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임상시험 NCT06346171 (VRIPanx-COL)은(는) 절차적 불안, 절차적 통증에 대해 진행중, 모집종료 상태입니다. 모든 세부 정보를 보려면 임상시험 레이더 카드 뷰와 AI 발견 도구를 확인하거나 여기에서 무엇이든 물어보세요. | ||
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카드 뷰
VR Augmented Human Delivered Integrative Psychotherapy for Colonoscopy Procedural Anxiety and Pain (VRIPanx-COL) 36 비대면
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임상시험 NCT06346171 (VRIPanx-COL)은(는) 절차적 불안, 절차적 통증에 대해 알아보는 중재연구입니다. 현재 상태는 진행중, 모집종료이며, 연구는 2024년 6월 1일에 시작되어 36명의 참여자를 모집하고 있습니다. Grigore T. Popa University of Medicine and Pharmacy이(가) 진행하며, 2025년 11월 30일까지 완료될 예정입니다. ClinicalTrials.gov의 가장 최근 정보는 2025년 3월 19일에 갱신되었습니다.
간단한 개요
Colonoscopy is an invaluable tool for the diagnosis and management of colon diseases, especially colorectal cancer (CRC) - the third most common cancer worldwide. Its unmatched ability to detect CRC and premalignant growths makes it the gold standard; however, it is not without its challenges. Patients often experience pre-procedure anxiety and discomfort primarily related to anticipated pain, which negatively impact...더 보기
상세한 설명
The proposed VR-Facilitated Integrative Psychotherapy framework (VRIPainX-COL) leverages the immersive capabilities of VR as platform fir psychological interventions for this pilot trial is designed to assess its preliminary efficacy, acceptability, and feasibility in reducing the pre-procedural anxiety and discomfort associated with colonoscopy.
Primary Aims:
1.1 Developing a comprehensive conceptual framework for...
더 보기공식 제목
Evaluating a Virtual Reality Augmented Clinician-Delivered Integrative Psychotherapy Model for Non-Sedated Colonoscopy Procedural Anxiety and Pain: A Prevalidation Trial Protocol (VRIPanx-COL)
질환명
절차적 불안절차적 통증출판물
이 임상시험에 대해 발표된 과학 논문 및 연구 자료.기타 연구 식별자
- VRIPanx-COL
- 408/06.03.2024
NCT 번호
실제 연구 시작일
2024-06-01
최신 업데이트 게시
2025-03-19
예상 연구 완료일
2025-11-30
계획된 등록 인원
36
연구종류
중재연구
단계/상
해당 없음
상태
진행중, 모집종료
키워드
colonoscopy
anxiety
pain
virtual reality
psychotherapy
anxiety
pain
virtual reality
psychotherapy
주요 목적
치료
설계 할당
무작위배정
중재 모델
평행설계
맹검 (마스킹)
삼중맹검
시험군 / 개입
| 참가자 그룹/시험군 | 개입/치료 |
|---|---|
실험적Virtual Reality Integrative Psychotherapy This group will undergo the same virtual reality exposure software during the colonoscopy procedure, but the psychotherapist will implement the integrative psychotherapy framework during the procedure. | Virtual Reality Integrative Psychotherapy Music therapy: "Weightless" by Marconi Union plays continuously, bridging VR distraction and psychotherapy.
Before: Patients pick a VR scene (-13 to -10 min), learn VR navigation, and practice 4-7-8 breathing with a VR flower for grounding and resilience (-10 to -9 min). They continue 4-7-8 doing Progressive Muscle Relaxation (4+7 contraction, 8 relaxation), moving from lower body to facial muscles (-8 to -5 min). V...더 보기 Virtual Reality Distraction Software: Nature Treks VR nature environments. Hardware: dedicated head-mounted VR display (Oculus Rift S.) powered by a high-end computer (Laptop with at least GTX 1080 graphics card, both with processing units that lower the bottleneck chances); minimum specifications should facilitate presence while limiting cybersickness by ensuring refresh rates beyound 85 frames/second.
