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N/A Completed N=44 Randomized Single-blind Treatment

Home-Based Intervention for Chronic Pain in Adults With Sickle Cell Disease

Source: ClinicalTrials.gov NCT04906707 ↗
Enrolled (actual)
44
Serious AEs
0.0%
Results posted
Apr 2025
Primary outcomePrimary: Pain Rating Using Numerical Pain Rating Scale (NPRS) — 3.79; 3.17; 2.37; 2.63 score on a scale

Summary

This project will evaluate AppliedVR's EaseVRx - a multi-modal, skills-based, 8-week, virtual reality, home intervention - in an exploratory randomized controlled trial for self-management of chronic pain among Black, young adults (ages 18-50) with sickle cell disease.

Outcome Measures

OutcomeResultp-value
PRIMARY
Pain Rating Using Numerical Pain Rating Scale (NPRS)
3.79; 3.17; 2.37; 2.63
PRIMARY
Pain Intensity Subscale of the Chronic Pain Grade Questionnaire
66.84; 63.07; 60.28; 54.06; 56.33; 48.84
PRIMARY
Participant Engagement: Minutes of Program Use Per Day
170.5; 128.5; 243.0; 163.25
PRIMARY
Participant Engagement: Duration in Days
1.38; 2.75; 1.63; 2.13
PRIMARY
Participant Engagement: Features Utilized
6; 11
PRIMARY
Participant Engagement: Completion Rates
2.38
PRIMARY
Study Retention: Surveys
19; 25; 12; 23; 10; 23
PRIMARY
Study Retention: Daily Diaries
28; 32
PRIMARY
Participant Satisfaction
4.0; 4.0; 4.0; 4.0; 4.0; 4.0
PRIMARY
Frequency of Highest Satisfaction Scores
7; 14; 6; 13; 6; 12
PRIMARY
Safety: Number of Adverse Events
2; 0; 0
SECONDARY
Chronic Pain Acceptance Score
24.00; 21.40; 26.45; 23.43; 28.20; 23.65
SECONDARY
Chronic Pain Self-Efficacy
154.68; 155.92; 155.82; 151.52; 166.40; 148.13
SECONDARY
Social Support
111.95; 123.48; 116.55; 129.48; 115.50; 121.52
SECONDARY
Pain Catastrophizing Score
22.74; 25.48; 18.82; 21.91; 14.30; 19.26
SECONDARY
BRIEF Health Literacy Score
19.05; 18.24; 19.00; 17.65; 18.60; 17.04
SECONDARY
Executive Function
78.53; 98.12; 76.27; 83.00; 79.00; 92.43
SECONDARY
Anxiety Levels
53.19; 57.38; 52.65; 56.74; 47.72; 54.65
SECONDARY
Depression Levels
48.96; 55.60; 48.59; 53.50; 45.99; 52.94
SECONDARY
Sleep Impact Short Form Score
49.03; 49.92; 49.75; 50.65; 52.91; 51.64
SECONDARY
Functional Activities of Daily Living
49.65; 47.81; 51.77; 47.30; 51.54; 48.06
SECONDARY
Chronic Pain Disability Score
56.14; 54.67; 48.06; 51.01; 39.33; 44.20
SECONDARY
Average Healthcare Utilization
2.5; 2.0
SECONDARY
Number of Analgesics
4.88; 3.80; 4.86; 4.69
SECONDARY
Quality of Life: Frequency of Sickle Cell Pain Episodes
51.85; 47.65; 50.08; 46.27; 48.74; 45.93
SECONDARY
Quality of Life: Severity of Sickle Cell Pain Episodes
52.79; 45.84; 49.32; 46.19; 50.42; 44.87
SECONDARY
Quality of Life: Emotional Impact
51.70; 49.21; 54.56; 52.57; 55.13; 51.53
SECONDARY
Quality of Life: Social Functioning
49.48; 51.43; 56.04; 50.33; 53.50; 51.92
SECONDARY
Quality of Life: Stiffness Impact
47.73; 45.78; 52.20; 46.58; 52.02; 47.06

Eligibility Criteria

Inclusion Criteria

  • Black adults,
  • ages 18-50 years;
  • diagnosis of SCD (Sickle cell disease);
  • chronic non vaso-occlusive pain experienced > 3 days per week on average for > 6 months;
  • ability to wear a VR (Virtual reality) head-mounted display and move head in cervical rotation, extension, and flexion; sufficient fine motor control to operate VR equipment such as a controller; and ability to read, write, and understand English.

Exclusion Criteria

  • 1. Conditions: Co-morbidities that may influence pain perception; diagnosis of epilepsy or susceptibility to seizures, migraines, or other neurological disorders that may prevent VR use, and/or other medical conditions due to which individuals are predisposed to nausea and dizziness; susceptibility to claustrophobia, motion sickness or cybersickness (digital motion sickness); history of blackouts; hypersensitivity to flashing lights or motion; lack of stereoscopic vision; severe visual or hearing impairment; inability to operate VR equipment (such as inability to turn head or use hands to operate external controller); and/or injury to the eyes, face, head, or neck that prevents comfortable VR use.
  • Other exclusions: Medical instability as determined by healthcare providers at the study site; significant motor impairment; surgery within the last three months; planning to start a new pain management strategy (such as medication, physiotherapy, acupuncture, or cognitive behavioral therapy) in the next three months; history of major psychiatric disorder (such as schizophrenia or bipolar disorder) not controlled with medication or behavioral factors that would interfere with study procedures; alcohol or substance dependence, heart conditions, or the presence of implanted medical devices (such as cardiac pacemakers) as noted in the electronic health record; cognitive or developmental disabilities; active suicidal ideation; inability to read, write, or understand English; pregnancy; and/or plans for vacation in the next three months.

This study will not include any of these special populations:

  • Adults unable to consent
  • Individuals who are not yet adults (infants, children, teenagers)
  • Pregnant women
  • Prisoners
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04906707). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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