Evidence map›Paper›PMID 41928831›Full record

ArticleDigital health

Patient input on the design of a social virtual reality environment for hospitalized older adult trauma patients: Phase 1 of a usability, acceptability, and feasibility pilot study.

S Isabelle McLeod Daphnis, Reece Simpson, Max Accurso, Ella Blicker, Mariel Emrich, Olivia Baryluk, Chun Yun Amy Hsu, Robert J Winchell, Sara Czaja, M Carrington Reid and 2 more

Abstract read
In one paragraph

Article in Digital health. 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

12 authors.

S Isabelle McLeod DaphnisDepartment of Communication, Cornell University, Ithaca, NY, USA.ORCID https://orcid.org/0009-0009-4365-2969
Reece SimpsonDepartment of Psychiatry, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0009-0008-8448-2006
Max AccursoDepartment of Psychiatry, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0009-0009-6648-9746
Ella BlickerDepartment of Psychiatry, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0009-0006-0950-6827
Mariel EmrichDepartment of Psychiatry, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0003-2901-7896
Olivia BarylukDepartment of Psychiatry, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0009-0008-9991-3542
Chun Yun Amy HsuDivision of Trauma, Burns, Acute and Critical Care, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0009-0004-1640-8462
Robert J WinchellDivision of Trauma, Burns, Acute and Critical Care, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0002-6276-233X
Sara CzajaDivision of Geriatrics and Palliative Medicine, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0002-8096-5413
M Carrington ReidDivision of Geriatrics and Palliative Medicine, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0001-8117-662X
JoAnn DifedeDepartment of Psychiatry, Weill Cornell Medicine, New York, NY, USA.ORCID https://orcid.org/0000-0003-1013-8065
Andrea Stevenson WonDepartment of Communication, Cornell University, Ithaca, NY, USA.ORCID https://orcid.org/0000-0001-5240-6166

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Older adults (65 and above) represent a significant portion of trauma admissions in U.S. hospitals, primarily due to falls and motor vehicle accidents. Managing pain effectively and mitigating social isolation in this population is crucial. Traditional opioid treatments, while common, pose risks such as addiction, delirium, and constipation, leading to extended hospital stays and increased costs. Social isolation is another common problem faced by this population that can also exacerbate pain. Nonpharmacological interventions are thus highly recommended. Objective: This pilot study explores the feasibility and acceptability of employing social virtual reality (SVR) as a novel, nonpharmacological approach to address both pain and social isolation among older adult trauma patients. Methods: The study employs a two-phase design to evaluate SVR's potential. This article describes Phase 1, which employed a user-centered, iterative design approach to enhance SVR's feasibility, acceptability, and usability in the target population. We presented existing versions of SVR applications using three platforms, VTimeXR, Spatial, and Engage, to 10 hospitalized older adult trauma patients and used in-depth interviews to gain patient feedback. We made iterative refinements based on this feedback. Results: We present the results of Phase 1, which employed a user-centered, iterative design approach to develop a test environment for use in the second phase of the study. Participants who completed the study indicated environments could serve as effective distractions, facilitate social interaction, and evoke calming emotions. Participants suggested enhancing the realism of nature elements and offering more interactive features, such as tasks, games, or narratively compelling videos. Conclusion: We successfully developed an SVR environment for older adult trauma patients, and early feasibility indicators showed interest and engagement from participants, providing insights to guide refinements for Phase 2 deployment.

Indexed as

hospitalized patientsolder adultsocial virtual realityvirtual reality

Identifiers

PMID41928831
PMCPMC13039596

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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.