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% 以上 考虑到美国人口老龄化，预计到 2050 年，住院人数将增加，主要是由于跌倒和碰撞。 据估计，所有创伤患者中有 40% 的年龄超过 65 岁。创伤患者的发病率很高 阿片类药物通常用于治疗与创伤相关的疼痛，但会导致过度疼痛。 发病率，包括成瘾、谵妄发生、便秘和跌倒的风险。 使用阿片类药物会增加住院时间、总体费用、感染风险并延误门诊 多个权威机构呼吁开发和测试非药物疼痛。 针对这一人群的缓解方法很少，但很少有人使用。为了解决这一差距，我们建议评估一种方法。 在一项两步研究中，针对老年创伤患者的新型疼痛治疗方法——社交虚拟现实（SVR） 患者、他们的朋友和家人的可行性、可用性和可接受性，并且作为次要措施， 参与患者护理的勇士我们将向 10-15 名患者展示现有版本的 SVR，并进行采访。 在本研究的第二部分中，我们将根据他们的反馈进行迭代改进。 对 25-30 名老年住院患者进行了一项非对照试点研究，以确定可行性、可用性、 SVR、数据收集协议和数据可用性的可接受性，以捕捉差异的痛苦， 患者会找到一个他们愿意与之相处的“伴侣”，即家庭成员或亲密的朋友。 体验 SVR，研究助理 (RA) 将为您提供耳机和密集的技术支持 我们将通过成功招募来评估患者和合作伙伴的可行性、可用性和可接受性。 和完成研究方案，以及通过使用可用性和标准衡量标准的调查 两组患者和伴侣的可接受性我们还将检查患者疼痛、焦虑、 和情绪，通过调查以及使用一种方法来测量干预前后的这些结果 基于耳机调查和跟踪用户数据的生态瞬时评估。