Application of virtual reality on non-drug behavioral management of short-term dental procedure in children

Ran, Longkuan; Zhao, Nan; Fan, Lin; Zhou, Pinping; Zhang, Chao; Yu, Chun Shu

doi:10.1186/s13063-021-05540-x

Cited by 30 publications

(62 citation statements)

References 38 publications

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“…SnowWorld was the first immersive VR game designed for pain reduction in patients undergoing burn wound care (Hoffman et al, 2008). In other studies ( n = 20), children experienced a VR adventure during their medical procedure, such as going on a rollercoaster ride, swimming underwater, travelling around the world or enjoying nature (Althumairi et al, 2021; Aydın & Özyazıcıoğlu, 2019; Canares et al, 2021; Chad et al, 2018; Chan et al, 2019; Chau et al, 2018; Chen et al, 2020; Clerc et al, 2021; Erdogan & Aytekin Ozdemir, 2021; Gerçeker et al, 2020; Gerçeker et al, 2021; Goldman & Behboudi, 2021; Knight et al, 2019; Litwin et al, 2021; Ran et al, 2021; Sander Wint et al, 2002; Scapin et al, 2017; Semerci et al, 2021; Ustuner Top and Kuzlu Ayyıldız, 2021; Xiang et al, 2021). Finally, some children selected a cartoon or movie to watch in their VR headset during their dental or needle‐related procedure ( n = 15) (Ali et al, 2021; Alshatrat et al, 2021; Asl Aminabadi et al, 2012; Felemban et al, 2021; Gerçeker et al, 2018; Koticha et al, 2019; Lee et al, 2021; Mbazzi et al, 2021; Mohanasundari et al, 2021; Niharika et al, 2018; Nunna et al, 2019; Rao et al, 2019; Shetty et al, 2019; Toledo Del Castillo et al, 2019; Wong et al, 2020).…”

Section: Resultsmentioning

confidence: 99%

Use of virtual reality in managing paediatric procedural pain and anxiety: An integrative literature review

Addab

Hamdy

Thorstad

et al. 2022

Journal of Clinical Nursing

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Aims: This integrative review aimed to identify, analyse and synthesise studies investigating the clinical efficacy of virtual reality (VR) distraction for children undergoing varying painful and anxiety-inducing medical procedures across different hospital settings and to identify implications for research and clinical practice.Background: Virtual reality has been leveraged as a distraction tool in the healthcare setting to help patients manage procedural pain and anxiety. Initial studies in the burn wound care setting using VR as a non-pharmacological analgesia led to the use of VR during other medical procedures.Design: An integrative review of the literature was conducted following the PRISMA guidelines across four electronic databases. Published studies between 2000 and 2020 investigating the clinical efficacy of VR in managing paediatric procedural pain or anxiety were included for review.Results: Reviewed studies collectively included 2,174 patients aged 6 months-18 years used VR during burn wound care, post-burn physiotherapy, dental, needle-related and other procedures. Additionally, ten studies included samples with adults, for which paediatric data could not be isolated (n = 507). Overall, studies supported the efficacy of VR in managing procedural pain and anxiety in the paediatric setting. Conclusion:Virtual reality is redefining pain management by immersing children in a virtual world, reducing pain and anxiety at the hospital. A notable gap was the neglected use of VR in children with chronic conditions receiving orthopaedic procedures as part of their standard care.Relevance to Clinical Practice: Ultimately, VR distraction will reduce the fear associated with medical interventions, preventing increased pain sensitivity, exacerbated anxiety and healthcare avoidance in adulthood. Nurses will play an important role in ensuring the smooth integration of VR in clinical practice by championing the technology and transferring evidence-based methods for VR use.

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Section: Resultsmentioning

confidence: 99%

Use of virtual reality in managing paediatric procedural pain and anxiety: An integrative literature review

Addab

Hamdy

Thorstad

et al. 2022

Journal of Clinical Nursing

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“…The characteristics of all the studies included are reported in Table 2. Out of 10 incoming studies, 3 studies (30%) in Korea [2,24,25] and other studies in Brazil [19], Iran [20], Netherlands [21], Saudi Arabia [22], Republic of Korea [1], Spain [23] and China [3]. Studies in two categories of randomized trial (20%) [21,24] and randomized clinical trial (60%) [1-3, 19, 20, 22, 23, 25] Were classified.…”

Section: Characteristics Of the Studymentioning

confidence: 99%

“…In 7 of the studies, children and parents were satisfied with the virtual reality intervention in reducing anxiety, and in all 7 cases, users were highly satisfied [1-3, 19, 23-25]. In 3 cases of studies found from virtual reality technology in reducing pediatric anxiety in dentistry [3,19,23], 4 cases before surgery [20,21,24,25], 2 cases related to anxiety before shelf radiography of breasts [1,2] and one case were used during preoperative anesthesia [22].…”

