that positions two goggle-sized miniature LCD computer screens close to the subject's eyes. Position tracking devices keep the computer informed of changes in the patient's head location. An electro-magnetic head orientation device feeds the x, y, z coordinates of the patient's head to the computer, which can quickly change what the patient sees in virtual reality accordingly. The scenery in VR changes as the patient moves her head orientation (e.g., virtual objects in front of the patient in VR get closer as the patient, wearing the VR helmet, leans forward in the real world).

Also known as: SnowWorld Multigen-Paradigm Inc, SimWright Inc

1; 2

Eligibility Criteria

• Age: 12 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 12-100years
• Minimum burn wound size of 2% total body surface area (TBSA) excluding head and dominant hand
• Be able to sit upright independently in bed
• Minimum pain rating of 4/10 on a Visual Analog Scale (only using the most painful extremity).
• Able to consent to the study

You may not qualify if:

• Known history of motion sickness
• Seizures
• Migraines
• Current psychosis, dementia, or delirium
• Current blindness and/or deafness that significantly affects their ability to experience the VR

Sponsors & Collaborators

• Weill Medical College of Cornell University: lead

Study Sites (1)

New York Presbyterian Hospital, WRH Burn Center

New York, New York, 10065, United States

RECRUITING

MeSH Terms

Conditions

Pain; Anxiety Disorders; Burns

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders; Wounds and Injuries

Study Officials

• Roger W Yurt, MD FACS

  Weill Medical College of Cornell University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Roger W Yurt, MD FACS

CONTACT

2127465410; ryurt@med.cornell.edu

Angela Rabbitts, RN MS

CONTACT

2127465881; anr2002@med.cornell.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: April 17, 2008
• First Posted: April 21, 2008
• Study Start: October 1, 2007
• Primary Completion: May 1, 2010
• Study Completion: May 1, 2010
• Last Updated: January 4, 2011

Record last verified: 2011-01

Locations

US (1)