Accepted for/Published in: JMIR Serious Games
Date Submitted: Apr 8, 2025
Open Peer Review Period: Apr 8, 2025 - Jun 3, 2025
Date Accepted: Sep 16, 2025
(closed for review but you can still tweet)
Usability Evaluation of a Virtual Reality Multi-Sensory Sham-Feeding Device for Fasting Patients Undergoing Colorectal Cancer Surgery: A Mixed-Methods Study
ABSTRACT
Background:
Multisensory food stimuli, taking advantage of conditioned reflex mechanisms, have been shown to promote intestinal motility through the brain-gut axis and may help improve gut function after surgery. To investigate this possibility, we designed a virtual reality (VR) multisensory sham-feeding device that combines visual, auditory, and olfactory stimuli that includes three dining situations and 23 food products with corresponding dentition (food type) odor cues.
Objective:
To evaluate the usability of a VR-based multisensory sham-feeding device in fasted patients undergoing surgery for colorectal cancer.
Methods:
A mixed-methods study at a tertiary hospital in southwest China. Thirty-seven subjects completed all eligible patients. Quantitative data were gained through the System Usability Scale (SUS), and demographic and clinical characteristics. Qualitative data were collected via semi-structured interviews and analyzed thematically. The study followed the Mixed Methods Research in Health Sciences guidelines, approved by ethics, and registered as a clinical trial (ChiCTR2100051419).
Results:
The evaluation of usability of the VR sham-feeding device among 37 patients fasting postoperatively proved an acceptable usability. The average SUS score was 77.78 ± 7.90 (range: 62.5-97.5). Thematic analysis revealed four main themes: overall experience, influence on discomfort related to perioperative fasting, influence on hunger, and recommendations for device improvement.
Conclusions:
The VR multisensory sham-feeding device showed good usability and was well-received by patients. The device exhibited potential in modulating appetite and emotional states, suggesting its feasibility for enhancing the perioperative fasting experience in colorectal cancer surgical patients. Clinical Trial: Registered as a clinical trial (ChiCTR2100051419).
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