Usability Testing of an Interactive Virtual Reality Distraction Intervention to Reduce Procedural Pain in Children and Adolescents With Cancer

Birnie, Kathryn A.; Kulandaivelu, Yalinie; Jibb, Lindsay; Hroch, Petra; Positano, Karyn; Robertson, S; Campbell, Fiona; Abla, Oussama; Stinson, Jennifer

doi:10.1177/1043454218782138

Cited by 81 publications

(129 citation statements)

References 44 publications

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“…It was also feasible to implement with commercially available technology and cleaning protocols that adhered to institution-specific infection-control standards. In line with other research, children and adolescents in this study reported very high satisfaction with VR intervention (Birnie et al, 2018;Gold et al, 2006;Sander Wint et al, 2002;Schneider & Workman, 2000). High overall "enjoyment" ratings indicated strong engagement with VR.…”

Section: Discussionsupporting

confidence: 89%

Feasibility, Acceptability, and Clinical Implementation of an Immersive Virtual Reality Intervention to Address Psychological Well-Being in Children and Adolescents With Cancer

Tennant

McGillivray

Youssef

et al. 2020

J Pediatr Oncol Nurs

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Objective: Virtual reality (VR), a novel and highly immersive technology, offers promise in addressing potential psychological impacts of cancer treatments and hospitalization. The primary aim of this study was to examine multiple key user perspectives on the acceptability and feasibility of an Immersive VR therapeutic intervention for use with hospitalized patients with cancer. Secondary aims were to identify issues and opportunities related to the adoption and clinical implementation of VR in pediatric oncology settings. Method: The study was conducted at The Royal Children’s Hospital (RCH), Melbourne, Australia. Thirty multidisciplinary oncology health care professionals participated in an initial test of VR intervention usability (Stage 1). Ninety oncology inpatients (7-19 years) and their parent caregivers participated in a pilot randomized controlled study to examine the effectiveness of an Immersive VR therapeutic intervention (Stage 2). This mixed methods study reports Stages 1 and 2 quantitative and qualitative data related to VR feasibility and acceptability. Results: Results indicate favorable perceptions from health care professionals with respect to ease of use and usefulness of VR, and had positive intentions to use it in the future. Parent caregivers reported high acceptability of VR for their hospitalized child. Patients reported high satisfaction of the VR intervention within minimal adverse effects. Barriers and facilitators to VR use with seriously ill children and specific recommendations for content development were elicited. Conclusion: This study shows that there are several potential clinical uses for Immersive VR intervention, beyond medical procedural distraction, to support psychological adjustment to hospitalization and patient quality of life.

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Section: Discussionsupporting

confidence: 89%

Feasibility, Acceptability, and Clinical Implementation of an Immersive Virtual Reality Intervention to Address Psychological Well-Being in Children and Adolescents With Cancer

Tennant

McGillivray

Youssef

et al. 2020

J Pediatr Oncol Nurs

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“…14,15 Generally, a VR system uses a microprocessing computer, a head-mounted three dimensional display and specialized built-in software to generate an immersive virtual environment. 16 VR distraction is considered an effective pain treatment for patients undergoing various invasive procedures, such as dental surgery, urological endoscopies or burn wound dressing changes. 16–19 However, to date, there are no data on the impact of VR on pain during postoperative daily wound care in patients after haemorrhoid surgery.…”

Section: Introductionmentioning

confidence: 99%

“…16 VR distraction is considered an effective pain treatment for patients undergoing various invasive procedures, such as dental surgery, urological endoscopies or burn wound dressing changes. 16–19 However, to date, there are no data on the impact of VR on pain during postoperative daily wound care in patients after haemorrhoid surgery. In this study, VR sets were used to evaluate the effect of VR distraction on relieving pain during postoperative daily wound dressing changes in patients following surgery for haemorrhoids.…”

Section: Introductionmentioning

confidence: 99%

Virtual reality distraction decreases pain during daily dressing changes following haemorrhoid surgery

Ding

He²,

Chen

et al. 2019

J Int Med Res

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Objective To investigate whether immersive virtual reality (VR) distraction could decrease pain during postoperative dressing changes. Methods This was a prospective, open-label randomized clinical trial that enrolled patients that had undergone haemorrhoidectomy. Patients were randomly assigned to one of two groups: a control group that received the standard pharmacological analgesic intervention during dressing change and a VR group that received VR distraction during dressing change plus standard pharmacological analgesic intervention. Pain scores and physiological measurements were collected before, during and after the first postoperative dressing change. Results A total of 182 patients were randomly assigned to the control and VR groups. The baseline characteristics of the VR and control groups were comparable. There was no significant difference in mean pain scores prior to and after the dressing change procedure between the two groups. The mean pain scores at the 5-, 10-, 15- and 20-min time-points during the first dressing change were significantly lower in the VR group compared with the control group. Heart rates and oxygen saturation were not significantly different between the two groups. Conclusion Immersive VR was effective as a pain distraction tool in combination with standard pharmacological analgesia during dressing change in patients that had undergone haemorrhoidectomy.

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“…The use of VR as a therapeutic means is increasing in childhood, especially for the treatment of pain in children with cancer [51] and anxiety before dental treatment [52,53]. In the case of neurorehabilitation, different studies address it in cerebral palsy and Down's syndrome to improve motor control, gait, and balance [54,55], and in the field of childhood mental health to treat anxiety (social phobia, school phobia) and eating disorders [56].…”

Section: Discussionmentioning

confidence: 99%

Self-Regulation in Children with Neurodevelopmental Disorders “SR-MRehab: Un Colegio Emocionante”: A Protocol Study

Ayuso

Alcántara-Vázquez

Almenara-García

et al. 2020

IJERPH

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Self-regulation refers to the ability to control and modulate behavior, and it can include both emotional and cognitive modulation. Children with neurodevelopmental disorders may show difficulties in self-regulation. The main objective of this study is to improve self-regulation skills in children between 6 and 11 years of age with neurodevelopmental disorders. Methodology: A randomized controlled trial will be conducted with the use of “SR-MRehab: Un colegio emocionante”, based on a non-immersive virtual reality system where virtual objects can be managed by children in a natural way using their hands. Children will be recruited from several schools of Granada (Spain) and they will be randomly allocated to two groups. An assessment will be conducted before and after the intervention and 24 weeks after the end of the intervention process. The experimental group will receive the intervention using virtual reality. The control group will receive a standard self-regulation program. Both interventions will be performed once a week for a total of 10 sessions. Changes in self-regulation, as well as the acceptability of technology with the use of SR-MRehab, will be evaluated. The results will be published and will provide evidence regarding the use of this type of intervention in children with neurodevelopmental disorders. Trial registration: Registered with code NCT04418921.

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Usability Testing of an Interactive Virtual Reality Distraction Intervention to Reduce Procedural Pain in Children and Adolescents With Cancer

Abstract: The VR intervention was deemed acceptable and safe. Next steps include assessing feasibility and effectiveness of the VR intervention for pain and distress.

Cited by 81 publications

References 44 publications

Feasibility, Acceptability, and Clinical Implementation of an Immersive Virtual Reality Intervention to Address Psychological Well-Being in Children and Adolescents With Cancer

Feasibility, Acceptability, and Clinical Implementation of an Immersive Virtual Reality Intervention to Address Psychological Well-Being in Children and Adolescents With Cancer

Virtual reality distraction decreases pain during daily dressing changes following haemorrhoid surgery

Self-Regulation in Children with Neurodevelopmental Disorders “SR-MRehab: Un Colegio Emocionante”: A Protocol Study

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