Oyama, H., Ohsuga, M., Tatsuno, Y., & Katsumata, N. (1999). Evaluation of the psycho-oncological effectiveness of the bedside wellness system. Cyberpsychology and Behavior, 2, 81–84.

The intervention consisted of a virtual reality immersion system and was a six- to seven-minute system trial that included:  a wide three-screen LCD with stereo sound, a walking system for bedridden patients, scent with gentle breeze, and a vital signs monitor. Three scenarios were used:  a typical park, a plateau, and a cherry blossom avenue in bloom.

• The sample was comprised of 22 female, bedridden patients.
• Age ranged from 33 to 75 years. 
• Patients had breast (n = 18) and ovarian (n = 4) cancers.
• Performance Status:  0–2. 

• Inpatient
• Japanese cancer center

This was a single-arm, pilot study.

The authors used their own fatigue scale (not described).

Of the patients, 16 were not fatigued, four were a little fatigued, one was fairly fatigued, and one had no answer.

Major

• Analyses were poorly described.

Minor

• How patients were chosen was not described.
• This was a pilot study.
• The equipment was very expensive.