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The purpose of this study is to compare a smartphone-based virtual reality exposure with standard relaxation training for anxiety and associated symptoms (including pain) on an inpatient psychiatric unit, and whether patients find it usable and beneficial.
The study is open only to inpatients on a specific Mayo Clinic Rochester psychiatric hospital unit, the Mood Disorders Unit. Two different techniques for reducing anxiety will be tried. The first time patients report anxiety, they will be asked to listen to a 15 minute audio CD guiding them through relaxation strategies. The second time patients are anxious, they will be given a cardboard VR goggle set and will view 15 minutes of unguided VR. Before and after each session, they will fill out a short survey of anxiety and related symptoms (including pain ratings) and their reaction to each technique. They will be asked to try each technique at least once during your hospital stay.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| First episode of anxiety: standard relaxation training | Active Comparator | During a subject's first episode of anxiety the subject will be offered a session of standard relaxation training. |
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| Second episode of anxiety: virtual reality relaxation | Experimental | During a subject's second episode of anxiety the subject will be offered a session of virtual reality exposure available through the iPhone Google Cardboard virtual reality meditation/relaxation app. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| iPhone Google Cardboard virtual reality meditation/relaxation app | Behavioral | Virtual reality meditation/relaxation app that has 6 scenes of 360° visual imagery with soothing music. The patient can spend about 15 minutes exploring the app. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in anxiety | Assessment of anxiety with Subjective Units of Distress Scale (SUDS); this 0-100 scale has anchors and guidance for patients to rate their anxiety, 100 is "highest anxiety/distress you have ever felt", 50 is "moderate anxiety/distress; uncomfortable, but can continue to function", and 0 is "no stress; totally relaxed". | Baseline, approximately 90 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| Change in associated emotions rating | The patient will be asked to write up to 3 more associated emotions and rate them 0-10, 10=strongest intensity | Baseline, approximately 90 minutes |
| Change in pain |
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Inclusion Criteria:
- Hospitalized on inpatient Mayo Clinic Mood Disorders psychiatric unit (Generose 3W).
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Simon Kung, MD | Mayo Clinic | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic in Rochester | Rochester | Minnesota | 55905 | United States |
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| Label | URL |
|---|---|
| Mayo Clinic Clinical Trials | View source |
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| Standard relaxation training | Behavioral | 15 minute sessions of guided imagery using Mayo Clinic Patient Education CD-ROM "Relaxation for Your Mind and Body" |
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Assessment of pain with Numeric Pain Intensity Scale (NPIS); the scale is measured on a 0-10 scale with 0 equating to no pain and 10 being the most excruciating pain patient has ever felt.
| Baseline, approximately 90 minutes |
| Change in blood pressure | Measured in mmHg | Baseline, approximately 90 minutes |
| Change in heart rate | Measured in beats per minute | Baseline, approximately 90 minutes |
| Change in respiratory rate | Measured in breaths per minute | Baseline, approximately 90 minutes |
| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D010146 | Pain |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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