Porta Xènia, Nieto Rubén, Serrat Mayte, Bourdin-Kreitz Pierre
eHealth Lab Research Group, Faculty of Psychology and Education Sciences, Universitat Oberta de Catalunya, Barcelona, Spain.
Unitat d'Expertesa en Síndromes de Sensibilització Central, Servei de Reumatologia, Vall d'Hebron Hospital, Barcelona, Spain.
Musculoskeletal Care. 2025 Jun;23(2):e70101. doi: 10.1002/msc.70101.
Chronic pain affects over 20% of the global population, significantly impairing the quality of life and increasing healthcare costs. Virtual Reality (VR) shows promise as an innovative, non-invasive tool for chronic pain management by modulating pain perception, and helping in promoting coping strategies such as relaxation. This study explores the use, willingness to adopt, and preferences for VR of people with chronic pain.
This mixed-methods study included an online survey (OS-answered by 511 participants with chronic pain) and two focus groups (FG-including a total of 17 people with fibromyalgia). The OS was created to assess their use of VR, willingness to adopt, preferences, and advantages/disadvantages. The FG was designed to gain a more in depth knowledge of these variables. Descriptive analyses were conducted with the results from the OS, while FG transcripts were thematically analysed to identify key insights and patterns.
VR was largely unfamiliar (only 23.1% had previously used it) but considered as promising for remote, low-risk therapy, valuing aspects such as portability, minimal side effects, and immersive experiences. Factors related to usability challenges, stigma, and limited professional training were probably related to the lack of use of VR. Key concerns included reduced therapist contact, social isolation, and usability challenges. Preferences were balanced between standalone and smartphone-based systems, with cost and accessibility being major factors. Participants emphasized the importance of tailored designs, user-friendly, affordable options, and maintaining therapist interaction, offering valuable insights for integrating VR effectively into healthcare.
The findings of this study highlight the need to potentiate the transfer of results to clinical practice. It is also fundamental to work to reduce the stigma and include the use of Information and Communication Technologies in pain curricula.
慢性疼痛影响着全球超过20%的人口,严重损害生活质量并增加医疗成本。虚拟现实(VR)作为一种创新的、非侵入性的工具,通过调节疼痛感知以及帮助促进诸如放松等应对策略,在慢性疼痛管理方面显示出前景。本研究探讨慢性疼痛患者对VR的使用情况、采用意愿及偏好。
这项混合方法研究包括一项在线调查(511名慢性疼痛参与者作答)和两个焦点小组(共17名纤维肌痛患者)。在线调查旨在评估他们对VR的使用情况、采用意愿、偏好以及优缺点。焦点小组旨在更深入了解这些变量。对在线调查结果进行描述性分析,同时对焦点小组的文字记录进行主题分析以识别关键见解和模式。
VR在很大程度上不为人所知(此前仅有23.1%的人使用过),但被认为对远程、低风险治疗有前景,重视其便携性、副作用极小和沉浸式体验等方面。与可用性挑战、污名化和专业培训有限相关的因素可能与VR使用不足有关。主要担忧包括治疗师接触减少、社交隔离和可用性挑战。在独立系统和基于智能手机的系统之间偏好较为平衡,成本和可及性是主要因素。参与者强调量身定制设计、用户友好、价格合理的选择以及保持与治疗师互动的重要性,为将VR有效整合到医疗保健中提供了有价值的见解。
本研究结果凸显了加强将研究结果转化为临床实践的必要性。努力减少污名化并将信息通信技术的使用纳入疼痛课程中也至关重要。