Context: This study is part of the larger Immersive Care project which (in short) seeks the connection between technology and care by conducting feasibility studies with promising technological interventions tailored to care. This is one of the case studies from the larger project titled: 360 ° video VR surgery preparation: feasibility, acceptability, tolerability and initial effectiveness of virtual reality for children in a Flemish hospital. Domain: This scientific study will take place in 1 hospital on the pediatric ward. The target group consists of children between 6 and 12 years of age who will undergo an operation, the parents and the care providers involved. Target: 1. Assess the acceptability, feasibility and tolerability of the 360 ° video VR surgery preparation. 2. Assess the effectiveness of the 360 ° video VR surgery preparation on preoperative procedural anxiety in children, comparing the intervention with care as usual (CAU \*). * CAU in this study is a picture book which is a kind of animated video with text to explain what will happen on the day of the operation.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
80
Preparing children on the surgery by a virtual reality 360 degrees video tour from the pediatric ward to the surgery room. In this video all information is given necessary for the surgery. This takes a maximum of 30 minutes and will be performed 1 time.
Preparing the children for surgery with the care as usual. A booklet that can be viewed by the children and parents at home.
Heilig Hart Ziekenhuis Lier
Lier, Flanders, Belgium
RECRUITINGChange from baseline in staff attitude towards the intervention
Unified theory of acceptance and use of technology tests the acceptance of the staff towards the intervention in this study. Assess change in patient attitude towards the intervention with the Unified Theory of Acceptance and Use of Technology (UTAUT) questionnaire survey. The UTAUT questionnaire survey for end-users consists of 20 items with five response options ranging from "Totally disagree" to "Totally agree". The questionnaire survey consists of 7 subscales, for most of which higher scores indicate a more positive attitude towards the intervention.
Time frame: Staff: Measurement takes place in week 5 after the start of the study.
Change from baseline in tolerability (Do participants experience symptoms of simulator sickness?)
Assessment of physical side effects after exposure to VR by the Pediatric Simulator Sickness Questionnaire (Peds SSQ). The Peds SSQ contains queries that probe 4 symptom categories: (1) eye strain (queries 1-4); (2) head and neck discomfort (queries 5 and 6); (3) sleepiness (solipsism) or fatigue (queries 7 and 8); and dizziness or nausea (visually induced motion sickness, queries 9-13). The scale that is used is a likert scale (with additional faces) ranging from 0 to 6 per query (0 = no of the above "complaints"; 6 = a lot of the above "complaints".
Time frame: Immediately after the intervention
Usability of the intervention: System Usability Scale (SUS)
Assessment of ease of use of the intervention with the System Usability Scale (SUS). The SUS is a 10 item questionnaire with five response options for respondents; from "strongly disagree" to "strongly agree". A higher SUS score indicates better usability.
Time frame: Immediately after the intervention.
Patient satisfaction: Client Satisfaction Questionnaire (CSQ-8)
Assessment of client satisfaction with the VR application with the Client Satisfaction Questionnaire (CSQ-8). The CSQ-8 consists of 8 items with four response options. Higher scores indicate higher satisfaction.
Time frame: Immediately after the intervention
Intervention adherence
Measure intervention adherence by registering the number of fully completed sessions.
Time frame: Immediately after the intervention
Procedure time
The procedure time of intervention in minutes
Time frame: Immediately after the intervention
Preliminary effectiveness (change in anxiety between timepoints) (Intervention and control)
Measuring procedural anxiety (with a Visual Analogue Scale) (1.Before intervention/control, 2. just after intervention/control and 3.just before surgery)
Time frame: Measurement 1: Immediately after signing the informed consent, day 1 of study. Measurement 2: Immediately after the intervention, day 1 of study. Measurement 3: Just before surgery, day 4 of study
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