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Kidney Week

Abstract: TH-PO011

Utilizing Virtual Reality Tools in Dialysis Modality Education

Session Information

  • Educational Research
    November 03, 2022 | Location: Exhibit Hall, Orange County Convention Center‚ West Building
    Abstract Time: 10:00 AM - 12:00 PM

Category: Educational Research

  • 900 Educational Research

Authors

  • Zheng, Sijie, The Permanente Medical Groups, Oakland, California, United States
  • Nabong-Salem, Ritchie M., The Permanente Medical Groups, Oakland, California, United States
  • Bhalla, Neelam M., The Permanente Medical Groups, Oakland, California, United States
  • Villaflor, Lerisa Delos santos, The Permanente Medical Groups, Oakland, California, United States
  • Eppenberger, Thomas G., Kaiser Permanente, Oakland, California, United States
  • Lai, George, The Permanente Medical Groups, Oakland, California, United States
Background

In US, only 12% of ESRD patients utilize PD as his/her RRT modality. Part of the reason is lack of effective education tool. Kaiser Permanente Northern California is an integrated health care system providing health care to 4.6 million members in greater San Francisco Bay area. We piloted a proof-of-concept study to test if utilizing virtual reality can improve patient dialysis modality education.

Methods

Nephrologists, PD nurses and technology-centered team from KPNC met regularly in 2019 to find out the gaps in dialysis modality educations. After several meetings and reviewing the current educational material, we decided to produce a 360 immersive video with 3 separate segments using a GoPro Camera. Google cardboard is used as the VR tool. We then tested on 9 patients during their patient education section.

Results

Three segments showing nursing home visit, patient performing PD at home and patient sleeping during PD were produced. They can be assessed on YouTube: https://www.youtube.com/watch?v=BayBNoZbNbA. We tested this VR tool for 9 patients. This number was limited due to in person trainings being curtailed during the COVID-19 pandemic. Most patients felt that the first-person nature of the video (without VR) helped because the content was so helpful. However, there were some challenges: some patient became confused due to too much movement needed, not able to focus. Overall, patients appreciated the content but felt the 360 VR was not needed. They hoped if the video could be steadied, they would have a better experience. Table one listed the demographics and feedbacks.

Conclusion

VR is a viable option for better patient education if it can be improved with better ease of use. Further studies with improved technology and larger numbers of patients are warranted to improve patient dialysis modality education.

Feedback from Patients
Patient NumberAgeGenderComments
#155Femaleeasy but does not serve the purpose, got irritated trying to find focus, make it more user friendly
#263MaleGood content, will be better if steady video
#351MaleJust okay, more on listening, content is good
#462Maletoo much movement needed, somewhat helped by listening. Got dizzy w/ movement.
#558FemaleConfused, poor quality, regular video is sufficient
#646Malegot lost when started to move, content is good, better to just watch steady
#760Maletried to engage, like the loudness of the conversation, cannot get the full effect, hard to focus
#872Femaleit is okay, no comment w/ the video
#963Femaleinitially got dizzy, went well afterwards, requested steady video