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AnxietyNCT07463638

Mindfulness Intervention on Minimally Invasive Vascular Surgery

A study testing VR-Based Mindfulness Intervention in people with Anxiety and Pain, run by Tongji Hospital at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to learn whether a virtual reality (VR)-based mindfulness intervention can reduce anxiety and pain in adults undergoing minimally invasive surgery for lower-extremity varicose veins under local anesthesia. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Anxiety, Pain, Varicose Veins of Lower Limb
What is being tested?
VR-Based Mindfulness Intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
160 participants
Where
1 siteChina
Study dates
Nov 2026to Jul 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults aged 18 years or older.
  • American Society of Anesthesiologists (ASA) physical status I-III.
  • Clinically and ultrasonographically confirmed lower-extremity varicose veins, classified as CEAP C3-C5.
  • Scheduled for elective minimally invasive surgery for lower-extremity varicose veins under local anesthesia.
  • Able to provide written informed consent and complete study-related assessments.
  • Clinically suitable for the planned surgical procedure and study-related interventions.

Who cannot join

  • Cognitive, sensory, or communication impairments that prevent participation in the intervention or completion of study-related assessments.
  • Medical conditions or contraindications that may compromise participant safety or substantially interfere with study outcomes.
  • Significant pain conditions unrelated to the target vascular disease that may interfere with pain assessment.
  • Regular use of analgesic or sedative medications that may substantially affect study outcomes.
  • Pregnancy or breastfeeding.
  • Current or recent participation in structured psychological or mindfulness interventions that may influence anxiety assessment.
  • Psychiatric conditions that may substantially interfere with study participation or outcome assessment.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site
  • Tongji Hospital

    Wuhan, Hubei, 430000

Other trials in China

About this study

Official title: Effect of Mindfulness Intervention Based on Virtual Reality Technology on Anxiety and Pain in Minimally Invasive Vascular Surgery Under Local Anesthesia: a Single-center, Prospective, Randomized Controlled Clinical Study

The goal of this clinical trial is to learn whether a virtual reality (VR)-based mindfulness intervention can reduce anxiety and pain in adults undergoing minimally invasive surgery for lower-extremity varicose veins under local anesthesia. The study will also examine whether the intervention affects vital signs, fatigue, sleep quality, and patient satisfaction.

The main questions this study aims to answer are:

Read more
  • Does VR-based mindfulness reduce patients' anxiety during surgery compared with routine psychological care?
  • Does VR-based mindfulness reduce perioperative pain and improve other patient-reported and physiological outcomes? Researchers will compare a VR-based mindfulness intervention with routine psychological care. A total of 160 participants will be randomly assigned to one of the two groups.

Participants in the VR-based mindfulness group will:

  • Receive a VR-based mindfulness session in the preoperative waiting area.
  • Begin a VR-based mindfulness session at the start of surgery. The intraoperative intervention will be repeated till the end of surgery.

Participants in the control group will receive routine psychological care before and during surgery.

Participants in both groups will:

  • Complete assessments of state anxiety approximately 30 minutes before surgery, immediately before surgery, following the first completion of intraoperative VR-based mindfulness session, and after surgery. The third assessment will be conducted at the corresponding intraoperative time point in the control group.
  • Rate their pain before surgery and, at the end of surgery, report both their current pain intensity and the highest level of pain experienced during surgery.
  • Have blood pressure and heart rate measured before surgery and monitored at regular intervals throughout surgery.
  • Complete assessments of fatigue in the preoperative waiting area and again on the first postoperative day.
  • Complete assessments of sleep quality in the preoperative waiting area and again on the first postoperative day.
  • Complete a satisfaction assessment on the first postoperative day.
Read the detailed description

This is a single-center, prospective, open-label, parallel-group randomized controlled trial involving 160 adults undergoing elective minimally invasive surgery for lower-extremity varicose veins under local anesthesia. After eligibility is confirmed and written informed consent is obtained, participants will complete baseline assessments before being randomly assigned in a 1:1 ratio to the VR-based mindfulness intervention group or the control group. The randomization sequence will be generated using SAS version 9.4, and allocation concealment will be maintained using sequentially numbered, opaque, sealed envelopes.Participants in the intervention group will receive VR-based mindfulness sessions in the preoperative waiting area and during surgery, while participants in the control group will receive routine psychological care. The intraoperative VR-based mindfulness intervention will be repeated till the end of surgery.

