Effects of Virtual Reality Education on Anxiety and Learning in Patients Undergoing Urolithiasis Surgery
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: VR Education, Two-Tier VR Education.
- Who it may be relevant to
- Registry conditions: Urolithiasis, Kidney Stone, Ureter Stones. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Taiwan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
The Effects of Two-Tier Test-Based Virtual Reality Education on Anxiety, Knowledge, Self-Care Ability, and Cognitive Load in Patients Undergoing Urolithiasis Surgery
Overview
This randomized controlled trial aims to evaluate the effects of two-tier virtual reality-based preoperative education on anxiety, learning knowledge, self-care ability, and cognitive load in patients undergoing urolithiasis surgery. Participants will be randomly assigned to routine education, standard virtual reality education, or two-tier virtual reality education groups. Outcomes will be assessed using anxiety scales, knowledge questionnaires, self-care ability measures, and cognitive load assessments before and after the intervention.
Detailed description
Preoperative anxiety is a common concern among patients undergoing urolithiasis surgery and may adversely affect perioperative experiences, treatment adherence, and postoperative recovery. Conventional preoperative education is often limited by time constraints, variability in information delivery, and insufficient patient engagement.
Virtual reality (VR)-based education has emerged as an innovative educational approach that provides immersive and interactive learning experiences. Previous studies have suggested that VR may improve patient understanding of surgical procedures and reduce anxiety by familiarizing patients with the perioperative environment. However, most existing VR education programs provide information passively and may not adequately identify or correct patient misconceptions.
The present study introduces a two-tier virtual reality educational approach that integrates immersive VR scenarios with structured knowledge assessment and feedback mechanisms. By encouraging participants to actively process information and receive immediate clarification of misunderstandings, the intervention is expected to enhance learning effectiveness and support patient self-management.
This randomized controlled trial aims to examine whether a two-tier VR educational strategy can provide additional benefits beyond standard VR education and routine preoperative instruction for patients undergoing urolithiasis surgery. Findings from this study may contribute to the development of more effective patient-centered educational interventions and provide evidence for the integration of advanced VR technologies into perioperative nursing practice.
Interventions
- Behavioral VR Education
Participants receive standard virtual reality-based preoperative education before urolithiasis surgery. The VR program includes immersive 360-degree educational content covering the preoperative process, operating room environment, postoperative care, and self-care instructions. - Behavioral Two-Tier VR Education
Participants receive two-tier virtual reality-based preoperative education before urolithiasis surgery. The intervention combines immersive 360-degree VR educational content with a two-tier testing mechanism designed to enhance learning comprehension, self-care knowledge, and cognitive engagement.
Primary outcome measures
- Anxiety Score Measured by the Amsterdam Preoperative Anxiety and Information Scale (APAIS) and Hospital Anxiety and Depression Scale-Anxiety Subscale (HADS-A) [Time frame: Baseline before intervention, 2 hours after intervention, and postoperative day 1]
Secondary outcome measures (3)
- Urolithiasis Surgery Knowledge Questionnaire Score [Time frame: Baseline before intervention and 2 hours after intervention]
- Postoperative Self-Care Ability Score Measured by the Urolithiasis Self-Care Ability Scale [Time frame: Postoperative day 1]
- Cognitive Load Score Measured by the Cognitive Load Questionnaire [Time frame: 2 hours after intervention]
Eligibility criteria
Inclusion criteria
- Patients scheduled to undergo urolithiasis surgery with procedure codes 77026B, 77027B, 77028B, or 76016B.
- Aged 18 years or older.
- Conscious and mentally alert.
- Able to communicate in Mandarin Chinese and read written text.
- Able to understand and operate virtual reality equipment.
Exclusion criteria
- Patients with current psychiatric disorders or substance abuse.
- Patients with hearing or visual impairment.
- Patients with visual dizziness, vertigo, or virtual reality motion sickness symptoms.
- Patients who are unable to cooperate or unwilling to participate in the study.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Supportive care
Study locations
Taiwan · 1 center
- Keelung Chang Gung Memorial Hospital — Keelung
Identifiers
NCT: NCT07620873 · 202600523B0