ArticleScientific reports2021
Effects of virtual reality v. biophilic environments on pain and distress in oncology patients: a case-crossover pilot study.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- OncoVR - Virtual Reality in Oncology for Patient-centered Care: A Systematic Review and Meta-Analysis.Current oncology reports · 2026Pooled it
- Opportunities and challenges of virtual reality-based interventions for patients with breast cancer: a systematic review.BMC medical informatics and decision making · 2023Pooled it
- Biophilic Experience-Based Residential Hybrid Framework.International journal of environmental research and public health · 2022Pooled it
- Enhancing heart anatomy education in middle schools: virtual reality or tablet-based mobile applications?Anatomical science international · 2026Trial
- Biophilic classroom environments on stress and cognitive performance: A randomized crossover study in virtual reality (VR).PloS one · 2023Trial
- Nature exposure reduces self-reported pain: a systematic review and meta-analysis.Nature. Mental health · 2026Article
- Article
- Biophilic design, neuroarchitecture and therapeutic home environments: harnessing medicinal properties of intentionally-designed spaces to enhance digital health outcomes.Frontiers in medicine · 2025Article
- Effects of indoor biophilic environments on cognitive function in elderly patients with diabetes: study protocol for a randomized controlled trial.Frontiers in psychology · 2025Article
- Evolution of anxiety management in prostate biopsy under local anesthesia: a narrative review.World journal of urology · 2024Review
- Chemotherapy infusion for cancer patients with the assistance of immersive virtual reality (IVR): a scoping review of the literature.American journal of translational research · 2024Article
- Article
- An Analysis of Theoretical Perspectives in Research on Nature-Based Interventions and Pain.International journal of environmental research and public health · 2022Review
- Virtual Reality as a Nonpharmacological Tool for Acute Pain Management: A Scoping Review.Innovations in clinical neuroscienceReview
- Virtual Reality During Chemotherapy Infusion: An Innovative Intervention in Holistic Nursing Practice.Holistic nursing practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This pilot study aimed to determine if a biophilic Green Therapy or Virtual Reality environment can decrease an oncology patient's pain and distress while receiving chemotherapy. A case-crossover pilot study was conducted in a comprehensive cancer infusion center. 33 participants with breast, gynecologic, gastrointestinal, pancreatic and prostate cancers were all included in three rooms in a random order at different cycles: control room, Green Therapy room, and Virtual Reality room to receive chemotherapy, respectively. Participants' pain, distress, heart rate, blood pressure, and saliva cortisol were measured before and after infusion in each room. No statistical significance differences were shown in the changes of heart rate, systolic, or diastolic blood pressure, saliva cortisol, pain, or distress before and after infusion between the control, Green Therapy, and Virtual Reality rooms. However, more patients reported the experience as "fun" and "enjoyable" when they were in Green Therapy or Virtual reality room as compared to in the control room. Additionally, since participating in the study, 14 patients reported spending at least 30 min or more outside in nature. In this study, we found that patients' heart rate, blood pressure, and self-reported distress levels were reduced after each biophilic intervention although results are not statistically significant. The study also suggested that biophilic interventions are safe and feasible and may complement the standard of care for oncology patients.
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Registered trials
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