Section: The Effects Of Virtual Reality On Children's Anxietymentioning

confidence: 99%

“…Many children may experience anxiety in therapeutic settings, especially in situations such as preoperative surgery, dentistry, and radiology [1][2][3]. These feelings often affect not only medical procedures, but also unintended consequences such as trying to escape treatment and lack of cooperation, eating and sleeping disorders, and increased stress symptoms [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Investigating the Effect of Virtual Reality on Reducing the Anxiety in Children: A Systematic Review

Ghaddaripouri¹,

Baigi²,

Noori³

et al. 2022

Front Health Inform

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Introduction: Many children may experience anxiety in treatment settings, especially in situations such as before surgery, dentistry and radiology. Virtual reality technology can provide a platform for reducing children's anxiety by creating a sense of presence in an unreal world. The aim of this study was to investigate the effect of virtual reality technology on reducing anxiety in children.Materials and Methods: A systematic review of randomized clinical trial studies was conducted in English without any time limit by searching for keywords in the reputable scientific databases PubMed, Scopus, EMBASE and Web of Science on September 12, 2021. Studies using virtual reality technology to reduce pediatric treatment anxiety were considered as inclusion criteria. Titles and abstracts were screened independently based on eligibility criteria. The quality of the studies was assessed using the Joanna Briggs institute (JBI) checklist. Studies that scored above 7 were included in this study.Results: A total of 197 related articles were obtained, 10 of which were relevant to the objectives of the research. Input studies included children aged 4 to 12 years. In 7 studies, virtual reality has helped reduce children's anxiety during treatment (70%). In 3 of the studied studies, no improvement was seen in reducing children's anxiety (30%). In 7 of the studies found, children and parents were completely satisfied with the use of virtual reality.Conclusion: The results of systematic review show that virtual reality can make the treatment process more satisfactory and help manage their behavior by creating calmness and distraction, while reducing anxiety in children.

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“…Therefore, an experienced dentist was asked to classify children's behavior with FBRS instead of CFSS-DS after treatment. FBRS was widely used to access the behavior of children (34)(35)(36) and the effectiveness of BMTs in children's dental treatment (37,38). The compliance scores were measured by using FBRS after treatment in this study.…”

Section: Frankl Behavior Rating Scalementioning

confidence: 99%

Does the Efficacy of Behavior Management Techniques Differ Between Children From Single-Child and Multi-Child Families?: A Quasi-Experimental Study

Dai

et al. 2022

Front. Public Health

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AimBehavior management techniques (BMTs) efficiently deliver dental treatment to children with dental anxiety. The objective of this quasi-experimental study was to examine whether the efficacy of BMTs applied for the improvement of compliance in pediatric patients differs between children 3–10-year-olds from single-child and multi-child families.Materials and MethodsIn this quasi-experimental, 197 caregiver-child couples were divided into two groups: single-child group (116 couples) and multi-child group (81 couples). Children's pre- and post-treatment anxiety levels were measured by facial mood scale (FMS) and Frankl Behavior Rating Scale (FBRS), respectively.Caregivers' dental anxiety was measured by the Chinese version of the Modified Dental Anxiety Scale (MDAS), which was included in the self-designed questionnaire. Data were analyzed by using the Mann-Whitney U-test, chi-square tests, and binary multivariate regression analysis.ResultsThere was no statistically significant difference in the demographic characteristics of the children between the two groups. BMTs were found to be capable of reducing children's dental anxiety (CDA): the compliance rate was 45.69–88.79% in the single-child group and 44.44–85.79% in the multi-child group pre- and post-BMTs, but there was no significant difference in the change of compliance between the two groups (p > 0.05). In the subgroup analysis, parenting style (odds ratio [OR] = 0.054, p < 0.05) and father's education (OR = 8.19, p < 0.05) affected the varies of children's compliance in the single-child group. In contrast, in the multi-child group, gender (OR = 8.004, p < 0.05) and mother's occupation (OR = 0.017, p < 0.05) were associated with these changes in compliance.ConclusionsIn this study, BMTs were proved to be beneficial in improving compliance in 3- to 10-year-olds children in dental treatment. Though there was no significant difference in the change of compliance between children from single-child and multi-child families, different associated factors may affect the two groups. Therefore, the related family factors should be taken into account when professionals manage each child's behavior in dental practice.

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Application of virtual reality on non-drug behavioral management of short-term dental procedure in children

Cited by 30 publications

References 38 publications

Use of virtual reality in managing paediatric procedural pain and anxiety: An integrative literature review

Use of virtual reality in managing paediatric procedural pain and anxiety: An integrative literature review

Investigating the Effect of Virtual Reality on Reducing the Anxiety in Children: A Systematic Review

Does the Efficacy of Behavior Management Techniques Differ Between Children From Single-Child and Multi-Child Families?: A Quasi-Experimental Study

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