Evidence map›Paper›PMID 41996667›Full record

ArticleJMIR perioperative medicine2026

Immersive Virtual Reality for Pain and Relaxation in Older Adults Following Elective Inpatient Abdominal Surgery: Single-Arm Study Examining Feasibility and Acceptability.

Christina Keny, Ujala Shafiq, Karl Lorenz, Marcia Russell, Heather Leutwyler, Laura M Wagner, Victoria Tang, Linda G Park

Abstract read
In one paragraph

Article in JMIR perioperative medicine, 2026. 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

8 authors.

Christina KenyDepartment of Community Health Systems, School of Nursing, University of California, San Francisco, Box 0608, 490 Illinois Street, #93P, San Francisco, CA, 94158, United States, 1 4086126143.ORCID 0000-0002-4137-9323
Ujala ShafiqDepartment of Community Health Systems, School of Nursing, University of California, San Francisco, Box 0608, 490 Illinois Street, #93P, San Francisco, CA, 94158, United States, 1 4086126143.ORCID 0009-0004-6851-6692
Karl LorenzDepartment of Primary Care and Population Health (PCPH), Stanford University School of Medicine, Palo Alto, CA, United States.ORCID 0000-0002-2468-2566
Marcia RussellDepartment of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, United States.ORCID 0000-0003-0080-5055
Heather LeutwylerDepartment of Community Health Systems, School of Nursing, University of California, San Francisco, Box 0608, 490 Illinois Street, #93P, San Francisco, CA, 94158, United States, 1 4086126143.ORCID 0000-0003-2823-1823
Laura M WagnerDepartment of Community Health Systems, School of Nursing, University of California, San Francisco, Box 0608, 490 Illinois Street, #93P, San Francisco, CA, 94158, United States, 1 4086126143.ORCID 0000-0002-9629-2153
Victoria TangDepartment of Medicine, Division of Geriatrics, University of California, San Francisco, San Francisco, CA, United States.ORCID 0000-0001-6609-8678
Linda G ParkDepartment of Community Health Systems, School of Nursing, University of California, San Francisco, Box 0608, 490 Illinois Street, #93P, San Francisco, CA, 94158, United States, 1 4086126143.ORCID 0000-0002-9894-4039

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is mounting evidence to suggest that immersive virtual reality (IVR) can improve pain in older adults in community settings, yet the use of IVR postoperatively in the acute postoperative period following major elective abdominal surgery remains largely underexplored. Objective: This single-arm pilot study aimed to assess the feasibility, acceptability, and preliminary impact of IVR on self-reported postoperative pain and relaxation levels in older adults following elective major abdominal surgery. Methods: We recruited individuals aged 55 years and older undergoing elective abdominal surgery at an academic medical center from October 2023 to February 2024. We evaluated feasibility through accrual rate, intervention completion, and questionnaire compliance; acceptability via the System Usability Scale (SUS) and a user experience survey; and tolerability by monitoring self-reported side effects. The preliminary impact of IVR on self-reported pain intensity and relaxation levels was assessed through pre- and postintervention comparisons. Results: A total of 29 participants, with a median age of 73 (IQR 55-81) years, were enrolled and completed at least 1 IVR session, with 19 also completing a second session. Perceived usability and overall acceptance of IVR were high, with minimal side effects reported. In terms of the preliminary impact of IVR, statistically significant improvements were observed in both pain and relaxation levels from pre- to post-IVR on day 1 and day 2. Conclusions: This study suggests the feasibility and acceptability of IVR as a potential future intervention for postoperative pain management and enhancing relaxation among older adults following elective inpatient abdominal surgery. The preliminary findings suggest the need for large-scale studies across additional complex inpatient abdominal surgeries to confirm the acceptance and efficacy of IVR as a postoperative pain management intervention across a wide range of diverse older demographics. Future research is critical to evaluating the therapeutic potential of IVR in a variety of surgical and patient-specific contexts.

Indexed as

AbdomenElective Surgical ProceduresPain ManagementPostoperative PainRelaxation TherapyVirtual RealityAgedAged, 80 and overFeasibility StudiesFemaleHumansMaleMiddle AgedPain MeasurementPilot ProjectsSurveys and Questionnairesgeriatricsgeriatric surgerypainpostoperative painsurgeryvirtual reality

Identifiers

PMID41996667
PMCPMC13089951

What OpenQuestion holds

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LicenceCC BY
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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.