PDF(Pubmed)
Abstract：
UNASSIGNED: Nature-based and other outdoor virtual reality (VR) experiences in head-mounted displays (HMDs) offer powerful, non-pharmacological tools for hospice teams to help patients undergoing end-of-life (EOL) transitions. However, the psychological distress of the patient-caregiver dyad is interconnected and highlights the interdependence and responsiveness to distress as a unit. Hospice care services and healthcare need strategies to help patients and informal caregivers with EOL transitions.
UNASSIGNED: Our study uses the synchronized Tandem VR TM approach where patient-caregiver dyads experience immersive nature-based and other outdoor VR content. This mixed methods study will recruit 20 patient-caregiver dyads (N = 40) enrolled in home hospice services nearing EOL. Dyads will experience a personalized nature-based and other outdoor VR experience lasting 5-15 min. Self-reported questionnaires and semi-structured interviews will be collected pre/post the VR intervention to identify the impacts of Tandem VR TM experiences on the QOL, pain, and fear of death in patient-caregiver dyads enrolled with hospice services. Additionally, this protocol will determine the acceptance of Tandem VR TM experiences by dyads as a non-pharmacological modality for addressing patient and caregiver needs. Acceptance will be quantified by the number of dyads accepting or declining the VR experience during recruitment.
UNASSIGNED: Using personalized, nature-based and other outdoor VR content, the patient-caregiver dyads can simultaneously engage in an immersive encounter may help alleviate symptoms associated with declining health and EOL phases for the patient and the often overburdened caregiver. This protocol focuses on meeting the need for person-centered, non-pharmacological interventions to reduce physical, psychological, and spiritual distress.
UNASSIGNED: NCT06186960.
UNASSIGNED: Our study uses the synchronized Tandem VR TM approach where patient-caregiver dyads experience immersive nature-based and other outdoor VR content. This mixed methods study will recruit 20 patient-caregiver dyads (N = 40) enrolled in home hospice services nearing EOL. Dyads will experience a personalized nature-based and other outdoor VR experience lasting 5-15 min. Self-reported questionnaires and semi-structured interviews will be collected pre/post the VR intervention to identify the impacts of Tandem VR TM experiences on the QOL, pain, and fear of death in patient-caregiver dyads enrolled with hospice services. Additionally, this protocol will determine the acceptance of Tandem VR TM experiences by dyads as a non-pharmacological modality for addressing patient and caregiver needs. Acceptance will be quantified by the number of dyads accepting or declining the VR experience during recruitment.
UNASSIGNED: Using personalized, nature-based and other outdoor VR content, the patient-caregiver dyads can simultaneously engage in an immersive encounter may help alleviate symptoms associated with declining health and EOL phases for the patient and the often overburdened caregiver. This protocol focuses on meeting the need for person-centered, non-pharmacological interventions to reduce physical, psychological, and spiritual distress.
UNASSIGNED: NCT06186960.
摘要：
头戴式显示器（HMD）中基于自然和其他户外虚拟现实（VR）的体验提供了强大的功能，临终关怀团队的非药理学工具，以帮助经历临终（EOL）过渡的患者。然而,病人-照顾者dyad的心理痛苦是相互关联的，突出了作为一个单元的相互依存和对痛苦的反应。临终关怀服务和医疗保健需要策略来帮助患者和非正式护理人员进行EOL过渡。
■我们的研究使用同步的TandemVRTM方法，其中患者-护理人员体验沉浸式自然和其他户外VR内容。这项混合方法研究将招募20名在EOL附近的家庭临终关怀服务中注册的患者-护理人员二分体（N=40）。Dyads将体验个性化的自然和其他户外VR体验，持续5-15分钟。将在VR干预之前/之后收集自我报告的问卷和半结构化访谈，以确定TandemVRTM体验对QOL的影响。疼痛,以及在接受临终关怀服务的患者-护理人员中对死亡的恐惧。此外,该方案将确定dyads接受TandemVRTM体验作为满足患者和护理人员需求的非药理学方式.接受程度将通过招聘期间接受或拒绝VR体验的二元组数量来量化。
■使用个性化，基于自然和其他户外VR内容，患者-看护者可以同时进行身临其境的相遇，这可能有助于缓解患者和经常负担过重的看护者与健康状况下降和EOL阶段相关的症状。该协议侧重于满足以人为本的需求，非药物干预以减少身体，心理,和精神上的痛苦。
■NCT06186960。
■我们的研究使用同步的TandemVRTM方法，其中患者-护理人员体验沉浸式自然和其他户外VR内容。这项混合方法研究将招募20名在EOL附近的家庭临终关怀服务中注册的患者-护理人员二分体（N=40）。Dyads将体验个性化的自然和其他户外VR体验，持续5-15分钟。将在VR干预之前/之后收集自我报告的问卷和半结构化访谈，以确定TandemVRTM体验对QOL的影响。疼痛,以及在接受临终关怀服务的患者-护理人员中对死亡的恐惧。此外,该方案将确定dyads接受TandemVRTM体验作为满足患者和护理人员需求的非药理学方式.接受程度将通过招聘期间接受或拒绝VR体验的二元组数量来量化。
■使用个性化，基于自然和其他户外VR内容，患者-看护者可以同时进行身临其境的相遇，这可能有助于缓解患者和经常负担过重的看护者与健康状况下降和EOL阶段相关的症状。该协议侧重于满足以人为本的需求，非药物干预以减少身体，心理,和精神上的痛苦。
■NCT06186960。
