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| Name | Class |
|---|---|
| HypnoVR | INDUSTRY |
| Centre Hospitalier Regional de Huy | OTHER |
| University hospital of Liège | UNKNOWN |
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The port-catheter (PAC) is a longterm venous access device, frequently used in oncology patients. The PAC is an invasive technique, consisting of a reservoir surgically implanted in the chest wall or upper arm, and arm and a catheter. Patients can experience pain in the incision area after implantation, as well as anxiety before, during and after implantation. Virtual reality hypnosis (VRH) is an innovative technique delivering clinical hypnosis to patients through virtual reality (VR). The clinical applications of VRH are still little known. We will assess the anxiety, comofrt, pain perception and pain unpleasantness of 102 cancer patients scheduled to receive a PAC. The patients will be randomly divided into two groups. Thefirst group will benefit from the usual care for the placement of the PAC (i.e., local anaesthesia), while the second will benefit from the VRH in addition to the usual care. Pain perception, pain unpleasantness, anxiety, satisfaction, absorption, dissociation will be evaluated before and after the intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Virtual reality hypnosis | Experimental | The VRH session, called Aqua+© (120 Version 1.1, HypnoVR SAS, Strasbourg, France) It is an immersive and contemplative virtual experience combining music, sounds, and/or a vocal audio recording relating a hypnotic scenario and a 3D virtual video. The Aqua© VRH session follows the standard phases of hypnosis, beginning with induction, followed by suggestions, and ending with the exit of hypnosis. |
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| Control | No Intervention | Usual care. Local anesthesia only. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Virtual reality hypnosis | Device | Virtual reality hypnosis |
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| Measure | Description | Time Frame |
|---|---|---|
| Anxiety state | Anxiety state will be assessed using a numerical rating scale (NRS) ranging from 0 (no anxiety) to 10 (worst anxiety ever). | Before PAC intervention, immediately after PAC intervention |
| Pain intensity | Pain intensity will be assessed using a numerical rating scale (NRS) ranging from 0 (no pain) to 10 (worst pain imaginable). | Before PAC intervention, immediately after PAC intervention |
| Pain unpleasantness | Pain unpleasantness will be assessed using a numerical rating scale (NRS) ranging from 0 (no pain) to 10 (worst pain imaginable). | Before PAC intervention, immediately after PAC intervention |
| Comfort | Comfort will be assessed using a numerical rating scale (NRS) ranging from 0 (no comfort) to 10 (maximum comfort). | Before PAC intervention, immediately after PAC intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Anxiety trait | The State-Trait Anxiety Inventory (STAI - Y) will be used to assess trait anxiety only. Originally this questionnaire has two parts one dedicated to assess state anxiety and another to assess the trait anxiety. Only the latter was used in this study. STAI - Y Trait contains 20 items with 4 response options (1 = almost never, 2 = sometimes, 3 = often, 4 = almost always). Total scores can range from 20 to 80, with higher scores indicating a higher level of anxiety. |
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Inclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Audrey Vanhaudenhuyse, PhD | Contact | + 32 43 23 80 33 | avanhaudenhuyse@chuliege.be | |
| Aminata Bicego, PhD | Contact | +32 43 66 34 99 | abicego@uliege.be |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHR de Huy | Huy | Liège | 4500 | Belgium |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| From the day of the group assignment until beginning the PAC intervention, assessed up to two weeks |
| Dissociation trait | The Dissociative Experience Scale is a self-reported questionnaire used to evaluate the presence, quantity, and type of dissociative experiences one might live in daily life. It consists of 28 items arranged on an analog scale (from 0 to 100% measuring the frequency of dissociative experiences), and the total score ranges from 0 to 100. There is a cutoff of 45 as a mean score to suggest a dissociative disorder. This questionnaire is not a diagnostic instrument; it is designed only for screening, but it can suggest that a specific clinical assessment is needed. | From the day of the group assignment until beginning the PAC intervention, assessed up to two weeks |
| Dissociation state | Dissociation will be assessed using a numerical rating scale (NRS) ranging from 0 (no dissociation) to 10 (maximum dissociation). | From the day of the group assignment until completion of the PAC intervention, assessed up to two weeks |
| Absorption trait | The Tellegen Absorption Scale consists of 34 true/false items , aiming to measure the absorption of a person, meaning the disposition for having episodes of a deep involvement that engage all the subject's resources (perceptual, imaginative, and cognitive). The total score range is from 0 to 34. The higher the score, the more one has a high propensity for absorption. | From the day of the group assignment until beginning the PAC intervention, assessed up to two weeks |
| Absorption state | Absorption will be assessed using a numerical rating scale (NRS) ranging from 0 (no Absorption) to 10 (maximum Absorption). | From the day of the group assignment until completion of the PAC intervention, assessed up to two weeks |
| Time perception | Time perception will be assessed with an open-ended question. | From the day of the group assignment until completion of the PAC intervention, assessed up to two weeks |
| Immersion tendencies | Immersion propensity is the amount of sensory input the virtual reality system creates. Will be assessed with the Immersion Propensity questionnaire. The higher the score, the more one is immersed in the virtual environments. | From the day of the group assignment until beginning the PAC intervention, assessed up to two weeks |
| Satisfaction of the participant | Satisfaction will be assessed using a numerical rating scale (NRS) ranging from 0 (dissatisfied) to 10 (best satisfaction ever). | From the day of the group assignment until completion of the PAC intervention, assessed up to two weeks |
| Satisfaction of the surgeon | Satisfaction will be assessed using a numerical rating scale (NRS) ranging from 0 (dissatisfied) to 10 (best satisfaction ever). | From the day of the group assignment until completion of the PAC intervention, assessed up to two weeks |
| Medication | The medication will be collected in the medical record of the surgery. | During PAC intervention, 24 hours after PAC intervention, 48 hours after PAC, 7 days after PAC |
| Surgery duration | The duration of the surgery will be collected in the medical record of the surgery. | From the day of the group assignment until completion of the PAC intervention, assessed up to two weeks |
| Fatigue | Fatigue will be assessed using a numerical rating scale (NRS) ranging from 0 (no fatigue) to 10 (worst fatigue ever). | 24 hours after PAC intervention, 48 hours after PAC, 7 days after PAC |
| CHU of Liège | Liège | Liège | 4000 | Belgium |
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