Effectiveness of virtual reality distraction during a painful medical procedure in pediatric oncology patients

Wolitzky, Kate B.; Fıvush, Robyn; Zimand, Elana; Hodges, Larry F.; Rothbaum, Barbara O.

doi:10.1080/14768320500143339

Cited by 146 publications

(173 citation statements)

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“…Patients who reported high levels of feeling as though they were actually in the VR environment showed the greatest decreases in pain and anxiety. Wolitzky et al (2005) conducted a study of VR in pediatric oncology patients undergoing a port access procedure. The VR intervention consisted of a scene from a zoo that children could view, hear, interact with, and travel through.…”

Section: Video and Virtual Reality Environmentsmentioning

confidence: 99%

Pain in its environmental context: Implications for designing environments to enhance pain control

Malenbaum

Keefe

Williams

et al. 2008

Pain

144

102

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There has recently been heightened recognition that environmental factors can influence pain. Clinicians involved in delivering multidisciplinary pain programs often structure the social environment of their treatment settings to help promote adaptive responses to pain. Recent theories of pain (e.g. Craig, 2003, Melzack, 1999, Fields & Basbaum, 1999 highlight the role that sensory stimuli from the environment can play in influencing the pain experience.Despite the awareness if the environment's influence on pain, patients with pain continue to be treated in settings that are devoid of distracting stimuli. The typical treatment room is painted white, lacking decoration, sparsely furnished, and windowless. Patient's auditory stimuli may range from the noise generated by overhead lighting to urgent, loud paging requests, to sounds of other patients suffering. The visual and sensory settings in which we usually treat pain patients probably do little to relieve pain and may exacerbate pain. This paper considers the influence of environmental stimuli including light, nature scenes and sounds, and video and virtual reality (VR) stimuli on pain and examines the implications for designing pain treatment environments to enhance pain control. Literature Review LightLight is an integral part of any building and can vary according to time of day, location of the structure, window number and style, and numerous other structural and environmental elements. Light influences people in the building and available evidence suggests that exposure to light has implications for pain experiences. Walch et al. (2005) recently conducted a prospective study testing the effects of exposure to sunlight on pain medication in 89 patients who had undergone spine surgery. Patients were randomly assigned to a bright or dim room in the hospital. Bright rooms were exposed to 46% more natural light than dim rooms. Patients in the bright rooms required 22% less opioidequivalent analgesic medications which resulted in 21% decrease in medication costs. Bright room patients reported significantly greater decreases in stress and marginally significant decreases in pain. The fact that recovering in a room with more natural light lowered medication intake is noteworthy, particularly since lower medication intake is associated with fewer side effects and lower costs.Exposure to light may enhance recovery from painful medical conditions. Beauchemin and Hays (1998) conducted a retrospective study that examined the impact of natural light exposure Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers

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Section: Video and Virtual Reality Environmentsmentioning

confidence: 99%

Pain in its environmental context: Implications for designing environments to enhance pain control

Malenbaum

Keefe

Williams

et al. 2008

Pain

144

102

View full text Add to dashboard Cite

show abstract

“…With regard to virtual reality, studies have pointed that such intervention may be effective for children submitted to painful and distressing procedures 14,15 . It is important to consider in which procedures such intervention may be used and un- According to parents' reports, children had less fear with submitted to proposed intervention as compared to standard treatment (p<0.001).…”

Section: Discussionmentioning

confidence: 99%

Distraction methods for pain relief of cancer children submitted to painful procedures: systematic review

Ferreira¹,

Cruz²,

Silveira³

et al. 2015

Revista Dor

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BACKGROUND AND OBJECTIVES:Pain is one of the most persistent cancer symptoms. Non-pharmacological therapies are potential sources for cancer children care and should be considered alternatives for handling cancer signs and symptoms. This study aimed at identifying effective distraction interventions for pain relief and control of cancer children submitted to invasive procedures. CONTENTS: This is a systematic review carried out in electronic databases LILACS, CINAHL, CENTRAL Cochrane Library and Pubmed, using the combination of controlled and uncontrolled keywords: child, pain, cancer and distraction. Ten studies were identified addressing distraction as intervention for venous, muscle and subcutaneous punctures, and procedures related to bone marrow aspiration and lumbar puncture. CONCLUSION: Among identified interventions, there are virtual reality, practices such as blowing soap bubbles, use of warm pillows, party blower, electronic toys, among other selfselected interventions (music, games, books). Most interventions are easy to implement considering their low cost and are useful for health professionals looking at enhancing pediatric patients' assistance with regard to pain management. Keywords: Child, Children care, Pain, Pediatrics, Tumors. RESUMO JUSTIFICATIVA E OBJETIVOS:A dor assume papel de destaque dentre os mais persistentes sintomas do câncer. As terapias não farmacológicas são fontes potenciais para a assistência das crianças com câncer e devem ser consideradas como alternativas para o manuseio de sinais e sintomas oncológicos. O objetivo deste estudo foi identificar intervenções efetivas de distração para o alívio e controle da dor em criança com câncer quando submetida a um procedimento invasivo. CONTEÚDO: Trata-se de revisão sistemática, cuja busca dos estudos primários foi realizada nas bases de dados eletrônicas LILACS, CINAHL, Biblioteca Cochrane CEN-TRAL e Pubmed, utilizando-se a combinação dos descritores controlados e não controlados: child, pain, cancer, e distraction. Foram identificados 10 estudos, que abordavam a distração como intervenção para punções venosas, musculares, subcutâneas e procedimentos relacionados à aspiração de medula óssea e punção lombar. CONCLUSÃO: Dentre as intervenções identificadas está o uso da realidade virtual, práticas como soprar bolhas de sabão, uso da almofada aquecida, soprador de festa, brinquedo eletrônico, dentre outras intervenções autosselecionadas (música, jogos, livros). As intervenções são, em sua maioria, de fácil programação considerando seu baixo custo e úteis aos profissionais de saúde que buscam aprimorar a assistência ao paciente pediátrico no que se refere ao manuseio da dor.