Music therapy: "Weightless" by Marconi U...더 보기 |
거짓 대조군Virtual Reality Distraction This group will be exposed to the virtual reality environment as a distraction, but although receiving support in exploring the virtual world, no psychotherapy techniques will implemented. | Virtual Reality Distraction Software: Nature Treks VR nature environments. Hardware: dedicated head-mounted VR display (Oculus Rift S.) powered by a high-end computer (Laptop with at least GTX 1080 graphics card, both with processing units that lower the bottleneck chances); minimum specifications should facilitate presence while limiting cybersickness by ensuring refresh rates beyound 85 frames/second.
Music therapy: "Weightless" by Marconi U...더 보기 |
비개입Control group This group will undergo treatment as usual according to state-of-the-art guidelines for non-sedated colonoscopy. | 해당 없음 |
주요결과변수
이차결과변수
| 결과변수 | 측정값 설명 | 시간 범위 |
|---|---|---|
Reduction in Procedure-Related Anxiety | This measure assesses the degree of reduction in anxiety related to undergoing a non-sedated colonoscopy procedure. Anxiety levels will be quantified using the Spielberger STAI-Y1 and STAI-Y2 forms, previously standardized to the Romanian population and approved by Romanian Psychological College. STAI-Y1 and Y2 are applied and interpreted by a licensed investigator, in order to ensure viability of collected data. The scale measures how respondents feel at a particular moment in time and in general, providing insight into both state and trait anxiety levels. The difference in STAI-Y1 scores from baseline (pre-intervention) to post-procedure will be analyzed to determine the effectiveness of the VR-Augmented Integrative Psychotherapy in reducing procedural anxiety compared to Sham VR Distraction and control groups. | STAY-Y1: baseline anxiety measured within 20 minutes before the procedure; post-procedural anxiety (within 20 minutes after the procedure's completion). |
Pain perception | The primary measure of pain perception will be the Visual Analog Scale (VAS), a validated tool for pain assessment. This self-reported measure allows patients to rate their pain on a scale from "no pain" (0) to "worst imaginable pain" (10). | Within 20 minutes before the colonoscopy procedure (baseline) and immediately after the procedure (within 20 minutes post-procedure). |
| 결과변수 | 측정값 설명 | 시간 범위 |
|---|---|---|
Feasibility and Acceptability of VRIP-Col Interventions | This outcome will assess the logistical feasibility and overall acceptability of the VRIP-Col interventions among patients undergoing non-sedated colonoscopy. Feasibility metrics will include the successful integration of VRIP-Col into clinical workflows, the ability to deliver the intervention to all enrolled participants without disrupting standard care procedures, and the technical reliability of VR equipment. Acceptability will be evaluated through patient and healthcare provider satisfaction surveys, focusing on the perceived usefulness, ease of use, and willingness to use or recommend the VRIP-Col interventions in the future. | Data on feasibility and acceptability will be collected within 24 hours after the colonoscopy procedure. |
Qualitative Feedback on VRIP-Col Interventions | This outcome will involve the collection and analysis of qualitative feedback from patients who receive the VRIP-Col interventions and the colonoscopists who perform the procedures. Feedback will be gathered through semi-structured interviews designed to explore the perceived advantages of the VRIP-Col interventions, any obstacles encountered during their implementation, and suggestions for improvement from both the patient and provider perspectives. This qualitative analysis will provide insights into the user experience, identify potential barriers to effective implementation, and inform future refinements of the VRIP-Col approach. | Data on feasibility and acceptability will be collected within 24 hours after the colonoscopy procedure. |
참여 도우미
적격성 기준
연령대
성인, 노인
최소 연령
18 Years
참여 가능한 성별
전체
건강한 참가자 허용
네
- scheduled non-sedated colonoscopy.
- cognitive ability to understand study aims;
- willingness to participate and provide written consent.
emergency colonoscopy;
significant sensory-cognitive impairments;
potential risk of:
- photic seizures;
- photosensitivity;
- severe motion sickness;
- allergies to materials used.
anxiety disorders:
- use of psychoactive or analgesic substances;
- concomitant psychotherapy.
연구 책임자
Marcel-Alexandru Gaina, 책임연구자, MD assist prof Marcel-Alexandru Gaina, Grigore T. Popa University of Medicine and Pharmacy
연락처 정보가 없습니다.
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Iaşi
University of Medicine and Pharmacy Grigore T Popa, Iași, Iaşi, 700115, Romania