Main objective : Evaluate the effect of using a virtual reality mask during the blood test and pricks tests in allergic children aged from 7 to 13 years. Hypothesis : Using virtual reality mask during blood test and pricks tests for allergic kids from 7 to 13 would reduce anxiety and pain
Investigation of food or respiratory allergy is based on prick tests and serum specific immunoglobulin E assays. The nurse often controls the blood test pain but during the skin tests, many children cry, feeling both fear and pain. This traumatic experience will in most cases be repeated during the child's allergic follow-up. To date, there are few effective means of limiting anxiety and pain associated with prick tests and therefore little research work on this subject. Immersion in virtual reality (VR) seems to be an interesting way of distraction for children from 7 to 13 years needing this treatment. Indeed, it makes it possible to saturate the sensorially of the child thus reducing the nociceptive perceptions and the anxiety. The choice of VR mask with pediatric program specific seems interesting for this children This is a randomized, open-label, two-armed parallel, multicenter therapeutic trial comparing an analgesic strategy using authorized medical devices (conventional strategy) with a virtual reality mask distraction technique for allergics tests in children from 7 to 13 years old hospitalized in the pediatric consultation of Clermont Ferrand University Hospital and in the day hospital of Saint-Etienne University Hospital The control arm is the local anesthetic cream (for the blood test) arm with distraction from nurse/parents +/-anesthesic and anxiolytic gas and the experimental arm is the local anesthetic cream + virtual reality mask distraction The nurse informs and obtains the consent of the child and his parents. Then she measures child's pain and anxiety before the care, during the blood test, at the third prick test and immediately after the care. She also notes the anxiety of the parents before and after the care. Finally, the satisfaction of the child, parents, nurses will be collected at the end of the care. After statistical analysis of these two arms, it will be possible to determine the value of the virtual reality mask to reduce the child's pain and anxiety during the pricks tests.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
virtual reality mask Deepsen® with age-appropriate software Birdy®
usual process
CHU de Clermont-Ferrand
Clermont-Ferrand, France
RECRUITINGCHU de Saint Etienne
Saint-Etienne, France
RECRUITINGchildren's pain hetero-evaluation
children's pain evaluation by the nurse with the visual analog scale quote from 0 to 10, 10=worst score
Time frame: during blood test
children's pain hetero-evaluation
children's pain evaluation by the nurse with the visual analog scale from 0 to 10, 10= worst score
Time frame: during procedure (prick test)
children's pain self-evaluation
self evaluation of children's pain with the visial analog scale in vertical position quote from 0 to 10, 10=worst score
Time frame: 5 min after the care
change from baseline children's anxiety at just after the care
self-evaluation of children's anxiety with the scale "child fear scale" quote from 0 to 4, 4= worst score
Time frame: before the care and 5 min after the care
children's anxiety hetero evaluation
children's anxiety evaluation by the nurse with the scale "child fear scale" quote from 0 to 4, 4= worst score
Time frame: during blood test
children's anxiety hetero evaluation
children's anxiety evaluation by the nurse with the scale "child fear scale" quote from 0 to 4, 4= worst score
Time frame: during procedure (prick tests)
change from baseline parents' anxiety at just after the care
self-evaluation of parents' anxiety with the numerical scale quote from 1 to 10, 10= worst score
Time frame: before the care and 5 min after the care
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PREVENTION
Masking
NONE
Enrollment
300
evaluation of the care
satisfaction of the care for children, parents and nurses with satisfaction questionnaire for children : a score from 1 to 3 (3=best score, very satisfied) for parents with a score from 1 to 5 (5= best score, very satisfied) and for nurse with a score from 1 to 5 (5= best score, very satisfied)
Time frame: 5 min after the care