Stephanie Beni, Déirdre Ní Chróinín, Tim Fletcher
It's how PE should be!': Classroom teachers' experiences of implementing Meaningful Physical Education
European physical education review
preoperative state anxiety psa distress anxiety directly associated perioperative events psa associated negative postoperative outcomes longer hospital length stay increased pain opioid use higher rates rehospitalization psychological prehabilitation education exposure hospital environments relaxation strategies shown mitigate psa however limited skilled personnel deliver interventions clinical practice immersive virtual reality vr potential greater accessibility enhanced integration immersive interactive experience vr rarely used preoperative setting similar forms stress inoculation training involving exposure stressful events improved psychological preparation contexts military deployment study seeks develop investigate targeted psa intervention patients undergoing oncological surgery using single preoperative vr exposure primary objectives 1 develop novel vr program patients undergoing oncological surgery general anesthesia 2 assess feasibility including acceptability single exposure intervention 3 assess feasibility including acceptability outcome measures psa 4 use results refine vr content outcome measures larger trial secondary objective preliminarily assess clinical utility intervention psa study comprises 3 phases phase 1 completed involved development vr prototype targeting psa using multidisciplinary iterative input phase 2 data collection completed involves examining feasibility aspects vr intervention randomized feasibility trial involves assessing novel vr preoperative intervention compared vr control ie nature trek condition treatmentasusual group among patients undergoing breast cancer surgery phase 3 involve refining prototype based feasibility findings input people lived experience future clinical trial using focus groups participants phase 2 study funded march 2019 phase 1 completed april 2020 phase 2 data collection completed january 2024 data analysis ongoing focus groups completed february 2024 feasibility study focus groups contribute refinement initial vr prototype phase 3 final simulation completed mid2024 findings work contribute limited body research examining feasible broadly accessible interventions psa knowledge gained research contribute final development novel vr intervention tested large population patients cancer surgery randomized clinical trial clinicaltrialsgov nct04544618 httpswwwclinicaltrialsgovstudynct04544618 derr110219655692