Social Virtual Reality Experiences for Hospitalized Older Adult Trauma Patients to Reduce Pain

为住院老年创伤患者提供社交虚拟现实体验以减轻疼痛

• 批准号: 10575727
• 负责人: Andrea Stevenson Won
• 金额: $ 7.02万
• 依托单位: CORNELL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-02-15 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10575727
• 关键词: Address; Admission activity; Adverse event; Age; Age Years; Anxiety; Authorization documentation; Constipation; Data; Data Collection; Delirium; Development; Ecological momentary assessment; Elderly; Equilibrium; Family; Family member; Feedback; Follow-Up Studies; Friends; Future; Hospitalization; Hospitals; Infection Control; Intervention; Interview; Length of Stay; Link; Measures; Methods; Moods; Morbidity - disease rate; Operative Surgical Procedures; Outcome Measure; Outpatients; Pain; Pain Threshold; Pain management; Participant; Patient Care; Patients; Perception; Persons; Pharmaceutical Preparations; Physical environment; Pilot Projects; Play; Population; Protocols documentation; Rehabilitation therapy; Research; Research Assistant; Risk; Risk Factors; Social Interaction; Social isolation; Social support; Surveys; Symptoms; Technology; Telephone; Testing; Text Messaging; Trauma; Trauma patient; Travel; Videoconferencing; Visual impairment; Work; acceptability and feasibility; acute care; addiction; aging population; anxiety reduction; authority; cost; depressive symptoms; experience; falls; health care settings; human old age (65+); improved; infection risk; iterative design; novel; older patient; opioid use; pain reduction; patient population; post intervention; post-trauma; prescription opioid; prevent; recruit; satisfaction; social; social engagement; standard measure; therapy design; usability; virtual environment; virtual reality; virtual reality environment; virtual reality intervention

Older adults (i.e., those 65 years of age and older) account for more than 25% of all US hospital trauma admissions, primarily due to falls and collisions. Given the aging population of the US, by 2050, approximately 40% of all trauma patients are estimated to be over the age of 65. Trauma patients experience high rates of pain. Opioid medications are commonly used to manage trauma-related pain, but contribute to excess morbidity, including risk of addiction, delirium occurrence, constipation, and falls. In addition, adverse events resulting from opioid use increase hospital length-of stay, overall costs, risk of infection, and delays outpatient rehabilitation. Multiple authorities have called for the development and testing of nonpharmacologic pain mitigation approaches in this population, but few are in use. To address this gap, we propose to evaluate a novel pain treatment, social virtual reality (SVR), in older adult trauma patients, in a two-step study to examine feasibility, usability, and acceptability for patients, their friends and family, and, as a secondary measure, clinicians who are involved in patient care. We will present existing versions of SVR to 10-15 patients, interview them, and make iterative refinements according to their feedback. In the second part of this study, we will conduct an uncontrolled pilot study with 25-30 older hospitalized patients, to establish the feasibility, usability, and acceptability of SVR, and of data collection protocols and data availability to capture differences pain, anxiety and mood. Patients will identify a “partner,” a family member or close friend, with whom they would like to experience SVR, and a research assistant (RA) will provide headsets and intensive technical support for both patient and partner. We will assess feasibility, usability and acceptability through successful recruitment and completion of the study protocol, as well as through surveys using standard measures of usability and acceptability for both groups: patients and partner. We will also examine differences in patient pain, anxiety, and mood, measuring these outcomes pre- and post-intervention by survey as well as using a method of ecological momentary assessment based on surveys in the headset and tracking user data.

老年人（即，65岁及以上）占美国所有医院创伤的25 入院，主要是由于福尔斯和碰撞。鉴于美国人口老龄化，到2050年， 据估计，所有创伤患者中有40%年龄在65岁以上。创伤患者的高发病率 痛苦阿片类药物通常用于管理创伤相关疼痛，但会导致过量 发病率，包括成瘾、谵妄发生、便秘和福尔斯的风险。此外，不良事件 阿片类药物的使用增加了住院时间、总费用、感染风险，并延迟了门诊时间 康复活动.多个权威机构呼吁开发和测试非药物性疼痛 缓解方法在这一人群中，但很少有人在使用。为了弥补这一差距，我们建议评估一个 一种新的疼痛治疗，社交虚拟现实（SVR），在老年创伤患者中，在一项两步研究中， 患者及其朋友和家人的可行性、可用性和可接受性，作为次要指标， 参与病人护理的临床医生。我们将向10-15名患者介绍现有版本的SVR， 并根据他们的反馈进行迭代改进。在本研究的第二部分，我们将 在25-30名老年住院患者中进行一项非对照的初步研究，以确定其可行性、可用性， 和SVR的可接受性，以及数据收集协议和数据可用性，以捕获差异疼痛， 焦虑和情绪。患者将确定一个“合作伙伴”，一个家庭成员或亲密的朋友，他们想与谁 体验SVR，研究助理（RA）将提供耳机和密集的技术支持， 病人和伴侣我们将通过成功的招募来评估可行性、可用性和可接受性 和完成研究方案，以及通过使用可用性标准措施的调查， 两组的可接受性：患者和伴侣。我们还将研究患者疼痛，焦虑， 和情绪，通过调查以及使用 基于耳机中的调查和跟踪用户数据的生态瞬时评估。