VR for Steroid Joint Injections - Feasibility

N/AEnrolling By InvitationNCT07778069

Nationwide Children's Hospital10 enrolled

Overview

The goal of the project is to implement virtual reality for pain and anxiety management for patients undergoing intra-articular glucocorticoid injections in the outpatient pediatric rheumatology clinic.

To assess feasibility of VR use in the clinic, 10 patients will be recruited to use VR during non-sedated intra-articular (IA) glucocorticoid injections. All patients will be offered our typical analgesia (LMX topical cream, freeze spray, lidocaine injection). Patients and caregivers will be asked to fill out pre-injection and post-injection surveys, and staff (rheumatology clinic nurses) will be asked for feedback regarding feasibility of VR in clinical workflows. The specific aims of the study are to: Aim 1: Assess the feasibility and efficacy of VR use to reduce pain in patients undergoing non-sedated IA glucocorticoid injections at Nationwide Children's Hospital

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Acute Pain Procedural Anxiety Juvenile Idiopahtic Arthritis

Interventions

VR-PATOTHER

Virtual Reality Pain Alleviation Therapeutic (VR-PAT) via a Pico Neo3 Pro Eye

Eligibility

Sex: ALLMin age: 5 YearsMax age: 17 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. rheumatology patients (5-17 years old) who are undergoing an IA glucocorticoid injection in the Nationwide Children's Rheumatology Clinic, 2. have a legal guardian present for patients less than 18 years old for the procedure (for informed consent), and 3. can communicate orally. Exclusion Criteria: 1. any wounds that may interfere with study procedures, 2. vision, hearing, or cognitive/motor impairments preventing valid administration of study measures, 3. history of motion sickness, seizure disorder, dizziness, or migraine headaches precipitated by visual auras, 4. minors in foster care, 5. unable to communicate in English, 6. pregnant women, or 7. prisoners

Locations (1)

Nationwide Children's Hospital

Columbus, Ohio, United States

Outcomes

Primary Outcomes

Practicality/utility of the VR experience as a pain and anxiety management tool for IA joint injection procedures

Assessed by the nurse answering the following questions: "Is this distraction tool helpful during joint injection procedures (Yes/No)?" and "Is this distraction tool easy to use during joint injections (Yes/No)?"

Time frame: Immediately following the IA joint injection procedure

Secondary Outcomes

Self-reported change procedural anxiety

0-10 Numerical Rating Scale (NRS) (self-reported), 0(min)-10(max), with higher score indicating worse anxiety.

Time frame: Immediately before the IA joint injection procedure and immediately after

Self-reported pain

0-10 Numerical Rating Scale (NRS) (self-reported), 0(min)-10(max), with higher score indicating worse pain. Asked for worst pain, average pain, and time spent thinking about pain.

Time frame: Immediately following the IA joint injection procedure

Data from ClinicalTrials.gov

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