Effect of augmented reality books in salivary cortisol levels in hospitalized pediatric patients: A randomized cross-over trial

Alarcón-Yaquetto, Dulce E.; Tincopa, Jean Pierre; Guillén–Pinto, Daniel; Bailon, Nataly; Cárcamo, César

doi:10.1016/j.ijmedinf.2021.104404

Cited by 7 publications

(18 citation statements)

References 30 publications

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“…Some studies also focused on surgical fear, such as pre- or postoperative scenarios [ 47 , 48 ] and circumcision [ 49 , 50 ]. Serve various purposes, such as enhancing rehabilitation capabilities with distraction techniques in burned patients [ 47 , 51 - 54 ], physical rehabilitation [ 55 - 57 ], therapy for amblyopia [ 58 ], psychological well-being [ 59 , 60 ], and stress reduction during orthopedic cast room procedure [ 26 ].…”

Section: Resultsmentioning

confidence: 99%

Virtual, augmented, and mixed reality: potential clinical and training applications in pediatrics

Yoo¹,

Son²

2024

Clin Exp Pediatr

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Background: COVID-19 pandemic has significantly impacted the field of medical training, necessitating innovative approaches to education and practice. During this period, the use of novel technologies like virtual reality (VR), augmented reality (AR), and mixed reality (MR) has become increasingly vital. These technologies oﬀer the advantage of transcending the limitations of time and space, thus enabling medical professionals to access various personalized programs for both education and service delivery. This shift is particularly relevant in the realm of pediatric medicine, where traditional training and clinical methods face unique challenges.Purpose: The primary aim of this study is to explore the application of VR, AR, and MR technologies in pediatric medical settings, with a focus on both clinical applications and the training of pediatric medical professionals. We aim to comprehensively search and review studies that have utilized these technologies in the treatment of pediatric patients and the education of healthcare providers in this field.Methods: Peer-reviewed articles published in PubMed, the Cochrane Library, ScienceDirect, Google Scholar, and Scopus from January 1, 2018, to March 1, 2023, were comprehensively searched. The review was conducted according to the PRISMA (Preferred Reporting Items for Systematic review and Meta-Analyses) guidelines. Among the 89 studies, 63 investigated the clinical applications of VR (n=60) or AR (n=3) in pediatric patients, and 25 investigated the applications of VR (n=19), AR (n=5), or MR (n=1) for training medical professionals.Results: A total of 36 randomized controlled trials (RCTs) for clinical application (n=31) and medical training (n=5) were retrieved. Among the RCTs, 21 reported significant improvements in clinical applications (n=17) and medical training (n=4).Conclusion: Despite a few limitations in conducting research on innovative technology, such research has rapidly expanded, indicating that an increasing number of researchers are involved in pediatric research using these technologies.

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Section: Resultsmentioning

confidence: 99%

Virtual, augmented, and mixed reality: potential clinical and training applications in pediatrics

Yoo¹,

Son²

2024

Clin Exp Pediatr

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“… 47 In psychoeducation and well-being, we included the nine studies that use AR to improve physical health, emotional well-being, and cognitive performance ( Table 5 ). Except for one study that used an AR book, 48 all studies used online video games as the intervention tool; AR effectively increased physical activity, cognitive performance, and emotional well-being. One study that took place in the office reported the number of patients lost due to patients’ refusal to come or the researcher being unable to reach the patient.…”

Section: Resultsmentioning

confidence: 99%

“… 8 , 60 Alarcon-Yaquetto et al compared the effect of a regular book with an AR book on emotional stress and salivary cortisol levels of hospitalized children and showed that the AR book was more effective than the regular book for reducing self-reported emotional stress in children, but the salivary cortisol difference between groups was not significant. 48 …”

Section: Discussionmentioning

confidence: 99%

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Use of augmented reality in mental health-related conditions: A systematic review

Bakır,

Abbas,

Sever

et al. 2023

DIGITAL HEALTH

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Objective Augmented reality (AR) is a relatively new technology that merges virtual and physical environments, augmenting one's perception of reality. AR creates a computer-generated environment that evokes a unique perception of reality, where real and virtual objects are registered with one another, which operates interactively and in real time. Recently, the medical application of AR technology has dramatically increased with other assisted technologies, from training to clinical practice. The ability to manipulate the real environment extensively has given AR interventions an advantage over traditional approaches. In this study, we aim to conduct a systematic review of the use of AR to have a better understanding of how the use of AR may affect patients with mental health-related conditions when combined with gamification. Method This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines by searching Pubmed and Web of Science databases. Results and Conclusion We identified 48 relevant studies that fulfill the criteria. The studies were grouped into four categories: Neurodevelopmental disorders, anxiety and phobia, psychoeducation & well-being, and procedural & pain management. Our results revealed the effectiveness of AR in mental health-related conditions. However, the heterogeneity and small sample sizes demonstrate the need for further research with larger sample sizes and high-quality study designs.

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“…Salivary Cortisol: Salivary cortisol is an established biomarker for both physical and psychological stress, and this measurement technique is often preferred to more invasive forms of cortisol assessment (e.g., blood draw) (Kirschbaum & Hellhammer, 1989). Additionally, salivary cortisol levels are commonly used to assess stress level changes in a same day pre‐post design (Alarcón‐Yaquetto et al., 2021; Durán‐Carabali et al., 2021; Gaab et al., 2003; Liu et al., 2017). These samples were taken utilizing collection kits and procedures outlined by Salimetrics (https://salimetrics.com/saliva-collection-methods-devices/) (Salimetrics, 2023.)…”

Section: Methodsmentioning

confidence: 99%

Infant massage as a stress management technique for parents of hospitalized extremely preterm infants

McCarty,

Silver,

Quinn

et al. 2023

Infant Mental Health Journal

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Mothers of infants born extremely preterm requiring prolonged medical intervention in the Neonatal Intensive Care Unit (NICU) are at high risk of developing stress. Parent‐administered infant massage is a well‐established, safe intervention for preterm infants with many developmental benefits, but the published literature has mostly examined its impact on infants and parents through self‐reported or observational measures of stress. The aim of this study was to measure salivary cortisol, a biomarker for stress, in extremely preterm infants and their mothers immediately pre and post parent‐administered infant massage in order to detect potential changes in physiologic stress. Twenty‐two mother‐infant dyads completed massage education with a physical or occupational therapist. All dyads provided salivary cortisol samples via buccal swab immediately pre‐ and post‐massage at the second session. Of mothers determined to be “cortisol responders” (15/22), salivary cortisol levels were lower after massage (pre‐minus post‐level: −26.47 ng/dL, [CI = −4.40, −48.53], p = .016, paired t‐test). Our primary findings include a clinically significant decrease (as measured by percent change) in maternal cortisol levels immediately post parent‐administered massage, indicating decreased physiological stress. Integration of infant massage into NICU clinical practice may support maternal mental health, but further powered studies are necessary to confirm findings.

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Effect of augmented reality books in salivary cortisol levels in hospitalized pediatric patients: A randomized cross-over trial

Cited by 7 publications

References 30 publications

Virtual, augmented, and mixed reality: potential clinical and training applications in pediatrics

Virtual, augmented, and mixed reality: potential clinical and training applications in pediatrics

Use of augmented reality in mental health-related conditions: A systematic review

Infant massage as a stress management technique for parents of hospitalized extremely preterm infants

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