Perceived dyspnea and experience of hospitalized patients with acute decompensated heart failure undergoing an early MObilization protocol with immersive Virtual rEality: MOVE study protocol for a parallel superiority randomized clinical trial

Abstract Background Immersive virtual reality (VR) is an innovative strategy for inpatient rehabilitation programs. Using immersive VR in early mobilization protocols has not yet been investigated in the setting of hospitalized patients with acute decompensated heart failure (ADHF), especially to im...

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Main Authors: Iasmin Borges Fraga, Larissa Gussatschenko Caballero, Pedro Dal Lago, João Lucas Campos de Oliveira, Marina Scherer, Mauren Porto Haeffner, Eneida Rejane Rabelo-Silva
Format: Article
Language:English
Published: BMC 2023-11-01
Series:Trials
Subjects:
Online Access:https://doi.org/10.1186/s13063-023-07786-z
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author Iasmin Borges Fraga
Larissa Gussatschenko Caballero
Pedro Dal Lago
João Lucas Campos de Oliveira
Marina Scherer
Mauren Porto Haeffner
Eneida Rejane Rabelo-Silva
author_facet Iasmin Borges Fraga
Larissa Gussatschenko Caballero
Pedro Dal Lago
João Lucas Campos de Oliveira
Marina Scherer
Mauren Porto Haeffner
Eneida Rejane Rabelo-Silva
author_sort Iasmin Borges Fraga
collection DOAJ
description Abstract Background Immersive virtual reality (VR) is an innovative strategy for inpatient rehabilitation programs. Using immersive VR in early mobilization protocols has not yet been investigated in the setting of hospitalized patients with acute decompensated heart failure (ADHF), especially to improve perceived dyspnea, a common symptom of heart failure (HF). Methods This is a single-center parallel superiority randomized clinical trial. The study will be conducted at a public teaching hospital in Brazil from January 2023 to January 2024. The sample will include adult patients with ADHF hospitalized for at least 24 h, randomly assigned in a 1:1 ratio to the control (standard early mobilization protocol conducted in the intensive care unit (ICU)) or intervention group (the same standard early mobilization protocol but associated with immersive VR). The primary outcome will be assessing perceived dyspnea, and the secondary outcome will be assessing patient experience. Discussion Using immersive VR in early mobilization protocols in the ICU is expected to improve perceived dyspnea in patients with ADHF as well as patient experience regarding care. This study has the potential to increase patient adherence to early mobilization protocols in the setting of ADHF as well as to promote a positive patient experience. Filling this gap could promote the rational incorporation of technologies in health care. Trial registration This study protocol is in its first version. ClinicalTrials.gov NCT05596292. Registered on 1 December 2022.
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spelling doaj.art-5ebde95d7f09433ea2178705c1b3decb2023-11-26T14:09:52ZengBMCTrials1745-62152023-11-0124111010.1186/s13063-023-07786-zPerceived dyspnea and experience of hospitalized patients with acute decompensated heart failure undergoing an early MObilization protocol with immersive Virtual rEality: MOVE study protocol for a parallel superiority randomized clinical trialIasmin Borges Fraga0Larissa Gussatschenko Caballero1Pedro Dal Lago2João Lucas Campos de Oliveira3Marina Scherer4Mauren Porto Haeffner5Eneida Rejane Rabelo-Silva6Graduate Program in Cardiology and Cardiovascular Sciences, Universidade Federal Do Rio Grande Do SulGraduate Program Program of the School of Nursing, Universidade Federal Do Rio Grande Do SulGraduate Program in Rehabilitation Sciences, Universidade Federal de Ciências da Saúde de Porto AlegreGraduate Program Program of the School of Nursing, Universidade Federal Do Rio Grande Do SulCardiology Division and Heart Failure Clinic, Hospital de Clínicas de Porto AlegreCardiology Division and Heart Failure Clinic, Hospital de Clínicas de Porto AlegreGraduate Program in Cardiology and Cardiovascular Sciences, Universidade Federal Do Rio Grande Do SulAbstract Background Immersive virtual reality (VR) is an innovative strategy for inpatient rehabilitation programs. Using immersive VR in early mobilization protocols has not yet been investigated in the setting of hospitalized patients with acute decompensated heart failure (ADHF), especially to improve perceived dyspnea, a common symptom of heart failure (HF). Methods This is a single-center parallel superiority randomized clinical trial. The study will be conducted at a public teaching hospital in Brazil from January 2023 to January 2024. The sample will include adult patients with ADHF hospitalized for at least 24 h, randomly assigned in a 1:1 ratio to the control (standard early mobilization protocol conducted in the intensive care unit (ICU)) or intervention group (the same standard early mobilization protocol but associated with immersive VR). The primary outcome will be assessing perceived dyspnea, and the secondary outcome will be assessing patient experience. Discussion Using immersive VR in early mobilization protocols in the ICU is expected to improve perceived dyspnea in patients with ADHF as well as patient experience regarding care. This study has the potential to increase patient adherence to early mobilization protocols in the setting of ADHF as well as to promote a positive patient experience. Filling this gap could promote the rational incorporation of technologies in health care. Trial registration This study protocol is in its first version. ClinicalTrials.gov NCT05596292. Registered on 1 December 2022.https://doi.org/10.1186/s13063-023-07786-zRandomized clinical trialHeart failureEarly mobilizationCardiac rehabilitationVirtual realityExercise tolerance
spellingShingle Iasmin Borges Fraga
Larissa Gussatschenko Caballero
Pedro Dal Lago
João Lucas Campos de Oliveira
Marina Scherer
Mauren Porto Haeffner
Eneida Rejane Rabelo-Silva
Perceived dyspnea and experience of hospitalized patients with acute decompensated heart failure undergoing an early MObilization protocol with immersive Virtual rEality: MOVE study protocol for a parallel superiority randomized clinical trial
Trials
Randomized clinical trial
Heart failure
Early mobilization
Cardiac rehabilitation
Virtual reality
Exercise tolerance
title Perceived dyspnea and experience of hospitalized patients with acute decompensated heart failure undergoing an early MObilization protocol with immersive Virtual rEality: MOVE study protocol for a parallel superiority randomized clinical trial
title_full Perceived dyspnea and experience of hospitalized patients with acute decompensated heart failure undergoing an early MObilization protocol with immersive Virtual rEality: MOVE study protocol for a parallel superiority randomized clinical trial
title_fullStr Perceived dyspnea and experience of hospitalized patients with acute decompensated heart failure undergoing an early MObilization protocol with immersive Virtual rEality: MOVE study protocol for a parallel superiority randomized clinical trial
title_full_unstemmed Perceived dyspnea and experience of hospitalized patients with acute decompensated heart failure undergoing an early MObilization protocol with immersive Virtual rEality: MOVE study protocol for a parallel superiority randomized clinical trial
title_short Perceived dyspnea and experience of hospitalized patients with acute decompensated heart failure undergoing an early MObilization protocol with immersive Virtual rEality: MOVE study protocol for a parallel superiority randomized clinical trial
title_sort perceived dyspnea and experience of hospitalized patients with acute decompensated heart failure undergoing an early mobilization protocol with immersive virtual reality move study protocol for a parallel superiority randomized clinical trial
topic Randomized clinical trial
Heart failure
Early mobilization
Cardiac rehabilitation
Virtual reality
Exercise tolerance
url https://doi.org/10.1186/s13063-023-07786-z
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