Stress Inoculation Through Virtual Reality in the Pediatric Electrophysiology Laboratory
| Status: | Completed |
|---|---|
| Conditions: | Anxiety, Anxiety, Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 10 - 20 |
| Updated: | 3/22/2019 |
| Start Date: | January 2017 |
| End Date: | April 16, 2018 |
The goal of this study is to assess the utility of virtual reality technology to aid in the
mental health of patients with cardiac disease, specifically looking at decreasing anxiety
and perceptions of pain from stressful procedures in the pediatric electrophysiology
laboratory.
mental health of patients with cardiac disease, specifically looking at decreasing anxiety
and perceptions of pain from stressful procedures in the pediatric electrophysiology
laboratory.
The investigators will perform a pilot study of 40 patients who are randomized to either
standard of care preparation for an electrophysiology procedure (control arm) vs. Virtual
Reality preparation (VR arm). Participants in control arm will have standard preparation for
a procedure including discussion of the procedure with the provider the day before the
procedure with all questions answered at that time. VR arm participants will have access to
the Virtual Reality tour and gear 1 week prior to the procedure. VR arm participants will be
instructed to watch the Virtual Reality tour at least three times prior to the procedure but
will be encouraged to watch as often as the participants would like. The Virtual Reality
equipment will measure how often participants complete the tour. All participants will
undergo anxiety measures a total of four times: once at time of recruitment, day of procedure
and then 1 week and 4 weeks post procedure. Participants will have cortisol salivary swabs
performed 1 week before procedure (before VR use), pre-op visit, day of procedure, and
immediately following procedure. Heart rate and blood pressure will be measured on day of
procedure.
standard of care preparation for an electrophysiology procedure (control arm) vs. Virtual
Reality preparation (VR arm). Participants in control arm will have standard preparation for
a procedure including discussion of the procedure with the provider the day before the
procedure with all questions answered at that time. VR arm participants will have access to
the Virtual Reality tour and gear 1 week prior to the procedure. VR arm participants will be
instructed to watch the Virtual Reality tour at least three times prior to the procedure but
will be encouraged to watch as often as the participants would like. The Virtual Reality
equipment will measure how often participants complete the tour. All participants will
undergo anxiety measures a total of four times: once at time of recruitment, day of procedure
and then 1 week and 4 weeks post procedure. Participants will have cortisol salivary swabs
performed 1 week before procedure (before VR use), pre-op visit, day of procedure, and
immediately following procedure. Heart rate and blood pressure will be measured on day of
procedure.
Inclusion Criteria:
- Pediatric Cardiology patients between the age of 10 and 20 years old
- Undergoing cardiac electrophysiology procedure
Exclusion Criteria:
- Inability to wear virtual reality glasses
- Patients under 10 years old
- Prior psychiatric illness
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