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Virtual reality-guided mindfulness intervention to enhance psychosocial well-being in caregivers of end-stage kidney disease patients: protocol for a mixed-methods pilot randomised controlled trial.

BMJ open
January 1, 1970
Ravi Shankar et al. (5 authors)
Journal ArticleClinical Trial ProtocolHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the efficacy and feasibility of a VR-guided mindfulness intervention for reducing caregiver burden, stress, anxiety, and depression in caregivers of patients with end-stage kidney disease (ESKD).

Results Summary

The study is a pilot randomized controlled trial assessing the effects of a 6-week VR-guided mindfulness program compared to a sham control. Outcomes include caregiver burden, stress, anxiety, depression, quality of life, and mindfulness, with feasibility metrics like retention and adherence. Final results are pending post-intervention and follow-up assessments.

Population

Caregivers of patients with end-stage kidney disease (ESKD).

Effective Dosage

6-week home-based VR-guided mindfulness program (specific frequency not detailed).

Duration

6 weeks (with follow-up at 12 weeks).

Interactions

None mentioned

Extracted Claims (3)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Virtual-reality (VR)-guided mindfulness interventions
decrease
stress, anxiety and depression
various populations
-
have shown promise in reducing
#1
VR-guided mindfulness intervention
neutral
-
ESKD caregivers
-
will be evaluated for efficacy and feasibility
#2
VR-guided mindfulness intervention
neutral
accrual rates, retention, adherence, questionnaire completion and side effect rates
ESKD caregivers
-
will be assessed for feasibility outcomes including
#3
Abstract

INTRODUCTION: Caregivers of patients with end-stage kidney disease (ESKD) face significant challenges that contribute to caregiver burden, negatively impacting their psychosocial well-being. Virtual-reality (VR)-guided mindfulness interventions have shown promise in reducing stress, anxiety and depression in various populations. METHODS AND ANALYSIS: This pilot study aims to evaluate the efficacy and feasibility of a VR-guided mindfulness intervention for ESKD caregivers. A single-centre, single-blind, parallel-group pilot randomised controlled trial will be conducted. Thirty ESKD caregivers will be randomly allocated to either the VR-guided mindfulness intervention group or the sham VR control group. The intervention group will receive a 6 week home-based VR-guided mindfulness programme, while the control group will view relaxing nature videos without mindfulness content. Participants will be assessed at baseline, post-intervention (6 weeks) and follow-up (12 weeks) using validated questionnaires for caregiver burden (Zarit Burden Interview (ZBI)), stress, anxiety, depression (Depression Anxiety Stress Scale-21 (DASS-21)), quality of life (36-Item Short Form Health Survey (SF-36)) and mindfulness (Five Facet Mindfulness Questionnaire (FFMQ)). Feasibility outcomes include accrual rates, retention, adherence, questionnaire completion and side effect rates. Semi-structured interviews will explore participants' experiences with the intervention. ETHICS AND DISSEMINATION: The study has been approved by the NHG Domain Specific Review Board (Reference: 2024-3940-APP1). The results of this pilot study will be reported in peer-reviewed open-access journals and shared with participants and stakeholders. TRIAL REGISTRATION: NCT06479200.

Medical Subject Headings (MeSH)
FemaleHumansMaleAnxietyCaregiver BurdenCaregiversDepressionKidney Failure, ChronicMindfulnessPilot ProjectsQuality of LifeRandomized Controlled Trials as TopicSingle-Blind MethodStress, PsychologicalVirtual RealityPsychosocial Support SystemsPsychological Well-Being
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Research Impact Scores
APT Score0.05
Weight Score1.39
Normalized Score0.67
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