Effects of Virtual Reality Education on Anxiety and Learning in Patients Undergoing Urolithiasis Surgery

NCT07620873 | Not Yet Recruiting

• 1 other identifier: 202600523B0
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial aims to evaluate the effects of two-tier virtual reality-based preoperative education on anxiety, learning knowledge, self-care ability, and cognitive load in patients undergoing urolithiasis surgery. Participants will be randomly assigned to routine education, standard virtual reality education, or two-tier virtual reality education groups. Outcomes will be assessed using anxiety scales, knowledge questionnaires, self-care ability measures, and cognitive load assessments before and after the intervention.

Conditions

Urolithiasis; Kidney Stone; Ureter Stones

Keywords

Virtual Reality; Preoperative Education; Urolithiasis; Anxiety; Self-Care Ability; Cognitive Load

Outcome Measures

Primary Outcomes (1)

• Anxiety Score Measured by the Amsterdam Preoperative Anxiety and Information Scale (APAIS) and Hospital Anxiety and Depression Scale-Anxiety Subscale (HADS-A)

  Anxiety will be assessed using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) and the Anxiety subscale of the Hospital Anxiety and Depression Scale (HADS-A). The APAIS consists of 6 items scored on a 5-point Likert scale. Total scores range from 6 to 30, with higher scores indicating greater preoperative anxiety and information needs. The HADS-A consists of 7 items scored from 0 to 3. Total scores range from 0 to 21, with higher scores indicating greater anxiety.

  Baseline before intervention, 2 hours after intervention, and postoperative day 1

Secondary Outcomes (3)

• Urolithiasis Surgery Knowledge Questionnaire Score

  Baseline before intervention and 2 hours after intervention

• Postoperative Self-Care Ability Score Measured by the Urolithiasis Self-Care Ability Scale

  Postoperative day 1

• Cognitive Load Score Measured by the Cognitive Load Questionnaire

  2 hours after intervention

Study Arms (3)

Routine Patient Education

NO INTERVENTION

Participants receive routine preoperative education provided by clinical nursing staff before urolithiasis surgery.

VR Education

EXPERIMENTAL

Participants receive standard virtual reality-based preoperative education before urolithiasis surgery.

Behavioral: VR Education

Two-Tier VR Education

EXPERIMENTAL

Participants receive two-tier virtual reality-based preoperative education with integrated interactive questioning and feedback before urolithiasis surgery.

Behavioral: Two-Tier VR Education

Interventions

VR Education BEHAVIORAL

Participants receive standard virtual reality-based preoperative education before urolithiasis surgery. The VR program includes immersive 360-degree educational content covering the preoperative process, operating room environment, postoperative care, and self-care instructions.

VR Education

Two-Tier VR Education BEHAVIORAL

Participants receive two-tier virtual reality-based preoperative education before urolithiasis surgery. The intervention combines immersive 360-degree VR educational content with a two-tier testing mechanism designed to enhance learning comprehension, self-care knowledge, and cognitive engagement.

Two-Tier VR Education

Eligibility Criteria

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

You may qualify if:

• Patients scheduled to undergo urolithiasis surgery with procedure codes 77026B, 77027B, 77028B, or 76016B.
• Aged 18 years or older.
• Conscious and mentally alert.
• Able to communicate in Mandarin Chinese and read written text.
• Able to understand and operate virtual reality equipment.

You may not qualify if:

• Patients with current psychiatric disorders or substance abuse.
• Patients with hearing or visual impairment.
• Patients with visual dizziness, vertigo, or virtual reality motion sickness symptoms.
• Patients who are unable to cooperate or unwilling to participate in the study.

Sponsors & Collaborators

• Wei-Lin, Huang: lead

Study Sites (1)

Keelung Chang Gung Memorial Hospital

Keelung, 204, Taiwan

Location

MeSH Terms

Conditions

Urolithiasis; Kidney Calculi; Anxiety Disorders

Condition Hierarchy (Ancestors)

Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Nephrolithiasis; Kidney Diseases; Urinary Calculi; Calculi; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms; Mental Disorders

Central Study Contacts

wellin Huang, RN, MSN Student

CONTACT

+886 953713535; hwl0111@gmail.com

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: Graduate Student, School of Nursing, Taipei Medical University

Model Details: Participants will be randomly assigned to one of three parallel groups: routine education, standard virtual reality education, or two-tier virtual reality education. Outcomes will be compared across groups before and after the intervention.

Study Record Dates

• First Submitted: May 23, 2026
• First Posted: June 2, 2026
• Study Start (Estimated): July 1, 2026
• Primary Completion (Estimated): May 1, 2027
• Study Completion (Estimated): May 1, 2027
• Last Updated: June 2, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)