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...

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Autores principales: Găină, Marcel-Alexandru, Szalontay, Andreea Silvana, Ștefănescu, Gabriela, Bălan, Gheorghe Gh, Ghiciuc, Cristina Mihaela, Boloș, Alexandra, Găină, Alexandra-Maria, Ștefănescu, Cristinel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
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.
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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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