Evidence map›Paper›PMID 31412029›Full record

Trial reportPloS one2019

Virtual reality for management of pain in hospitalized patients: A randomized comparative effectiveness trial.

Brennan Spiegel, Garth Fuller, Mayra Lopez, Taylor Dupuy, Benjamin Noah, Amber Howard, Michael Albert, Vartan Tashjian, Richard Lam, Joseph Ahn and 8 more

5 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 98 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 7 pooled it
39.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04345575 nacompletednot on this map

Self-Administered Skills-Based Virtual Reality Intervention for Chronic Pain: A Randomized Controlled Pilot Study

TypeinterventionalSponsorAppliedVR Inc.Ran2019 to 2019Enrolled97ConditionsChronic PainArmsPainCare VR, Audio content
NCT04687501 nacompletednot on this mapstarted 2020, after this paper: background citation

The Effect of Virtual Reality on Anxiety and Pain in Patients Undergoing Gynecological Surgery; a Randomised Controlled Trial

TypeinterventionalSponsorZuyderland Medisch CentrumRan2020 to 2022Enrolled60ConditionsPain, Postoperative, Anxiety, Pain Catastrophizing, State AnxietyArmsVirtual Reality
NCT04942561 nacompletednot on this map

Effect of Immersive Virtual Reality on Pain and Anxiety in Pediatric Peripheral Intravenous Catheter Access: A Randomized Clinical Trial

TypeinterventionalSponsorChildren's Hospital Los AngelesRan2017 to 2019Enrolled107ConditionsRadiologyArmsSamsung Gear VR, Merge VR
NCT05437796 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Using the Immersive Virtual Reality for the Management of Anxiety and Pain in Orthopedic Surgery

TypeinterventionalSponsorCentre Hospitalier de MontaubanRan2020 to 2023Enrolled80ConditionsVirtual Reality, OrthopedicArmsHypnotic virtual reality support using hypnosis software Hypno-VR®, No Hypnotic virtual reality
NCT05468398 nacompletednot on this mapstarted 2020, after this paper: background citation

The Effect of Virtual Reality on Pain and Patient Satisfaction in Adults Receiving Genicular Nerve Radiofrequency Ablation

TypeinterventionalSponsorUniversity of California, IrvineRan2020 to 2024Enrolled40ConditionsPain, Patient SatisfactionArmsSoothe VR
3 · Its place in the literature

Who cites it

98 citing papers in PubMed, 7 syntheses or guidelines pooled it, 241 citations in OpenAlex.

  1. Pooled it
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  6. A Systematic Review of Virtual Reality Therapeutics for Acute Pain Management.Pain management nursing : official journal of the American Society of Pain Management Nurses · 2022
    Pooled it
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  10. Efficacy of guided breathing virtual reality for pain management in patients with cancer undergoing percutaneous transhepatic biliary drainage.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  14. Virtual reality for outpatient management of cancer pain: a pilot dosing study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors at 2 institutions in 1 country.

Brennan SpiegelCedars-Sinai Health System, Division of Health Services Research, Department of Medicine, Los Angeles, CA, United States of America.ORCID 0000-0002-4608-6896
Garth FullerCedars-Sinai Health System, Division of Health Services Research, Department of Medicine, Los Angeles, CA, United States of America.
Mayra LopezCedars-Sinai Health System, Division of Health Services Research, Department of Medicine, Los Angeles, CA, United States of America.
Taylor DupuyCedars-Sinai Health System, Division of Health Services Research, Department of Medicine, Los Angeles, CA, United States of America.
Benjamin NoahCedars-Sinai Health System, Division of Health Services Research, Department of Medicine, Los Angeles, CA, United States of America.
Amber HowardCedars-Sinai Health System, Division of Health Services Research, Department of Medicine, Los Angeles, CA, United States of America.
Michael AlbertCedars-Sinai Health System, Division of Health Services Research, Department of Medicine, Los Angeles, CA, United States of America.
Vartan TashjianCedars-Sinai Health System, Division of Health Services Research, Department of Medicine, Los Angeles, CA, United States of America.
Richard LamCedars-Sinai Health System, Division of Health Services Research, Department of Medicine, Los Angeles, CA, United States of America.
Joseph AhnCedars-Sinai Health System, Division of Health Services Research, Department of Medicine, Los Angeles, CA, United States of America.
Francis DaileyCedars-Sinai Health System, Division of Health Services Research, Department of Medicine, Los Angeles, CA, United States of America.
Bradley T RosenCedars-Sinai Health System, Division of Health Services Research, Department of Medicine, Los Angeles, CA, United States of America.
Mark VrahasDepartment of Orthopaedics, Cedars-Sinai Health System, Los Angeles, CA, United States of America.
Milton LittleDepartment of Orthopaedics, Cedars-Sinai Health System, Los Angeles, CA, United States of America.
John GarlichDepartment of Orthopaedics, Cedars-Sinai Health System, Los Angeles, CA, United States of America.ORCID 0000-0002-6608-9701
Eldin DzuburCedars-Sinai Health System, Division of Health Services Research, Department of Medicine, Los Angeles, CA, United States of America.
Waguih IsHakDepartment of Psychiatry, Cedars-Sinai Health System, Los Angeles, CA, United States of America.
Itai DanovitchDepartment of Psychiatry, Cedars-Sinai Health System, Los Angeles, CA, United States of America.
Sinai Health System · USCedars-Sinai Medical Center · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
NCATS NIH HHS UL1 TR001881
6 · The paper itself

Abstract

objectivesTherapeutic virtual reality (VR) has emerged as an effective, drug-free tool for pain management, but there is a lack of randomized, controlled data evaluating its effectiveness in hospitalized patients. We sought to measure the impact of on-demand VR versus "health and wellness" television programming for pain in hospitalized patients.

methodsWe performed a prospective, randomized, comparative effectiveness trial in hospitalized patients with an average pain score of ≥3 out of 10 points. Patients in the experimental group received a library of 21 VR experiences administered using the Samsung Gear Oculus headset; control patients viewed specialized television programming to promote health and wellness. Clinical staff followed usual care; study interventions were not protocolized. The primary outcome was patient-reported pain using a numeric rating scale, as recorded by nursing staff during usual care. Pre- and post-intervention pain scores were compared immediately after initial treatment and after 48- and 72-hours.

resultsThere were 120 subjects (61 VR; 59 control). The mean within-subject difference in immediate pre- and post-intervention pain scores was larger in the VR group (-1.72 points; SD 3.56) than in the control group (-0.46 points; SD 3.01); this difference was significant in favor of VR (P < .04). When limited to the subgroup of patients with severe baseline pain (≥7 points), the effect of VR was more pronounced vs. control (-3.04, SD 3.75 vs. -0.93, SD 2.16 points; P = .02). In regression analyses adjusting for pre-intervention pain, time, age, gender, and type of pain, VR yielded a .59 (P = .03) and .56 (P = .04) point incremental reduction in pain versus control during the 48- and 72-hour post-intervention periods, respectively.

conclusionsVR significantly reduces pain versus an active control condition in hospitalized patients. VR is most effective for severe pain. Future trials should evaluate standardized order sets that interpose VR as an early non-drug option for analgesia.

Indexed as

Comparative Effectiveness ResearchFemaleHumansMaleMiddle AgedPainPain ManagementProspective StudiesVirtual Reality Exposure Therapy

Identifiers

PMID31412029
PMCPMC6693733
OpenAlexW2967545880

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.