Department of Radiation Oncology, School of Medicine, Stanford University, Stanford, California.
Department of Radiation Oncology, School of Medicine, Stanford University, Stanford, California.
Pract Radiat Oncol. 2023 Nov-Dec;13(6):e475-e483. doi: 10.1016/j.prro.2023.06.008. Epub 2023 Jul 22.
The goal of this study was to develop and assess the effectiveness of an affordable smartphone-based virtual reality (VR) patient education platform with 360-degree videos produced depicting a first-person patient perspective during the radiation therapy (RT) care path to reduce patient anxiety.
Three disease site-specific (breast, pelvis, head and neck) VR videos were filmed using a 360-degree camera to portray the first-person perspective of a patient's standard RT appointments, including a computed tomography simulation and the first RT treatment session. Instruction is given for possible clinical implementation. Patient participation was divided into 2 groups: (1) Group A (n = 28) included patients participating before simulation and later after the first treatment, and (2) Group B (n = 33) included patients participating only while undergoing treatment. Patients viewed their disease site-specific video using an inexpensive cardboard VR viewer and their smartphone, emulating an expensive VR-headset. Surveys were administered assessing patient anxiety, comfort, satisfaction, and knowledge of RT on a 5-point Likert-type scale.
Patients in Group A and Group B while undergoing treatment both indicated that their anxiety "decreased a little" in the survey, after watching the VR video (Group A, median on a 5-point Likert-type scale, 4 [IQR, 4-5]; Group B, 4 [IQR, 4-4]). The VR aspect of the videos was especially liked by patients while undergoing treatment, with 96.4% in Group A and 90.9% in Group B reporting that the VR aspect of the videos was helpful. All Group A participants believed that the VR videos would be beneficial to new patients.
Our affordable VR patient education platform effectively immerses a patient in their care path from simulation through initial treatment delivery, reducing anxiety and increasing familiarity with the treatment process.
本研究旨在开发并评估一种经济实惠的基于智能手机的虚拟现实（VR）患者教育平台的有效性，该平台具有 360 度视频，以第一人称视角描绘患者在放射治疗（RT）护理路径中的体验，以降低患者的焦虑。
使用 360 度相机拍摄了三个针对特定疾病部位（乳房、骨盆、头颈部）的 VR 视频，以描绘患者标准 RT 预约的第一人称视角，包括计算机断层扫描模拟和第一次 RT 治疗。给出了可能的临床实施建议。患者参与分为两组：（1）A 组（n=28）包括在模拟前和第一次治疗后参与的患者，（2）B 组（n=33）仅在治疗期间参与的患者。患者使用廉价的纸板 VR 查看器和智能手机查看其特定疾病部位的视频，模拟昂贵的 VR 头戴式设备。使用 5 分制李克特量表对患者的焦虑、舒适度、满意度和 RT 知识进行评估。
在治疗过程中，A 组和 B 组的患者在观看 VR 视频后均表示他们的焦虑“略有减轻”（A 组，5 分制李克特量表中位数为 4 [IQR，4-5]；B 组，4 [IQR，4-4]）。治疗过程中的患者特别喜欢视频的 VR 方面，A 组 96.4%和 B 组 90.9%的患者表示视频的 VR 方面有帮助。所有 A 组参与者都认为 VR 视频对新患者有益。
我们的经济实惠的 VR 患者教育平台有效地将患者沉浸在从模拟到初始治疗的护理路径中，降低了焦虑感，并增加了对治疗过程的熟悉程度。