State anxiety will be assessed at four time points: approximately 30 minutes before surgery (T0), before the start of surgery (T1), following the first completion of intraoperative VR-based mindfulness session (T2), and at the end of surgery (T3). Participants in the control group will undergo the T2 assessment at the corresponding intraoperative time point.Additional outcomes include pain intensity, blood pressure, heart rate, fatigue, sleep quality, patient satisfaction, and duration of surgery.

Being tested
VR-Based Mindfulness Intervention
Keywords
Lower-Extremity Varicose Veins, Virtual Reality, Mindfulness, Local Anesthesia, Minimally Invasive Surgery, Perioperative Anxiety, Perioperative Pain
Medical subject headings
Anxiety Disorders, Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • VR-Based Mindfulness InterventionBehavioural

    The VR-based mindfulness intervention will be delivered in two stages on the day of surgery. Before surgery, participants in the intervention group will be transferred to a separate room within the preoperative waiting area, where a mindfulness-trained nurse will assist them in using Huawei VR Glass to receive prerecorded mindfulness education and guided mindfulness practice. At the start of surgery, participants will receive an intraoperative VR-based mindfulness intervention using prerecorded guided mindfulness content, assisted by a trained nurse. Following the completion of the first intraoperative VR-based mindfulness session and the corresponding anxiety assessment, the intervention will be resumed and may be repeated according to the duration of surgery until the end of surgery.

Study groups in NCT07463638
Study groupRoleWhat they receive
VR-Based Mindfulness InterventionExperimentalParticipants in the intervention group will receive routine psychological care plus a VR-based mindfulness intervention.In a separate room within the preoperative waiting area, a trained nurse will assist participants in using Huawei VR Glass to receive prerecorded mindfulness education and guided mindfulness practice. After entering the operating room, participants will receive an intraoperative VR-based mindfulness intervention using prerecorded guided mindfulness content, beginning at the start of surgery. Following the completion of the first intraoperative VR-based mindfulness session and the corresponding anxiety assessment, the intervention will be resumed and may be repeated till the end of surgery.
Receives: Behavioral: VR-Based Mindfulness Intervention
Routine Psychological CareNo interventionParticipants in the control group will receive routine psychological care before and during surgery. This will include a preoperative visit to provide information about the surgical procedure, and relevant perioperative considerations, as well as psychological support through reassurance, encouragement, and communication to address patients' concerns.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. State-Trait Anxiety Inventory-State Subscale (STAI-State)

    The STAI-State is a 20-item self-report measure of state anxiety. Each item is rated on a 4-point scale, yielding a total score ranging from 20 to 80. Higher scores indicate greater levels of state anxiety.

    Measured: Approximately 30 minutes before surgery (T0), immediately before surgery (T1), following completion of the first intraoperative VR-based mindfulness session (T2), and at the end of surgery (T3). The control group will be assessed at the same time.

Secondary outcomes (6)
  1. Pain Intensity (Numeric Rating Scale, NRS)

    Pain intensity will be assessed using the Numeric Rating Scale (NRS), ranging from 0 to 10, where 0 indicates no pain and 10 indicates the worst pain imaginable. At the end of surgery, participants will report both their highest pain experienced during surgery and their current pain intensity.

    Measured: Approximately 30 min before surgery and at surgery end, when maximum intraoperative pain and current pain intensity will be assessed.

  2. blood pressure

    Systolic and diastolic blood pressure will be measured in mmHg using the perioperative patient monitor.

