- Fecal Incontinence
|QUALITATIVE VALIDATION OF A NOVEL VIRTUAL REALITY (VR) PROGRAM FOR IRRITABLE BOWEL SYNDROME: A VR1 STUDY
Am J Gastroenterol. 2022 Jan 7. doi: 10.14309/ajg.0000000000001641. Online ahead of print.
Brennan M R Spiegel 1 2, Omer Liran 1 3, Rebecca Gale 1, Carine Khalil 1, Katherine Makaroff 1, Robert Chernoff 3, Tiffany Raber 4, Bianca Chang 2, Nipaporn Pichetshote 2, Ali Rezaie 2
1Cedars-Sinai Department of Medicine, Division of Health Services Research.
2Cedars-Sinai Department of Medicine, Division of Gastroenterology.
3Cedars-Sinai Department of Psychiatry and Behavioral Sciences.
4University of California, Irvine.
Background: Although gut-directed psychotherapies are effective for IBS, they are rarely prescribed given a paucity of trained clinicians. Virtual reality (VR) offers a solution by allowing patients to self-practice these techniques in a standardized manner.
Methods: A multidisciplinary team developed IBS/VR, a program that transports users into immersive VR worlds that teach patients about the brain-gut axis, cognitive behavioral therapy, and gut-directed meditation. We tested IBS/VR in Rome IV IBS patients and used inductive analysis to evaluate perceptions and identify recommendations.
Results: We achieved thematic saturation after nine interviews; three additional interviews revealed no emergent themes. After making 23 software changes based on patient feedback, we conducted three additional interviews which confirmed thematic saturation (N=15 total).
Discussion: This study offers initial validation of the first VR program designed for IBS.