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CTRI Number  CTRI/2025/11/097859 [Registered on: 21/11/2025] Trial Registered Prospectively
Last Modified On: 20/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Screening 
Study Design  Other 
Public Title of Study   EFFECTIVENESS OF VIRTUAL REALITY VIDEOS ON PHYSIOLOGICAL PARAMETERS, ANXIETY, STRESS AND DEPRESSION AMONG INTENSIVE CARE UNIT PATIENTS 
Scientific Title of Study   The efficacy of virtual reality on physiological parameters, anxiety, stress and depression among patients admitted in intensive care unit at tertiary care hospital - A randomized controlled trial 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  VVignesh 
Designation  student 
Affiliation  Sri Ramachandra Institute of Higher Education and Research Deemed to be University  
Address  Hall 11 3rd Floor Department of Medical Surgical Nursing Sri Ramachandra Faculty of Nursing Sri Ramachandra Institute of Higher Education and Research Deemed to be University Porur Chennai 600116

Chennai
TAMIL NADU
600116
India 
Phone  9080153669  
Fax    
Email  N1624003@sriher.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  VVignesh 
Designation  student 
Affiliation  Sri Ramachandra Institute of Higher Education and Research Deemed to be University  
Address  Hall 11 3rd Floor Department of Medical Surgical Nursing Sri Ramachandra Faculty of Nursing Sri Ramachandra Institute of Higher Education and Research Deemed to be University Porur Chennai 600116

Chennai
TAMIL NADU
600116
India 
Phone  9080153669  
Fax    
Email  N1624003@sriher.edu.in  
 
Details of Contact Person
Public Query
 
Name  Maria Mazarrello A 
Designation  Lecturer 
Affiliation  Sri Ramachandra Institute of Higher Education and Research Deemed to be University 
Address  Faculty Room 3rd Floor Department of Medical Surgical Nursing Sri Ramachandra Faculty of Nursing Sri Ramachandra Institute of Higher Education and Research Deemed to be University Porur Chennai 600116

Chennai
TAMIL NADU
600116
India 
Phone  9840186262  
Fax    
Email  mariamazarrello@sriramachandra.edu.in  
 
Source of Monetary or Material Support  
Sri Ramachandra Institute of Higher Education and Research Deemed to be University Pour Chennai Tamil Nadu 600116  
 
Primary Sponsor  
Name  Sri Ramachandra Institute of Higher Education and Research Deemed to be University  
Address  Sri Ramachandra Faculty of Nursing Sri Ramachandra Institute of Higher Education and Research Deemed to be University Porur Chennai Tamil Nadu 600116  
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Hemalatha R V  Sri Ramachandra Medical Center  Department of Critical Care Medicine 4th Floor C4 Room No-3
Chennai
TAMIL NADU 
9952960709

hema.rvasu@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri Ramachandra Institute of Higher Education and Research (DU)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F411||Generalized anxiety disorder,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  routine care   After the patient is admitted to the ICU, a baseline pretest will be conducted for the control group on Day 1. Patients in the control group will not receive any virtual reality (VR) session; instead, they will continue with standardized ICU care (routine care). After this standardized ICU care, Post-test I will be conducted at the same time point as the intervention group. On Day 2 and Day 3, the control group will again receive only standardized ICU care, followed by Post-test II and Post-test III will be conducted for the control group  
Intervention  virtual reality video  After the patient is admitted to the ICU, a baseline pretest will be conducted to the intervention group on Day 1. Once the pretest is completed, the patients will undergo a 15-minute virtual reality (VR) video session using a VR device. The videos will consist of calming, slow-paced nature environments (e.g., forests, beaches, waterfalls, Natural wounders, sunrises and sunset). Immediately after the virtual reality (VR) session, Post-test I will be conducted. On Day 2 and Day 3, the patient will again receive 15-minute virtual reality (VR) video sessions, which will be followed by Post-test II and Post-test III for the intervention group.  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  64.00 Year(s)
Gender  Both 
Details  Patients age greater than 19 years and less than 65years
conscious oriented patient
Willingness to participate 
 
ExclusionCriteria 
Details  patients who have visual and hearing impairment
Unconscious and intubated patients
Severe mental health disorder
Severe or life - threatening condition 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Virtual Reality intervention is positively impact in physiological parameters and decrease anxiety, depression, and stress levels in ICU patients  Pre-test- After 24 hours of ICU Admission
Post-test- 1 After 24 hours of ICU Admission
Post-test- 2 After 48 hours of ICU Admission
Post-test- 3 After 72 hours of ICU Admission 
 
Secondary Outcome  
Outcome  TimePoints 
Virtual reality interventions decrease levels of depression, anxiety, and stress, leading to a shorter ICU stay for patients  Pre-test- After 24 hours of ICU Admission
Post-test- 1 After 24 hours of ICU Admission
Post-test- 2 After 48 hours of ICU Admission
Post-test- 3 After 72 hours of ICU Admission
 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   01/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Purpose:

The study aims to evaluate the efficacy of virtual reality  in reducing depression, anxiety, stress and improving physiological parameters in comparison with standard intensive care unit (ICU) care.

Methods:

Study Design: Randomized controlled trial using block randomization to ensure balanced allocation of participants into intervention and control groups.

A total of 120 patients will be recruited based on inclusion criteria and randomly assigned into two groups: study group (n = 60) and control group (n = 60). On Day 1, a pre-test will be conducted for both groups. Following this, participants in the study group will receive a 15-minute virtual reality (VR) video session using a VR device, while the control group will continue to receive standard ICU care. Immediately after the intervention, a post-test I will be conducted to both groups. On Day 2 and Day 3, the study group will again receive VR video sessions, whereas the control group will continue with standard care. Subsequently, post-test II and post-test III will be conducted for both groups to evaluate outcomes over time.

Proposed Results:

The virtual reality intervention is very much useful for ICU patients to reduce the depression, anxiety, stress and gives the positive impact in physiological parameters that reduce the length of ICU stay for the patients.

 
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