Evidence map›Paper›PMID 39610796›Full record

ArticleAdvances in radiation oncology2024

Impacts of Intrafraction Virtual Reality-Based Environment Modification on Procedural Anxiety, Heart Rate, and Overall Radiation Therapy Experience During External Beam Radiation Therapy.

Conley Kriegler, Brock Debenham, Michael Piva, Michelle Bernardo, Amanda Bylhouwer, Tina Karim, Yiming Michael Zhu, Giselle Tucker Belliveau, Benjamin Merrick, Mustafa Al Balushi

Abstract read
In one paragraph

Article in Advances in radiation oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Conley KrieglerDivision of Radiation Oncology, Cross Cancer Institute, University of Alberta, Edmonton, Alberta, Canada.
Brock DebenhamDivision of Radiation Oncology, Cross Cancer Institute, University of Alberta, Edmonton, Alberta, Canada.
Michael PivaDivision of Radiation Therapy, Cross Cancer Institute, University of Alberta, Edmonton, Alberta, Canada.
Michelle BernardoDivision of Radiation Therapy, Cross Cancer Institute, University of Alberta, Edmonton, Alberta, Canada.
Amanda BylhouwerDivision of Radiation Therapy, Cross Cancer Institute, University of Alberta, Edmonton, Alberta, Canada.
Tina KarimDivision of Radiation Therapy, Cross Cancer Institute, University of Alberta, Edmonton, Alberta, Canada.
Yiming Michael ZhuDivision of Radiation Oncology, Cross Cancer Institute, University of Alberta, Edmonton, Alberta, Canada.
Giselle Tucker BelliveauFaculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Benjamin MerrickFaculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Mustafa Al BalushiBrigham and Women's Hospital, Dana Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Procedural anxiety of cancer treatments may negatively impact patients and treatments. Mindfulness-promoting environment modification with virtual reality (VR) is increasingly used across medicine to minimize procedural anxiety. We aimed to assess the impacts of intrafraction mindfulness-promoting VR use during external beam radiation therapy (EBRT) on radiation therapy experience and physiological measures of distress. Methods and Materials: Adult patients receiving EBRT between May and October 2023 at our institution without contraindications to wearing VR were eligible. Participants had heart rates recorded before and after EBRT and completed a post-EBRT survey for 1 treatment without intervention, and 1 using VR. Participants completed the Radiotherapy Experience Questionnaire and additional questions regarding VR. Quantitative data were compared between conditions using paired samples Results: Fifty-two participants completed the project. Between pre- and post-EBRT, a significant decrease in heart rate with VR was noted (80.35 bpm vs 71.79 bpm; Conclusions: We report the first evidence of the impacts of intrafraction mindfulness-promoting VR use during EBRT. Physiological measures of distress and patient perspectives suggest that VR can minimize procedural anxiety, is well tolerated, and improves the overall treatment experience. Further research should explore modifying this tool for patients unable to wear headsets and determining where the most clinically significant benefits can be found.

Identifiers

PMID39610796
PMCPMC11602981

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Registered trials

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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.