Virtual reality for pain management in advanced heart failure: A randomized controlled study

Background: Hospitalized patients with advanced heart failure often experience acute and/or chronic pain. While virtual reality has been extensively studied across a wide range of clinical settings, no studies have yet evaluated potential impact on pain management on this patient population. Aim: To...

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Bibliographic Details
Published in:Palliative medicine 2021-12, Vol.35 (10), p.2008-2016
Main Authors: Groninger, Hunter, Stewart, Diana, Fisher, Julia M, Tefera, Eshetu, Cowgill, James, Mete, Mihriye
Format: Article
Language:English
Subjects:
Chronic Pain
Guided imagery
Heart failure
Heart Failure - therapy
Hospitalization
Hospitalized
Humans
Imagery
Intervention
Pain Management
Palliative care
Prospective Studies
Psychological distress
Quality of life
Virtual Reality
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Summary:Background: Hospitalized patients with advanced heart failure often experience acute and/or chronic pain. While virtual reality has been extensively studied across a wide range of clinical settings, no studies have yet evaluated potential impact on pain management on this patient population. Aim: To investigate the impact of a virtual reality experience on self-reported pain, quality-of-life, general distress, and satisfaction compared to a two-dimensional guided imagery active control. Design: Single-center prospective randomized controlled study. The primary outcome was the difference in pre- versus post-intervention self-reported pain scores on a numerical rating scale from 0 to 10. Secondary outcomes included changes in quality-of-life scores, general distress, and satisfaction with the intervention. Setting/participants: Between October 2018 and March 2020, 88 participants hospitalized with advanced heart failure were recruited from an urban tertiary academic medical center. Results: Participants experienced significant improvement in pain score after either 10 minutes of virtual reality (change from pre- to post −2.9 ± 2.6, p 
ISSN:0269-2163
1477-030X
DOI:10.1177/02692163211041273