Cited by 187Cancer survivorship and careVirtual Reality Applications and ImpactsPediatric Pain Management Techniques

Effect of virtual reality on time perception in patients receiving chemotherapy

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Schneider, Susan M., Kisby, Cassandra K., Flint, Elizabeth P.·2011·Supportive Care in Cancer

Abstract

Purpose Virtual reality (VR) during chemotherapy has resulted in an elapsed time compression effect, validating the attention diversion capabilities of VR. Using the framework of the pacemaker-accumulator cognitive model of time perception, this study explored the influence of age, gender, state anxiety, fatigue, and cancer diagnosis in predicting the difference between actual time elapsed during receipt of intravenous chemotherapy while immersed in a VR environment versus patient's retrospective estimates of time elapsed during this treatment. Materials and methods This secondary analysis from three studies yielded a pooled sample of N = 137 participants with breast, lung, or colon cancer. Each study employed a crossover design requiring two matched intravenous chemotherapy treatments, with participants randomly assigned to receive VR during one treatment. Regressions modeled the effect of demographic variables, diagnosis, and Piper Fatigue Scale and State Anxiety Inventory scores on the difference between actual and estimated time elapsed during chemotherapy with VR. Results In a forward regression model, three predictors (diagnosis, gender, and anxiety) explained a significant portion of the variability for altered time perception (F=5.06, p = 0.0008). Diagnosis was the strongest predictor; individuals with breast and colon cancer perceived time passed more quickly. Conclusions VR is a noninvasive intervention that can make chemotherapy treatments more tolerable. Women with breast cancer are more likely and lung cancer patients less likely to experience altered time perception during VR (a possible indicator of effectiveness for this distraction intervention). Understanding factors that predict responses to interventions can help clinicians tailor coping strategies to meet each patient's needs.

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  • Other research in people having chemotherapy argues that VR may not be effective for all as those with greater symptom distress had more accurate perception of time, suggesting they were not able to block out negative external cues.

    “Other research in people having chemotherapy20 argues that VR may not be effective for all as those with greater symptom distress had more accurate perception of time, suggesting they were not able to block out negative external cues.”

    From SafeSpace: what is the feasibility and acceptability of a codesigned virtual reality intervention, incorporating compassionate mind training, to support people undergoing cancer treatment in a clinical setting? (2022) · cites this paper as [20]

    The Discussion reports that lung cancer patients had little alteration in time perception during VR and suggests that more severe symptoms may draw attention to negative stimuli and inhibit immersion. But it identifies symptom severity as a possible explanation, not an established finding that patients with greater symptom distress perceived time more accurately; the available symptom data were too limited to establish differences between diagnosis groups. (LLM, conf=0.86)

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  • The majority of studies used tools to capture symptom change with only one using open-ended questions in their methodology.

    “The majority of studies used tools to capture symptom change15 20 67 with only one74 using open-ended questions in their methodology.”

    From SafeSpace: what is the feasibility and acceptability of a codesigned virtual reality intervention, incorporating compassionate mind training, to support people undergoing cancer treatment in a clinical setting? (2022) · cites this paper as [20]

    In Materials and methods > Measures (page unavailable), the researcher asked patients to estimate elapsed time in minutes, allowing a free-response answer. The same section says symptom change in anxiety and fatigue was measured with standardized scales, not open-ended questions. The paper also cannot establish the citing sentence’s comparison across studies. (LLM, conf=0.76)

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Research works printed but not linked: 1

  1. [30]Schneider SM A series of studies exploring the use of virtual reality for chemotherapy treatments Oncol Nurs Forum 2007 34 1 182 183 PMC2121303 17562631

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Authors
Schneider, S. M., Kisby, C. K., & Flint, E. P.
Affiliations
Duke University (US)
Corresponding author
Schneider, Susan M.
Venue
Supportive Care in Cancer
Published
2010-03-26
Volume
19
Issue
4
Pages
555-564
ISSN
  • 0941-4355 (ISSN-L)
  • 1433-7339
OpenAlex
W2006568735
Cited by
187
References
44
Citations by year
2026: 2 · 2025: 14 · 2024: 25 · 2023: 25 · 2022: 22 · 2021: 28 · 2020: 17 · 2019: 11 · 2018: 10 · 2017: 9 · 2016: 6 · 2015: 2 · 2014: 2 · 2013: 5 · 2012: 4
FWCI
2.06
Type
journal article
Language
en
Open access
Locations
  • Supportive Care in Cancer (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute of Nursing Research (1 P20 NR07795-01, P20NR007795)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Physical Sciences › Computer Science › Human-Computer Interaction › Virtual Reality Applications and Impacts
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords
virtual reality, time perception, chemotherapy, pacemaker-accumulator model, distraction therapy, cancer pain management, breast cancer, lung cancer, colon cancer, state anxiety, fatigue, gender differences, cancer diagnosis
MeSH terms
Adult, Aged, Antineoplastic Agents, Anxiety, Breast Neoplasms, Colonic Neoplasms, Female, Humans, Infusions, Intravenous, Lung Neoplasms, Male, Middle Aged, Models, Psychological, Regression Analysis, Sex Factors, Time Perception, User-Computer Interface, Cross-Over Studies

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