    Measured: Approximately 30 min before surgery, immediately before surgery, and every 5 min from the start of surgery until the end of surgery.

  3. Fatigue (Brief Fatigue Inventory, BFI)

    Fatigue will be assessed using the 9-item Brief Fatigue Inventory (BFI). Each item is rated on an 11-point scale ranging from 0 to 10, with higher scores indicating greater fatigue severity or interference. The overall BFI score will be calculated as the mean of the nine item scores, ranging from 0 to 10.

    Measured: Upon arrival in the preoperative waiting area (baseline) and on postoperative day 1.

  4. Sleep Quality (Leeds Sleep Evaluation Questionnaire, LSEQ)

    Sleep quality will be assessed using the 10-item Leeds Sleep Evaluation Questionnaire (LSEQ), covering four domains: getting to sleep, quality of sleep, awakening, and post-awakening behavior. Each item is rated on a 100-mm visual analogue scale.

    Measured: Upon arrival in the preoperative waiting area (baseline) and on postoperative day 1.

  5. Satisfaction scale

    Each dimension is scored using a 5-point Likert scale ranging from " never" (1 point) to "very frequently or always" (5 points).Higher scores indicate greater patient satisfaction

    Measured: 24 hours postoperatively (Day 1)

  6. heart rate

    Heart rate will be measured in beats per minute (bpm) using the perioperative patient monitor. Intraoperative values will be monitored every 5 minutes and automatically recorded by the monitoring system.

    Measured: Approximately 30 min before surgery, immediately before surgery, and every 5 min from the start of surgery until the end of surgery.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Mar 2026
  2. Study startNov 2026 (estimated)
  3. Primary completionJun 2027 (estimated)
  4. Study completionJul 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
160 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07463638
Sponsor's protocol ID
TJHL01
Status last verified
Oct 2026
First submitted
17 Nov 2025
Last updated
2 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Westerlinck P, Maes N, Coucke P. Assessing the Effect of a Mobile Application on Cancer Risk Health Literacy: A Cross-Sectional Study Design. Appl Clin Inform. 2025 Mar;16(2):447-462. doi: 10.1055/a-2516-1757. Epub 2025 Jan 15.

    PubMed 39814048
  • Kivipelto M, Helkala EL, Laakso MP, Hanninen T, Hallikainen M, Alhainen K, Soininen H, Tuomilehto J, Nissinen A. Midlife vascular risk factors and Alzheimer's disease in later life: longitudinal, population based study. BMJ. 2001 Jun 16;322(7300):1447-51. doi: 10.1136/bmj.322.7300.1447.

    PubMed 11408299
  • Nowak A, Chmaj-Wierzchowska K, Kampioni M, Malinger A, Wilczak M. Evaluation of pain during diagnostic and surgical minihysteroscopy under local anesthesia. Arch Med Sci. 2023 Aug 17;21(2):463-470. doi: 10.5114/aoms/169979. eCollection 2025.

    PubMed 40395882
  • Gloviczki P, Lawrence PF, Wasan SM, Meissner MH, Almeida J, Brown KR, Bush RL, Di Iorio M, Fish J, Fukaya E, Gloviczki ML, Hingorani A, Jayaraj A, Kolluri R, Murad MH, Obi AT, Ozsvath KJ, Singh MJ, Vayuvegula S, Welch HJ. The 2023 Society for Vascular Surgery, American Venous Forum, and American Vein and Lymphatic Society clinical practice guidelines for the management of varicose veins of the lower extremities. Part II: Endorsed by the Society of Interventional Radiology and the Society for Vascular Medicine. J Vasc Surg Venous Lymphat Disord. 2024 Jan;12(1):101670. doi: 10.1016/j.jvsv.2023.08.011. Epub 2023 Aug 29.

    PubMed 37652254
  • Haridas Abhishek;Pawar Chandrashekara Rao Deepika;Ojha Moitri;Madhushree J.Assessment of pain and intraoperative anxiety by computerized and traditional local anesthetic methods in periodontal therapies: A comparative study[J].Journal of International Oral Health,2022.

