101 Improving Understanding and Confidence by Use of 360 Virtual Reality During Neurosurgical Consultation

Abstract

INTRODUCTION: Virtual Reality (VR) technology has been implemented in the field of neurosurgery for a variety of applications. Here, we employ this tool to enhance physician-patient communication and engage the patient during their neurosurgery consultation. METHODS: Thirty-one participants took a pre-consult survey to assess their baseline understanding, level of satisfaction, confidence, and anxiety. The patients experienced a standard (2D) consult followed by a VR consult and filled out a corresponding survey after each consultation type. During the 2D consult the surgeon used standard imaging to explain the patient’s medical condition and recommended treatment. A VR model was created from the scans shown in the 2D consult and used to fly-through and explain the patient’s anatomy and treatment options. The data for the pre-, post-2D and post-360VR consult was analyzed using an unpaired t-test and wilcoxon statistical test. RESULTS: The data showed significant improvement (p<0.005) compared to the pre-consult data on understanding, confidence in hospital and physician, and satisfaction. Upon comparing each patient’s answers between 2D and 360VR they reported a significantly higher level of understanding of their medical condition and treatment proposed, and more confidence in the physician and hospital after their 360VR consultation. More patients reported that based on their 360VR experience that they will proceed with the recommended treatment option (2D: 80%, 360VR: 96%). Additionally, there was a significant improvement in HCAHPS as compared to the national average. CONCLUSION: The initial, significant improvement in a patient’s understanding and confidence following a standard consultation is significantly enhanced by engaging the patient with a 360VR rendering of their imaging.