VR for Pediatric Burn Dressing Changes

Nationwide Children's Hospital90 enrolled

Overview

This study evaluated a smart phone virtual reality (VR) to manage pediatric burn dressing pain. A randomized controlled trial was conducted among 90 patients (6-17 years). Active VR participants played the game, passive VR group were immersed in the same VR without interactions, and a standard care group served as the control. One researcher administered VR and observed pain while another researcher administered post-trial survey that measured child's perceived pain and VR experience. Nurses were asked to report the clinical utility.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Pain Burns

Interventions

Virtual reality game as adjunctive pain management toolOTHER

A smart phone virtual reality-based pain alleviation tool (VR-PAT).

Eligibility

Sex: ALLMin age: 6 YearsMax age: 17 Years

Medical Language ↔ Plain English

Inclusion Criteria: * children age 6-17 years (inclusive) * admitted or seen in the outpatient clinic for a burn injury * spoke English as primary language Exclusion Criteria: * a severe burn on the face or head that prevented the utilization of the VR * cognitive or motor impairment that prevented valid administration of study measures * visual or hearing impairments that prevented interaction with the VR environment * did not have a legal guardian present to give consent

Outcomes

Primary Outcomes

Observed pain

Researcher observed pain of patient based on the Face Legs Activity Cry and Consolability behavioral pain assessment tool (FLACC-r), using 0,1,2 numerical scale for category of face, legs, activity, cry, and consolability. Total scores range from 0-10 with higher scores indicating more pain.