This is a pilot study to evaluate the feasibility of SpellBound's AR (augmented reality)-enabled scavenger hunt use among 20 pediatric cancer patients undergoing surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
20
An augmented reality game for mobile devices with AR experiences enabled
An augmented reality game for mobile devices with AR experiences disabled as an control
M.D. Anderson Cancer Center
Houston, Texas, United States
Texas Children's Hospital
Houston, Texas, United States
Percentage of patients who receive the AR game who are able to initiate the game and activate any targets with 1% error rate
Success defined as at least 80% of patients who receive the AR game being able to initiate the game and activate any targets with 1% error rate
Time frame: The patient's postoperative inpatient hospital stay, average 7 days
Inpatient opioid use
The average daily inpatient MEDD (morphine equivalent dose) will be calculated from the electronic medical record as previously used in pediatric cancer surgical patients by the investigator
Time frame: The patient's postoperative inpatient hospital stay, average 7 days
Outpatient opioid use
We will record whether the patient has any active opioid prescription 90-days (±10 Days) after surgery. This data will be confirmed by direct contact to patients' caregivers or via pharmacy registries on filled prescriptions.
Time frame: The patient's postoperative inpatient hospital stay, average 7 days
Average daily inpatient pain score
Age-appropriate pain-intensity scores will be determined using Visual and Colored Analogue Scales (VAS). This is a 10-point colored scaled validated for measuring pain intensity in pediatric populations and will be assessed twice daily at 9AM and 5PM.
Time frame: The patient's postoperative inpatient hospital stay, average 7 days
Number of opioid requests (rescue analgesia)
We will record the total number of times opioids were required by patients to nurses and the patient-controlled analgesia infusion pumps during the inpatient period as recorded in the electronic medical record.
Time frame: The patient's postoperative inpatient hospital stay, average 7 days
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Quality of life assessment
Age-appropriate Pediatric Quality of Life Inventory (PedsQL) paper surveys will be administered to the patient (self-report) or guardian (proxy) when patients reach discharge-ready status.
Time frame: The patient's postoperative inpatient hospital stay, average 7 days
Ambulation/ "out of bed" movement
Distance (meters) achieved "out of bed" (ambulatory or non-ambulatory/wheelchair) during their inpatient stay while interacting with the app will be calculated by hand, based on how many times patient activated specific targets.
Time frame: The patient's postoperative inpatient hospital stay, average 7 days
Discharge-ready status
The number of days to discharge-ready status will be determined by the study physicians. This status will be assessed twice daily at 9AM and 5PM.
Time frame: The patient's postoperative inpatient hospital stay, average 7 days
Patient experience
In the patients who receive the AR game, responses to an electronic survey on the patient's experience designed by the MDACC Child Life team will be recorded when patients reach discharge-ready status.
Time frame: The patient's postoperative inpatient hospital stay, average 7 days
Outpatient pain scores
We will record average pain intensity experience by the patient during the 90-day (±10 Days) post surgery period. This data will be confirmed by direct contact to patient's guardian or as recorded in the electronic medical record during the patient's follow-up clinic visit
Time frame: 90 days after the patient is discharged from the hospital
Outpatient quality of life
Age-appropriate Pediatric Quality of Life Inventory (PedsQL) surveys will be administered to the patient (self-report) or guardian (proxy) by phone.
Time frame: 90 days after the patient is discharged from the hospital