A virtual reality video to improve information provision and reduce anxiety before cesarean delivery
| Autor: | Lore Noben, Gerrit D. Slooter, Stefanus J. van Rooijen, Sophie E.M. Truijens, Marijn Marthe Georgine van Berckel, Simone M.T.A. Goossens, Christel Wilhelmina Perquin |
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| Přispěvatelé: | Center for Care & Cure Technology Eindhoven, Signal Processing Systems, Eindhoven MedTech Innovation Center, Paediatric Cardiology |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Counseling
medicine.medical_specialty Visual analogue scale Subgroup analysis childbirth Anxiety Preoperative care Virtual reality law.invention surgery 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Psychology Childbirth Outpatient clinic 030212 general & internal medicine Original Paper 030219 obstetrics & reproductive medicine cesarean section business.industry BF1-990 Clinical trial Psychiatry and Mental health Physical therapy medicine.symptom business |
| Zdroj: | JMIR Mental Health, 6(12):e15872. JMIR Publications JMIR Mental Health Journal of medical Internet research, 21(12):e15872. Journal of medical Internet Research JMIR Mental Health, Vol 6, Iss 12, p e15872 (2019) |
| ISSN: | 2368-7959 1438-8871 |
| Popis: | Background Anxiety levels before cesarean delivery (CD) can lead to a negative birth experience, which may influence several aspects of the woman’s life in the long term. Improving preoperative information may lower preoperative anxiety and lead to a more positive birth experience. Objective This study aimed to determine whether a virtual reality (VR) video in addition to standard preoperative information decreases anxiety levels before a planned CD. Methods Women scheduled to undergo term elective CD were recruited from the outpatient clinic. They were randomized and stratified based on history of emergency CD (yes or no). All participants received standard preoperative information (folder leaflets and counseling by the obstetrician); the VR group additionally watched the VR video showing all aspects of CD such as the ward admission, operating theater, spinal analgesia, and moment of birth. The primary outcome measure was a change in score on the Visual Analogue Scale for Anxiety (ΔVAS-A) measured at admission for CD, compared with the baseline VAS-A score. Results A total of 97 women were included for analysis. The baseline characteristics were similar in both groups, except for a significantly higher level of education in the control group. There was no significant decrease in the VAS-A score of the women in the VR group (n=49) compared with those in the control group (n=48; ΔVAS-A=1.0; P=.08; 95% CI −0.1 to 2.0). Subgroup analysis for the group of women with a history of emergency CD showed a trend toward decreased preoperative anxiety, despite the small sample size of this subgroup (n=17; P=.06). Of the 26 participants who provided completed questionnaires, 22 (85%) in the VR group reported feeling more prepared after seeing the VR video; of the 24 participants’ partners who completed the questionnaires, 19 (79%) agreed with the participants. No discomfort or motion sickness was reported. Conclusions A VR video may help patients and their partners feel better prepared when planning a CD. This study showed that VR does not lead to a decrease in preoperative anxiety. However, subgroups such as women with a history of emergency CD may benefit from VR videos. Trial Registration International Standard Randomised Controlled Trial Number (ISRCTN) 74794447; http://www.isrctn.com/ISRCTN74794447 (retrospectively registered) |
| Databáze: | OpenAIRE |
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