Virtual Reality as a Method for Pain and Anxiety Control During First Trimester Procedural Abortion
CALM-VR
Virtual Reality as an Adjunctive Agent for the Management of Pain and Anxiety During First Trimester Procedural Abortion: a Randomized Controlled Trial
1 other identifier
interventional
72
1 country
2
Brief Summary
The goal of this clinical trial is to learn whether use of a virtual reality (VR) headset showing a meditative nature video will help reduce pain and anxiety during a first trimester procedural abortion. Investigators will enroll 72 patients undergoing a first trimester procedural abortion with usual care to manage pain and anxiety compared to use of a VR headset in addition to usual care to see if use of the VR headset will decrease pain and anxiety and increase satisfaction with the procedure.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started May 2026
Shorter than P25 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 11, 2025
CompletedFirst Posted
Study publicly available on registry
December 17, 2025
CompletedStudy Start
First participant enrolled
May 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
October 30, 2026
May 6, 2026
May 1, 2026
6 months
December 11, 2025
May 1, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Pain scores during a first trimester procedural abortion
Pain will be measured on a visual analogue scale during and after the procedural abortion via a REDCap survey. The scale is from 0-100, with 0 being "No pain" and 100 being the "Worst pain of my life". The difference in this score (post-procedure minus pre-procedure) is what will be compared between study arms.
Day of enrollment: immediately preprocedure and 15 minutes postprocedure.
Anxiety scores during a first trimester procedural abortion
Anxiety will be measured on a visual analogue scale during and after the procedural abortion via a REDCap survey. The scale is from 0-100, with 0 being "No anxiety or fear" and 100 being the "Worst anxiety or fear of my life". The difference in this score (post-procedure minus pre-procedure) is what will be compared between study arms.
Day of enrollment: immediately preprocedure and 15 minutes postprocedure.
Secondary Outcomes (1)
Satisfaction with the first trimester procedural abortion
Day of enrollment (immediately postprocedure) and one week after completion of the procedural abortion.
Study Arms (2)
Usual care only
ACTIVE COMPARATORUsual care for pain and anxiety management during a first trimester procedural abortion includes oral ibuprofen, intracervical block, and verbal analgesia.
VR headset
EXPERIMENTALParticipants will wear the VR headset during the first trimester procedural abortion, in addition to usual care for pain and anxiety management. The headset will display a meditative nature video throughout the procedure.
Interventions
VR Headset: Meta Quest 3S Meditative nature videos provided via "Guided Meditation VR" app.
Usual care for pain and anxiety management during a first trimester procedural abortion includes oral ibuprofen, intracervical block, and verbal analgesia.
Eligibility Criteria
You may qualify if:
- Patients at Planned Parenthood of Western Pennsylvania who have decided to undergo and are eligible for a procedural abortion.
- years old or older
- \<14 weeks gestation on day of abortion
- Able to comprehend written English
- Willing to comply with the study protocol
- Willing and able to provide informed consent
You may not qualify if:
- History of vertigo
- History of epilepsy
- Claustrophobia
- Significant hearing or visual impairments (such as deafness or blindness)
- Require hearing aids
- Have an implanted medical device, such as cardiac pacemaker or defibrillator
- Require misoprostol for cervical preparation
- Prior unsuccessful attempt at abortion during this pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Center for Family Planning Research, Magee-Womens Hospital
Pittsburgh, Pennsylvania, 15213, United States
Planned Parenthood of Western Pennsylvania
Pittsburgh, Pennsylvania, 15213, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Study Coordinator
Univeristy of Pittsburgh
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Fellow
Study Record Dates
First Submitted
December 11, 2025
First Posted
December 17, 2025
Study Start
May 1, 2026
Primary Completion (Estimated)
October 30, 2026
Study Completion (Estimated)
October 30, 2026
Last Updated
May 6, 2026
Record last verified: 2026-05
Data Sharing
- IPD Sharing
- Will not share
There are currently no plans to share the data, however it is possible we may choose to share the data with other groups or individuals interested in this topic. Should we choose to share, the data will be de-identified and a data use agreement will be executed as needed.