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VIVBIS improves preoperative information desire but does not reduce anxiety compared to 2D videoInteractive video helps patients feel better informed before surgery

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Key Takeaway
Note that VIVBIS improves preoperative information desire but does not significantly reduce patient anxiety levels.

This randomized controlled trial enrolled 233 patients undergoing day case hysteroscopy under general anesthesia to evaluate the impact of Virtual Interactive Video-based Information Support (VIVBIS). Patients were divided into three groups: Group A (VIVBIS), Group B (2D videos), and Group C (conventional education).

The primary outcome was preoperative anxiety measured by the Amsterdam Preoperative Anxiety and Information Scale (APAIS) before general anesthesia induction. Results showed no statistically significant difference in absolute anxiety levels between groups (7.99 ± 3.11 for Group A, 9.18 ± 3.83 for Group B, and 8.90 ± 3.48 for Group C; P >.05). Similarly, the change in anxiety scores from before to after intervention showed no significant difference between groups.

Regarding secondary outcomes, VIVBIS was superior to both 2D videos and conventional education in meeting information desire (APAIS-I) with a score of 4.32 ± 1.95 compared to 5.43 ± 2.18 and 5.23 ± 2.12, respectively (P <.01). VIVBIS also showed a significantly greater change in information desire scores compared to other groups (1.49 ± 2.08 vs 0.67 ± 2.03 and 0.90 ± 2.19; P <.05).

Physiological parameters, including systolic blood pressure, diastolic blood pressure, and pulse rate, showed no statistically significant differences across the three groups. No adverse events were reported. While VIVBIS effectively met patient information needs, it did not provide a superior reduction in anxiety compared to standard 2D video or printed materials.

Waiting for surgery can be a nerve-wracking time. Patients often feel overwhelmed by the unknown, and many look for ways to feel more prepared and informed before they head into the operating room. Researchers recently looked at how different types of information tools affected patients undergoing hysteroscopy—a procedure to look inside the uterus.

The study compared three methods: an interactive video tool, standard 2D videos, and traditional printed materials. While all three methods were equally effective at keeping anxiety levels steady before surgery, the interactive video stood out in one specific area. Patients who used the interactive tool reported a significantly higher desire for information and showed a greater improvement in their feelings of being informed compared to those using other methods.

Even though the interactive videos didn't lower heart rates or blood pressure more than standard materials, they did succeed in meeting the patients' need for information. This suggests that while different tools might not change how anxious a patient feels physically, some tools are much better at making people feel like they truly understand what is happening next.

What this means for you:
Interactive videos help surgical patients feel more informed than standard videos or printed materials.

Common questions

Does the interactive video reduce my anxiety before surgery?

The study found that while the interactive video was great for providing information, it did not significantly reduce anxiety levels more than standard 2D videos or printed materials. All three groups reported similar anxiety scores before entering the operating room.

How does the interactive video compare to regular videos?

The interactive video was found to be superior at meeting patients' information needs. While both types of media were used, only the interactive version showed a significant improvement in how informed the patients felt before their procedure.

Does the interactive tool affect my heart rate or blood pressure?

No, the study found no statistically significant differences in systolic blood pressure, diastolic blood pressure, or pulse rate among the three groups. The interactive video's main benefit was specifically in meeting the patient's desire for information.

Study Details

Study typeRct
Sample sizen = 233
EvidenceLevel 2
PublishedAug 2026
View Original Abstract ↓
PURPOSE: The effect of virtual tour as a method of health education to alleviate preoperative anxiety remains controversial. This study aimed to evaluate the effect of Virtual Interactive Video-based Information Support (VIVBIS), which integrates virtual reality technology with information needs-oriented education, on reducing preoperative anxiety in patients undergoing day case hysteroscopy under general anesthesia. DESIGN: Single-center, prospective, randomized, controlled clinical trial. METHODS: From May to December 2023, a three-arm parallel randomized controlled trial design was conducted. Patients were randomly assigned to one of three groups: VIVBIS (Group A), 2D videos (Group B), and conventional education (Group C) when receiving preoperative education. The primary outcome is the Amsterdam Preoperative Anxiety and Information Scale (APAIS) after the patient entered the operating room before general anesthesia induction. The secondary outcomes are systolic blood pressure, diastolic blood pressure, and pulse rate of patients before general anesthesia induction. FINDINGS: Ultimately, 233 patients were analyzed. The difference of preoperative anxiety levels (APAIS-A) was not statistically significant between Group A and Group B and Group C (7.99 ± 3.11 vs 9.18 ± 3.83 vs 8.90 ± 3.48, P > .05). The changes in anxiety scores before and after the intervention (∆ APAIS-A) were 0.24 ± 2.97 vs -0.28 ± 3.12 vs -0.16 ± 2.49, P greater than .05. While the impact of VIVBIS on preoperative information desire level (APAIS-I) showed superior to other two groups (Group A vs Group B vs Group C: 4.32 ± 1.95 vs 5.43 ± 2.18 vs 5.23 ± 2.12, P < .01). The changes in information desire before and after the intervention (∆ APAIS-I) were 1.49 ± 2.08 versus 0.67 ± 2.03 versus 0.90 ± 2.19, P < .05. For secondary outcomes, the systolic blood pressure values in the three groups were 122.30 ± 14.70, 120.24 ± 13.82, and 120.90 ± 11.73 mm Hg, respectively (P > .05). Diastolic blood pressure values were 77.86 ± 10.98, 74.39 ± 9.50, and 75.87 ± 8.98 mm Hg, respectively (P > .05). Pulse rates were 72.29 ± 11.80, 70.67 ± 11.34, and 74.27 ± 11.78 bpm, respectively (P > .05). CONCLUSIONS: VIVBIS had a similar effect as 2D video and printed materials in reducing preoperative anxiety in patients undergoing day case hysteroscopy. VIVBIS effectively met the preoperative information needs of patients undergoing day case hysteroscopy.
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