Abstract:
Virtual reality (VR) has emerged as a nonpharmacological adjuvant to manage acute and chronic pain symptoms. The goal of this survey study was to determine the acceptability of VR among chronic pain participants hailing from distressed and prosperous neighborhoods in the state of Maryland. We hypothesized that pain severity and interference vary in groups experiencing health disparities, potentially influencing VR\'s acceptability. From March 11 to March 15, 2020, we surveyed a cohort of clinically phenotyped participants suffering from chronic orofacial pain. Participants were asked to express their willingness to participate in a longitudinal VR study and their expectation of pain relief from using VR. Seventy out of 350 participants with chronic pain completed the survey (response rate: 20%). There was no difference in the likelihood of responding to the survey based on their neighborhood distress. Among survey respondents and nonrespondents, similar proportions of participants were from distressed neighborhoods. Among the respondents, 63 (90%) and 59 (84.3%) were willing to participate and expected to experience pain relief from the VR intervention, respectively. Age, sex, race, neighborhood distress, severity of pain, and prior VR experience did not influence willingness to participate in the VR trial or the expectations of VR-induced improvement. These findings suggest that VR as an adjuvant intervention is potentially accepted by chronic pain participants, irrespective of neighborhood-level social determinants of health.
摘要:
虚拟现实(VR)已成为治疗急性和慢性疼痛症状的非药物佐剂。这项调查研究的目的是确定来自马里兰州痛苦和繁荣社区的慢性疼痛参与者对VR的可接受性。我们假设疼痛的严重程度和干扰在经历健康差异的群体中有所不同,可能影响VR的可接受性。从2020年3月11日至3月15日,我们调查了一组患有慢性口面部疼痛的临床表型参与者。参与者被要求表达他们参与纵向VR研究的意愿,以及他们对使用VR缓解疼痛的期望。350名患有慢性疼痛的参与者中有70名完成了调查(应答率:20%)。根据他们的邻居困扰,对调查做出回应的可能性没有差异。在调查受访者和非受访者中,相似比例的参与者来自陷入困境的社区。在受访者中,63(90%)和59(84.3%)愿意参与并期望从VR干预中获得疼痛缓解。分别。年龄,性别,种族,邻里困扰,疼痛的严重程度,和以前的VR经验不影响参与VR试验的意愿或VR诱导的改善的预期。这些发现表明,VR作为辅助干预可能被慢性疼痛参与者接受。与邻里层面的健康社会决定因素无关。