Evidence map›Paper›PMID 37204858›Full record

Trial reportJournal of medical Internet research2023

Physical Versus Virtual Reality-Based Calm Rooms for Psychiatric Inpatients: Quasi-Randomized Trial.

Maria Ilioudi, Philip Lindner, Lilas Ali, Sara Wallström, Almira Osmanovic Thunström, Michael Ioannou, Nicole Anving, Viktor Johansson, William Hamilton, Örjan Falk and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03918954 (Comparison of Physical and Virtual Sensory Room in an Inpatient Setting), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03918954 nacompletednot on this map

Comparison of Physical and Virtual Sensory Room in an Inpatient Setting

TypeinterventionalSponsorVastra Gotaland RegionRan2019 to 2021Enrolled60ConditionsAnxiety State, Depression, Bipolar DepressionArmsVirtual sensory room, Sensory room
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Physiological Responses to Virtual Reality-Based Stress Regulation and Relaxation Interventions: A Systematic Review.Stress and health : journal of the International Society for the Investigation of Stress · 2026
    Pooled it
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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

11 authors.

Maria IlioudiPsychiatric Department, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden.ORCID 0000-0003-0709-7768
Philip LindnerCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet and Stockholm Health Care Services, Stockholm, Sweden.ORCID 0000-0002-3061-501X
Lilas AliPsychiatric Department, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden.ORCID 0000-0001-7027-4371
Sara WallströmPsychiatric Department, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden.ORCID 0000-0001-7579-4974
Almira Osmanovic ThunströmPsychiatric Department, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden.ORCID 0000-0002-8791-9524
Michael IoannouPsychiatric Department, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden.ORCID 0000-0002-3150-3490
Nicole AnvingPsychiatric Department, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden.ORCID 0000-0002-3378-7765
Viktor JohanssonPsychiatric Department, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden.ORCID 0000-0002-6116-4688
William HamiltonMediary, Stockholm, Sweden.ORCID 0000-0003-0482-9521
Örjan FalkSection of Psychiatry and Neurochemistry, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID 0000-0002-0705-1957
Steinn SteingrimssonPsychiatric Department, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden.ORCID 0000-0001-8320-5607

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterest in sensory rooms or so-called "calm rooms" in psychiatric inpatient care has increased significantly. In a hospital setting, their purpose is to introduce a relaxing environment to increase well-being as well as to decrease anxiety and aggressive behaviors. Calm rooms can also be used as a tool to provide self-help through a convenient environment for the patients and, at the same time, strengthen the therapeutic relationship between the patient and the professional. Recent developments in virtual reality (VR) have made virtual calm rooms possible, but these have not yet been evaluated in psychiatric inpatient care.

objectiveThis study aimed to compare the effects of VR and physical calm rooms on self-reported well-being and physiological markers of arousal.

methodsThe study was conducted in 2 inpatient psychiatric wards specializing in bipolar disorder from March 2019 to February 2021. Patients who were already admitted were asked if they were interested in using a calm room and willing to provide ratings. This study relied on the quasi-randomized allocation of patients to the wards, which either had a physical or VR calm room. Self-assessment scales (Montgomery-Åsberg Depression Rating Scale-Self Assessment [MADRS-S], Beck Anxiety Scale, and Clinical Global Impression) were used to determine the participants' baseline level of depressive and anxiety symptoms before their use of the physical or VR calm room. The study determined the state of well-being measured using an 11-point visual analog scale (VAS) as well as arousal measured by blood pressure (systolic and diastolic) and heart rate before and after the use of the calm rooms. The primary end point was self-reported well-being using the VAS.

resultsA total of 60 participants were included-40 used the VR calm room and 20 used the physical calm room. The mean age of participants was 39 years and the majority were women (35/60, 58%). Analysis of VAS measurement showed improved well-being at the group level from before to after the intervention (P<.05), with no statistically significant difference in effects between the 2 different interventions. Effects were not moderated by baseline depression levels (dichotomized as MADRS-S >20 or ≤20) despite an overall difference in reported well-being between subgroups.

conclusionsAlthough the power in this study was low, the findings of this first study indicate comparable effects with respect to well-being and arousal of a VR calm room and a physical calm room. This suggests that a VR calm room can be a viable alternative when the use of a physical calm room is not an option for logistic or other reasons.

trial registrationClinicalTrials.gov NCT03918954; https://clinicaltrials.gov/ct2/show/NCT03918954.

Indexed as

InpatientsVirtual RealityAdultAnxietyAnxiety DisordersFemaleHumansMalePain Measurementpsychiatric inpatient carepsychiatryrelaxationsensory roomvirtual reality

Identifiers

PMID37204858
PMCPMC10238960

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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.