An interventional study of Family Video.Participants watched a five-minute video prepared by their family members twice daily on the second and third days of intensive care. in Anxiety, Agitation and Pain, sponsored by Sennur Kula Şahin. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-09-01.
Sponsored by Sennur Kula Şahin · Not applicable, Interventional, and Supportive care
This randomized controlled trial was conducted to evaluate the effects of family videos and virtual reality-based nature videos on anxiety, agitation, pain, and vital signs in adult intensive care unit patients. A total of 72 participants were randomly assigned to three parallel groups: a family video group (n=24), a family video plus virtual reality-based nature video group (n=24), and a standard care control group (n=24). Anxiety, agitation, pain, and vital signs were assessed before and after the interventions during the second and third days of intensive care.
Intensive care unit patients may experience psychological and physiological problems such as anxiety, agitation, and pain because of the stressful and isolating nature of the intensive care environment. This randomized controlled trial evaluated family-based visual support and virtual reality-based nature videos as non-pharmacological supportive interventions in adult intensive care unit patients.
Participants were randomly assigned to one of three parallel groups. In the first intervention group, participants watched five-minute family videos twice daily. In the second intervention group, participants watched five-minute family videos twice daily and additionally viewed nature-themed videos using a virtual reality headset once daily for approximately 15-20 minutes. Participants in the control group received standard treatment and nursing care without a study-specific video or virtual reality intervention.
The interventions and assessments were performed on the second and third days of intensive care after the patients' clinical condition had been evaluated and approved by a physician. Anxiety, agitation, and pain were assessed immediately before and after the interventions. Vital signs were obtained from routine clinical monitoring records. During virtual reality sessions, the researcher remained with the participant and monitored for possible adverse effects such as dizziness
Aged 18-80 years
Exclusion Criteria:
Visual or hearing impairment
Family Video Intervention:Participants watched five-minute family videos twice daily on the second and third days of intensive care. Anxiety, agitation, pain, and vital signs were assessed immediately before and after the intervention.
Behavioral: Family Video.Participants watched a five-minute video prepared by their family members twice daily on the second and third days of intensive care.
Family Video Plus Virtual Reality Group. Participants watched five-minute family videos twice daily and additionally viewed nature-themed videos using a virtual reality headset once daily for 15-20 minutes on the second and third days of intensive care. Anxiety, agitation, pain, and vital signs were assessed before and after the interventions.
Behavioral: Family Video.Participants watched a five-minute video prepared by their family members twice daily on the second and third days of intensive care.
Standard Care Control Group. Participants received standard treatment and nursing care without a study-specific family video or virtual reality intervention. Outcomes were assessed at the same times and frequency as in the intervention groups.
Participants viewed nature-themed video content using a virtual reality headset for approximately 15-20 minutes once daily on the second and third days of intensive care. The researcher remained with participants during the session and monitored for possible adverse effects.
State Anxiety Level
State anxiety was assessed using the State-Trait Anxiety Inventory-State (STAI-I). The scale consists of 20 items, with total scores ranging from 20 to 80. Higher scores indicate higher levels of state anxiety.
Time frame: Immediately before and after the intervention sessions on intensive care unit days 2 and 3.
Agitation-Sedation Level
Agitation and sedation were assessed using the Richmond Agitation-Sedation Scale (RASS), which ranges from -5 to +4. Positive scores indicate increasing levels of agitation, 0 indicates an alert and calm state, and negative scores indicate increasing levels of sedation.
Time frame: Immediately before and after the intervention sessions on intensive care unit days 2 and 3.
Pain Intensity
Pain intensity was assessed using a Numerical Pain Rating Scale ranging from 0 to 10, where 0 indicates no pain and 10 indicates the most severe pain.
Time frame: Immediately before and after the intervention sessions on intensive care unit days 2 and 3.
Heart Rate
Description: Heart rate was recorded before and after the intervention sessions. Time Frame: Immediately before and after the intervention sessions on intensive care unit days 2
Time frame: Immediately before and after the intervention sessions on intensive care unit days 2 and 3.
Respiratory Rate
Respiratory rate was recorded before and after the intervention sessions.
Time frame: Immediately before and after the intervention sessions on intensive care unit days 2 and 3.
Systolic Blood Pressure
Systolic blood pressure was recorded before and after the intervention sessions.
Time frame: Immediately before and after the intervention sessions on intensive care unit days 2 and 3.
Diastolic Blood Pressure
Diastolic blood pressure was recorded before and after the intervention sessions.
Time frame: Immediately before and after the intervention sessions on intensive care unit days 2 and 3.
Body Temperature
Body temperature was recorded before and after the intervention sessions.
Time frame: Immediately before and after the intervention sessions on intensive care unit days 2 and 3.
Plan to share: No
No publications or documents are linked to this record.
This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Sennur Kula Şahin