Visual distraction alone for the improvement of colonoscopy-related XXXX and satisfaction.

@entity1 @entity148 @entity158
AIM: To evaluate the effect of a relaxing visual distraction alone on @entity1 @entity158 , @entity148 , and satisfaction during colonoscopy. METHODS: This study was designed as an endoscopist-blinded randomized controlled trial with 60 consecutively enrolled @entity1 who underwent elective colonoscopy at Yokohama City University Hospital, Japan. @entity1 were randomly assigned to two groups: group 1 watched a silent movie using a head-mounted display, while group 2 only wore the display. All of the colonoscopies were performed without sedation. We examined @entity158 , @entity148 , and the satisfaction of @entity1 before and after the procedure using questionnaires that included the Visual Analog Scale. @entity1 were also asked whether they would be willing to use the same method for a repeat procedure. RESULTS: A total of 60 @entity1 were allocated to two groups. Two @entity1 assigned to group 1 and one @entity1 assigned to group 2 were excluded after the randomization. Twenty-eight @entity1 in group 1 and 29 @entity1 in group 2 were entered into the final analysis. The groups were similar in terms of gender, age, history of prior colonoscopy, and pre-procedural @entity148 score. The two groups were comparable in terms of the cecal insertion rate, the time to reach the cecum, the time needed for the total procedure, and vital signs. The median @entity148 score during the colonoscopy did not differ significantly between the two groups (median scores, 20 vs 24). The median @entity158 score during the procedure was lower in group 1, but the difference was not significant (median scores, 24.5 vs 42). The @entity1 in group 1 reported significantly higher median post-procedural satisfaction levels, compared with the @entity1 in group 2 (median scores, 89 vs 72, P = 0.04). Nearly three-quarters of the @entity1 in group 1 wished to use the same method for repeat procedures, and the difference in rates between the two groups was statistically significant (75.0% vs 48.3%, P = 0.04). @entity1 with greater levels of @entity148 before the procedure tended to feel a @entity158 sensation. Among @entity1 with a pre-procedural @entity148 score of 50 or higher, the @entity148 score during the procedure was significantly lower in the group that received the visual distraction (median scores, 20 vs 68, P = 0.05); the @entity158 score during the colonoscopy was also lower (median scores, 23 vs 57, P = 0.04). No adverse effects arising from the visual distraction were recognized. CONCLUSION: Visual distraction alone improves satisfaction in @entity1 undergoing colonoscopy and decreases @entity148 and @entity158 during the procedure among @entity1 with a high pre-procedural @entity148 score.
