• Mark B Powers, Emily Carl, Andrew Levihn-Coon, Melissa Van Veldhuizen, Andrew Caven, Jamie Pogue, Michelle Fresnedo, Emma D Turner, Maris Adams, Kiara Leonard, Haley Conroy, Crystal Lantrip, Thomas Caven, Claire Isbell, Justin Regner, Emily Garmon, Michael Foreman, Wayne Miller, Lorie A Fares, Per Carlbring, Michael W Otto, Daniel N Weiss, James Hughes, Jay M Bernhardt, Rob Roy, Jeeyun Oh, Ryan Copt, Jonathan MacClements, Ann M Warren, Benjamin Rosenfield, David Rosenfield, Sean Minns, Michael J Telch, and SmitsJasper A JJAJThe University of Texas at Austin..
• Baylor University Medical Center.
• Clin J Pain. 2021 Sep 1; 37 (9): 678687678-687.

ObjectivesNonpharmacologic pain management strategies are needed because of the growing opioid epidemic. While studies have examined the efficacy of virtual reality (VR) for pain reduction, there is little research in adult inpatient settings, and no studies comparing the relative efficacy of standard animated computer-generated imagery (CGI) VR to Video Capture VR (360 degrees 3D/stereoscopic Video Capture VR). Here, we report on a randomized controlled trial of the relative efficacy of standard CGI VR versus Video Capture VR (matched for content) and also compared the overall efficacy of VR to a waitlist control group.Materials And MethodsParticipants (N=103 hospitalized inpatients reporting pain) were randomized to 1 of 3 conditions: (1) waitlist control, (2) CGI VR, or (3) Video Capture VR. The VR and waitlist conditions were 10 minutes in length. Outcomes were assessed pretreatment, post-treatment, and after a brief follow-up.ResultsConsistent with hypotheses, both VR conditions reduced pain significantly more relative to the waitlist control condition (d=1.60, P<0.001) and pain reductions were largely maintained at the brief follow-up assessment. Both VR conditions reduced pain by ∼50% and led to improvements in mood, anxiety, and relaxation. Contrary to prediction, the Video Capture VR condition was not significantly more effective at reducing pain relative to the CGI VR condition (d=0.25, P=0.216). However, as expected, patients randomized to the Video Capture VR rated their experience as more positive and realistic (d=0.78, P=0.002).DiscussionVideo Capture VR was as effective as CGI VR for pain reduction and was rated as more realistic.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

7 keywords...

hide…