The Pain Reduction Using Immersive Virtual Reality During Wound Care Evaluation Study at Maimonides (PRISM) - Pilot Study
PRISM
1 other identifier
interventional
25
1 country
2
Brief Summary
This study will test whether immersive virtual reality (iVR) can reduce pain and discomfort during wound care for residents living in long-term care (LTC). Pressure ulcers are common and painful among older adults, and dressing changes often cause additional distress. Up to 20 residents at the Donald Berman Maimonides Geriatric Centre will use virtual reality headsets during routine wound care. The headsets display calm, low-stimulus scenes (e.g., puppies in a meadow) designed to distract and comfort participants. Each participant will take part for six weeks in three phases:
- Two weeks of usual wound care (baseline)
- Two weeks using virtual reality during wound care (intervention)
- Two weeks of usual care again (washout) Pain will be assessed using validated tools, and the research team will also observe agitation, mood, and other behavioral indicators. Nursing staff will provide feedback on feasibility and acceptability of iVR use in LTC settings.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Nov 2025
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
Study Start
First participant enrolled
November 1, 2025
CompletedFirst Submitted
Initial submission to the registry
February 25, 2026
CompletedFirst Posted
Study publicly available on registry
March 4, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
April 15, 2027
March 5, 2026
March 1, 2026
1.1 years
February 25, 2026
March 3, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Pain Assessment Checklist for Seniors with Limited Ability to Communicate (PACSLAC-II)
Pain assessment tool
6 weeks
Pain Assessment in Advanced Dementia (PAINAD)
Pain assessment tool
6 weeks
Secondary Outcomes (1)
Neuropsychiatric Inventory Nursing Home Version (NPI-NH)
6 weeks
Study Arms (2)
Immersive virtual reality during wound care
EXPERIMENTALImmersive virtual reality will be used during wound care procedures
Usual Care
NO INTERVENTIONNo immersive reality use during wound care procedures
Interventions
IVR headsets will provide calming, low-intensity scenes-like watching puppies in a meadow-to provide distraction and help reduce pain during wound care.
Eligibility Criteria
You may qualify if:
- Resident of LTC for ≥2 weeks
- Receiving regular wound care for pressure ulcers
- Able to tolerate iVR headset use
- (If cognitively apt) able to understand English or French
You may not qualify if:
- Blindness, severe cataracts, or glaucoma
- Allergies to synthetic plastics or headset materials
- Head or ear wounds preventing headset placement
- Peripheral neuropathy
- Dangerous or aggressive behaviors in the past 30 days
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- McGill Universitylead
- Lady Davis Institutecollaborator
Study Sites (2)
Donald Berman Maimonides Maimonides Geriatric Centre
Montreal, Quebec, H4W 1W3, Canada
Donald Berman Maimonides Maimonides Geriatric Centre
Montreal, Quebec, H4W 1W3, Canada
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Machelle Wilchesky, PhD
Lady Davis Institute-CIUSSS du Centre-Ouest-de-l'Île-de-Montréal
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
February 25, 2026
First Posted
March 4, 2026
Study Start
November 1, 2025
Primary Completion (Estimated)
December 1, 2026
Study Completion (Estimated)
April 15, 2027
Last Updated
March 5, 2026
Record last verified: 2026-03