Your browser doesn't support javascript.
loading
Effect of intensive care unit-specific virtual reality (ICU-VR) to improve psychological well-being in ICU survivors: study protocol for an international, multicentre, randomised controlled trial-the HORIZON-IC study.
Vlake, Johan Hendrik; van Bommel, Jasper; Wils, Evert-Jan; Korevaar, Tim Im; Taccone, Fabio; Schut, Anna Fc; Elderman, Jan H; Labout, Joost Am; Raben, Adrienne Mtj; Dijkstra, Annemieke; Achterberg, Sefanja; Jurriens, Amber L; Van Mol, Margo Mc; Gommers, Diederik; Van Genderen, Michel E.
Afiliação
  • Vlake JH; Intensive Care, Erasmus MC, Rotterdam, Zuid-Holland, Netherlands.
  • van Bommel J; Intensive Care, Franciscus Gasthuis en Vlietland, Rotterdam, Zuid-Holland, Netherlands.
  • Wils EJ; Intensive Care, Erasmus MC, Rotterdam, Zuid-Holland, Netherlands.
  • Korevaar TI; Intensive Care, Franciscus Gasthuis en Vlietland, Rotterdam, Zuid-Holland, Netherlands.
  • Taccone F; Internal Medicine, Erasmus MC, Rotterdam, Zuid-Holland, Netherlands.
  • Schut AF; Academic Centre for Thyroid Diseases, Erasmus MC, Rotterdam, Zuid-Holland, Netherlands.
  • Elderman JH; Intensive Care, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium.
  • Labout JA; Intensive Care, Ikazia Hospital, Rotterdam, Zuid-Holland, Netherlands.
  • Raben AM; Intensive Care, IJsselland Hospital, Capelle aan den IJssel, Zuid-Holland, Netherlands.
  • Dijkstra A; Intensive Care, Maasstad Hospital, Rotterdam, Zuid-Holland, Netherlands.
  • Achterberg S; Intensive Care, Groene Hart Ziekenhuis, Gouda, Zuid-Holland, Netherlands.
  • Jurriens AL; Intensive Care, Van Weel-Bethesda Hospital, Middelharnis, Goeree-Overflakkee, Netherlands.
  • Van Mol MM; Intensive Care, Haaglanden MC, Den Haag, Zuid-Holland, Netherlands.
  • Gommers D; Intensive Care, Erasmus MC, Rotterdam, Zuid-Holland, Netherlands.
  • Van Genderen ME; Intensive Care, Erasmus MC, Rotterdam, Zuid-Holland, Netherlands.
BMJ Open ; 12(9): e061876, 2022 09 20.
Article em En | MEDLINE | ID: mdl-36127077
INTRODUCTION: A substantial proportion of intensive care unit (ICU) survivors develop psychological impairments after ICU treatment, part of the postintensive care syndrome, resulting in a decreased quality of life. Recent data suggest that an ICU-specific virtual reality intervention (ICU-VR) for post-ICU patients is feasible and safe, improves satisfaction with ICU aftercare, and might improve psychological sequelae. In the present trial, we firstly aim to determine whether ICU-VR is effective in mitigating post-traumatic stress disorder (PTSD)-related symptoms and secondly to determine the optimal timing for initiation with ICU-VR. METHODS AND ANALYSIS: This international, multicentre, randomised controlled trial will be conducted in 10 hospitals. Between December 2021 and April 2023, we aim to include 300 patients who have been admitted to the ICU ≥72 hours and were mechanically ventilated ≥24 hours. Patients will be followed for 12 consecutive months. Patients will be randomised in a 1:1:1 ratio to the early ICU-VR group, the late ICU-VR group, or the usual care group. All patients will receive usual care, including a mandatory ICU follow-up clinic visit 3 months after ICU discharge. Patients in the early ICU-VR group will receive ICU-VR within 2 weeks after ICU discharge. Patients in the late VR group will receive ICU-VR during the post-ICU follow-up visit. The primary objective is to assess the effect of ICU-VR on PTSD-related symptoms. Secondary objectives are to determine optimal timing for ICU-VR, to assess the effects on anxiety-related and depression-related symptoms and health-related quality of life, and to assess patient satisfaction with ICU aftercare and perspectives on ICU-VR. ETHICS AND DISSEMINATION: The Medical Ethics Committee United, Nieuwegein, the Netherlands, approved this study and local approval was obtained from each participating centre (NL78555.100.21). Our findings will be disseminated by presentation of the results at (inter)national conferences and publication in scientific, peer-reviewed journals. TRIAL REGISTRATION NUMBER: NL9812.
Assuntos
Palavras-chave

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Realidade Virtual Tipo de estudo: Clinical_trials Limite: Humans Idioma: En Revista: BMJ Open Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Holanda

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Qualidade de Vida / Realidade Virtual Tipo de estudo: Clinical_trials Limite: Humans Idioma: En Revista: BMJ Open Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Holanda