  • Rodriguez VH, Medrano CT, Plaza I. Wearable Sensors for Measuring Movement in Short Sessions of Mindfulness Sitting Meditation: A Pilot Study. J Healthc Eng. 2018 May 7;2018:7275049. doi: 10.1155/2018/7275049. eCollection 2018.

    PubMed 29854363
  • Slomski A. Mindfulness Noninferior to Medication for Quelling Anxiety. JAMA. 2023 Jan 3;329(1):12. doi: 10.1001/jama.2022.23506. No abstract available.

    PubMed 36594959
  • Marinovic DA, Hunter RL. Examining the interrelationships between mindfulness-based interventions, depression, inflammation, and cancer survival. CA Cancer J Clin. 2022 Sep;72(5):490-502. doi: 10.3322/caac.21733. Epub 2022 Jun 16.

    PubMed 35709081
  • Garland E, Gaylord S, Park J. The role of mindfulness in positive reappraisal. Explore (NY). 2009 Jan-Feb;5(1):37-44. doi: 10.1016/j.explore.2008.10.001.

    PubMed 19114262
  • Cramer H, Lauche R, Paul A, Dobos G. Mindfulness-based stress reduction for breast cancer-a systematic review and meta-analysis. Curr Oncol. 2012 Oct;19(5):e343-52. doi: 10.3747/co.19.1016.

    PubMed 23144582
  • Foulk M, Montagnini M, Fitzgerald J, Ingersoll-Dayton B. Mindfulness-Based Group Therapy for Chronic Pain Management in Older Adults. Clin Gerontol. 2023 Jun 28:1-10. doi: 10.1080/07317115.2023.2229307. Online ahead of print.

    PubMed 37378667
  • Sharpe L, Richmond B, Menzies RE, Forrest D, Crombez G, Colagiuri B. A synthesis of meta-analyses of mindfulness-based interventions in pain. Pain. 2024 Jan 1;165(1):18-28. doi: 10.1097/j.pain.0000000000002997. Epub 2023 Aug 14.

    PubMed 37578535
  • Haisley KR, Straw OJ, Muller DT, Antiporda MA, Zihni AM, Reavis KM, Bradley DD, Dunst CM. Feasibility of implementing a virtual reality program as an adjuvant tool for peri-operative pain control; Results of a randomized controlled trial in minimally invasive foregut surgery. Complement Ther Med. 2020 Mar;49:102356. doi: 10.1016/j.ctim.2020.102356. Epub 2020 Feb 26.

    PubMed 32147069
  • O'Connor S, Mayne A, Hood B. Virtual Reality-Based Mindfulness for Chronic Pain Management: A Scoping Review. Pain Manag Nurs. 2022 Jun;23(3):359-369. doi: 10.1016/j.pmn.2022.03.013. Epub 2022 Apr 28.

    PubMed 35491349
  • Kaitlyn Delaney Chappell,Karen J. Goodman,Jean-Michel Le Mellédo, et al. Mo1104 VIRTUAL MINDFULNESS-BASED STRESS REDUCTION FOR ADULTS WITH INFLAMMATROY BOWEL DISEASE: FEASIBILITY TRIAL RESULTS. Gastroenterology. 2023;164 (6):S-756.

Questions about this trial

What is this clinical trial studying?

A study testing VR-Based Mindfulness Intervention in people with Anxiety and Pain, run by Tongji Hospital at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 2 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Wan Kuang (13971596584, 714528069@qq.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

State-Trait Anxiety Inventory-State Subscale (STAI-State) (time frame: Approximately 30 minutes before surgery (T0), immediately before surgery (T1), following completion of the first intraoperative VR-based mindfulness session (T2), and at the end of surgery (T3). The control group will be assessed at the same time.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07463638, which also lists 22 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Nov 2026.

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