State-of-the-Art Review on Immersive Virtual Reality Interventions for Colonoscopy-Induced Anxiety and Pain
Background: Colonoscopy related fear impairs the current gold standard screening of colorectal cancer. Compared to other minimally invasive procedures for cancer screening, colonoscopy-induced anxiety exceeds the procedure through bowel preparation. Immersive virtual reality’s (iVR) role in alleviat...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8949336/ https://www.ncbi.nlm.nih.gov/pubmed/35329993 http://dx.doi.org/10.3390/jcm11061670 |
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author | Găină, Marcel-Alexandru Szalontay, Andreea Silvana Ștefănescu, Gabriela Bălan, Gheorghe Gh Ghiciuc, Cristina Mihaela Boloș, Alexandra Găină, Alexandra-Maria Ștefănescu, Cristinel |
author_facet | Găină, Marcel-Alexandru Szalontay, Andreea Silvana Ștefănescu, Gabriela Bălan, Gheorghe Gh Ghiciuc, Cristina Mihaela Boloș, Alexandra Găină, Alexandra-Maria Ștefănescu, Cristinel |
author_sort | Găină, Marcel-Alexandru |
collection | PubMed |
description | Background: Colonoscopy related fear impairs the current gold standard screening of colorectal cancer. Compared to other minimally invasive procedures for cancer screening, colonoscopy-induced anxiety exceeds the procedure through bowel preparation. Immersive virtual reality’s (iVR) role in alleviating the complex stress–pain relationship encountered during medical procedures is directly proportional to the rising affordability of state-of-the-art Head-Mounted-Displays (HMDs). Objective: to assess the effect of iVR on patients’ colonoscopy-induced anxiety and pain. Materials and methods: A systematic search was conducted in PubMed, Cochrane Central Register of Controlled Trials, Web of Science, Embase and Scopus databases up to January 2022. Clinical trials evaluating anxiety as an outcome were included without language restriction. Results: Four clinical trials were included: three on the patients’ intraprocedural anxiety and one on patient education. Intraprocedural iVR interventions for colonoscopy-induced anxiety and pain revealed a similar effect as conventional sedation, while a statistically significant reduction was reported for non-sedated patients. iVR patient education improved the quality of bowel preparation and reduced patient anxiety before colonoscopy. Conclusions: The current research highlights the need to use high-end HMDs and appropriate interactive iVR software content for colonoscopy-induced anxiety. Methodological frameworks regarding the eligibility of participants, double-blinding and randomization of iVR studies can facilitate the development of iVR implementation for anxiety and pain management. |
format | Online Article Text |
id | pubmed-8949336 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-89493362022-03-26 State-of-the-Art Review on Immersive Virtual Reality Interventions for Colonoscopy-Induced Anxiety and Pain Găină, Marcel-Alexandru Szalontay, Andreea Silvana Ștefănescu, Gabriela Bălan, Gheorghe Gh Ghiciuc, Cristina Mihaela Boloș, Alexandra Găină, Alexandra-Maria Ștefănescu, Cristinel J Clin Med Review Background: Colonoscopy related fear impairs the current gold standard screening of colorectal cancer. Compared to other minimally invasive procedures for cancer screening, colonoscopy-induced anxiety exceeds the procedure through bowel preparation. Immersive virtual reality’s (iVR) role in alleviating the complex stress–pain relationship encountered during medical procedures is directly proportional to the rising affordability of state-of-the-art Head-Mounted-Displays (HMDs). Objective: to assess the effect of iVR on patients’ colonoscopy-induced anxiety and pain. Materials and methods: A systematic search was conducted in PubMed, Cochrane Central Register of Controlled Trials, Web of Science, Embase and Scopus databases up to January 2022. Clinical trials evaluating anxiety as an outcome were included without language restriction. Results: Four clinical trials were included: three on the patients’ intraprocedural anxiety and one on patient education. Intraprocedural iVR interventions for colonoscopy-induced anxiety and pain revealed a similar effect as conventional sedation, while a statistically significant reduction was reported for non-sedated patients. iVR patient education improved the quality of bowel preparation and reduced patient anxiety before colonoscopy. Conclusions: The current research highlights the need to use high-end HMDs and appropriate interactive iVR software content for colonoscopy-induced anxiety. Methodological frameworks regarding the eligibility of participants, double-blinding and randomization of iVR studies can facilitate the development of iVR implementation for anxiety and pain management. MDPI 2022-03-17 /pmc/articles/PMC8949336/ /pubmed/35329993 http://dx.doi.org/10.3390/jcm11061670 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Găină, Marcel-Alexandru Szalontay, Andreea Silvana Ștefănescu, Gabriela Bălan, Gheorghe Gh Ghiciuc, Cristina Mihaela Boloș, Alexandra Găină, Alexandra-Maria Ștefănescu, Cristinel State-of-the-Art Review on Immersive Virtual Reality Interventions for Colonoscopy-Induced Anxiety and Pain |
title | State-of-the-Art Review on Immersive Virtual Reality Interventions for Colonoscopy-Induced Anxiety and Pain |
title_full | State-of-the-Art Review on Immersive Virtual Reality Interventions for Colonoscopy-Induced Anxiety and Pain |
title_fullStr | State-of-the-Art Review on Immersive Virtual Reality Interventions for Colonoscopy-Induced Anxiety and Pain |
title_full_unstemmed | State-of-the-Art Review on Immersive Virtual Reality Interventions for Colonoscopy-Induced Anxiety and Pain |
title_short | State-of-the-Art Review on Immersive Virtual Reality Interventions for Colonoscopy-Induced Anxiety and Pain |
title_sort | state-of-the-art review on immersive virtual reality interventions for colonoscopy-induced anxiety and pain |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8949336/ https://www.ncbi.nlm.nih.gov/pubmed/35329993 http://dx.doi.org/10.3390/jcm11061670 |
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