Virtual Reality at End-of-life

NCT06149429 | Completed

• 1 other identifier: STUDY00007462
• Study Type: interventional
• Target: 9
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this research is to determine the effect that repeated, personalized virtual reality experiences have on symptom severity, comparing self-reported symptom severity both pre and post each session, and overtime across sessions. Researchers will also determine if this intervention results in a high rating of presence in VR, and if presence is related to the magnitude of the change in symptoms.

Conditions

End of Life; Pain; Nausea; Fatigue; Well-Being, Psychological; Depression; Dyspnea; Appetite Loss; Anxiety

Keywords

Hospice; Serious Illness; Virtual reality; End-of-life

Outcome Measures

Primary Outcomes (1)

• Edmonton Symptom Assessment System - Revised (ESAS)

  End-of-life symptom assessment

  Two weeks

Secondary Outcomes (1)

• igroup presence questionnaire (IPQ)

  Two weeks

Study Arms (1)

Single-Arm Open Pilot

EXPERIMENTAL

Pre- Post-intervention design. The intervention that participants will be experiencing is personalized virtual reality experiences. The content of this experience will be determined at the initial visit during which the participant will complete a preference questionnaire which identifies the location they want to "go" to. These experiences will be filmed on the insta360 One R camera by the research coordinator. Each experience will be approximately 20 minutes. To view the videos participants will wear the Oculus Quest 2 virtual reality headset.

Behavioral: Personalized virtual reality experience

Interventions

Personalized virtual reality experience BEHAVIORAL

The intervention that participants will be experiencing is personalized virtual reality experiences. The content of this experience will be determined at the initial visit during which the participant will complete a preference questionnaire which identifies the location they want to "go" to. These experiences will be filmed on the insta360 One R camera by the research coordinator. Each experience will be approximately 20 minutes. To view the videos participants will wear the Oculus Quest 2 virtual reality headset.

Single-Arm Open Pilot

Eligibility Criteria

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

You may qualify if:

• Patients who are hospice care eligible as defined by the Medicare Hospice benefit and receive hospice or palliative care from Hospice and Palliative Care Buffalo.

You may not qualify if:

• Their Palliative Performance Score (PPS) is below 30.
• They are not cognitively intact (display symptoms of delirium or senility, or have a cognitive diagnosis such as Alzheimer's or Dementia) as measured by the Confusion Assessment Method (CAM) (Inouye et al., 1990)
• They have hearing, vision, or speech impairments that are uncorrected.
• They have current symptoms of or a history of dizziness, nausea, headaches, migraines, seizures, or motion sickness.
• They do not speak English.
• They are not 18 years old.

Sponsors & Collaborators

• State University of New York at Buffalo: lead
• State University of New York - Upstate Medical University: collaborator

Study Sites (1)

Hospice and Palliative Care Buffalo

Cheektowaga, New York, 14225, United States

Location

MeSH Terms

Conditions

Death; Pain; Nausea; Fatigue; Psychological Well-Being; Depression; Dyspnea; Anorexia; Anxiety Disorders

Condition Hierarchy (Ancestors)

Pathologic Processes; Pathological Conditions, Signs and Symptoms; Neurologic Manifestations; Signs and Symptoms; Signs and Symptoms, Digestive; Personal Satisfaction; Behavior; Behavioral Symptoms; Respiration Disorders; Respiratory Tract Diseases; Signs and Symptoms, Respiratory; Mental Disorders

Study Officials

• Catherine Mann, EdD

  SUNY Buffalo

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Professor

Model Details: Single group open pilot, pre- post-intervention study

Study Record Dates

• First Submitted: November 20, 2023
• First Posted: November 29, 2023
• Study Start: October 23, 2023
• Primary Completion: July 15, 2024
• Study Completion: July 15, 2024
• Last Updated: December 19, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)