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“…Estos estudios, en su mayoría, han tenido como grupo objetivo a niños y adolescentes con cáncer que deben someterse a procedimientos como inyecciones, punciones o implantaciones de catéteres. En ellos se ha constatado que la RV favorece la disminución del dolor y ansiedad durante los procedimientos (16)(17)(18) así como el miedo existente (19) , siendo considerada por los pacientes como una experiencia positiva para ellos (20) . En relación con la segunda gran área de estudio en pacientes con cáncer, se han utilizado intervenciones basadas en RV durante las sesiones de quimioterapia, con la finalidad de alterar la percepción del paso del tiempo de los pacientes, de modo que el tratamiento se experimente como más breve y se vivencie mejor, resultando con ello un procedimiento mucho más tolerable (21,22) .…”

Section: Realidad Virtual Y Psico-oncologíaunclassified

La realidad virtual en las intervenciones psicológicas con pacientes oncológicos

et al. 2014

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ResumenEl objetivo de este trabajo es presentar las principales aportaciones de la Realidad Virtual (RV) en el tratamiento psicológico con pacientes oncológicos, y describir un programa de intervención que utiliza esta tecnología para promover bienestar emocional en pacientes hospitalizados. La RV se presenta como una prometedora herramienta de apoyo al paciente oncológico. Diversos estudios plantean su utilidad para hacer algunos tratamientos médicos más tolerables, para reducir los niveles de distrés y dolor, así como promover mayores niveles de emociones positivas. Se ha empleado principalmente con pacientes ambulatorios, existiendo una menor proporción de propuestas dirigidas al período de hospitalización. La intervención que ha desarrollado nuestro grupo aborda esta condición desde un foco también poco explorado: la promoción de bienestar. Esta intervención se compone de 4 sesiones (módulos de distracción y reminiscencia) implementadas individualmente en la habitación del paciente. Antes y después de cada sesión se evaluó el estado emocional (escalas visuales), la percepción de paso del tiempo (en minutos), de cambio en el estado de ánimo y de satisfacción con el procedimiento. Los resultados iniciales señalan incrementos en las emociones positivas después de cada sesión, existiendo cambios significativos en la primera AbstractThe purpose of the present study is to review the main contributions of Virtual Reality (VR) to the field of psychological treatment with cancer patients, and to describe an intervention that uses this technology to promote emotional wellbeing on inpatients. VR appears as a promising tool for supporting psychological treatments in cancer patients. Several studies explore its utility for promoting more tolerable medical treatments, lowering the level of distress and pain, as well as increasing positive emotions. VR has been mainly used with outpatients, with a minor proportion of proposals oriented to the hospitalization period. The intervention developed by our group addresses this issue from a focus not very much explored: the promotion of well-being. This intervention is composed of 4 sessions (distraction and reminiscence modules) implemented individually in the patients' room. Emotional state (visual analog scales), perceived time duration (minutes), perception of mood change and satisfaction with the procedure were assessed before and after sessions. Preliminary results showed an increase in positive emotions after each session, being these changes significant in the first and third session. Besides, most patients perceived themselves in a better mood after the sessions.Virtual environments and information and communication technologies could be useful

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Effectiveness of virtual reality distraction during a painful medical procedure in pediatric oncology patients

Cited by 146 publications

References 9 publications

Pain in its environmental context: Implications for designing environments to enhance pain control

Pain in its environmental context: Implications for designing environments to enhance pain control

Distraction methods for pain relief of cancer children submitted to painful procedures: systematic review

La realidad virtual en las intervenciones psicológicas con pacientes oncológicos

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