| Popis: |
Background: We aimed to determine if a novel digital therapeutic intervention could reduce agitation and unscheduled medication use in an adult delirious acute care population. Methods: Delirious participants were randomly allocated (1:1) to receive standard of care plus a single 4-hour exposure to the digital intervention “MindfulGarden”, which uses a screen-based delivery to display a nature landscape with dynamic adjustment of screen content in response to movement and sound or standard of care only. Findings: Between March 2021 and January 2022, 73 participants were enrolled with 70 completing the trial protocol and included in the final analysis with a mean age of 61 years and 68% being male (35 intervention, 35 control). Mean RASS was significantly lower across the 4-hour study period in the intervention arm 0·3 (0·85) vs 0·9 (0·93), p=0·01. Interpretation: Exposure to a nature-based dynamic digital intervention showed benefits in agitation reduction. |
