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Mobile phone virtual reality game for pediatric home burn dressing pain management: a randomized feasibility clinical trial.


ABSTRACT:

Background

Virtual reality (VR) gaming is considered a safe and effective alternative to standard pain alleviation in the hospital. This study addressed the potential effectiveness and feasibility of a VR game that was developed by our research team for repeated at-home burn dressing changes.

Methods

A randomized clinical trial was conducted among patients recruited from the outpatient burn clinic of a large American Burn Association-verified pediatric burn center between September 2019 and June 2021. We included English-speaking burn patients aged 5-17 years old requiring daily dressing changes for at least 1 week after first outpatient dressing change. One group played an interactive VR game during dressing changes, while the other utilized standard distraction techniques available in the home for up to a week. Both child and caretaker were asked to assess perceived pain on a numerical rating scale (NRS) of 0-10. For the VR group, patients were also asked to rate various aspects of the VR game on a NRS of 0-10 and caregivers were asked questions assessing ease of use.

Results

A total of 35 children were recruited for this study with 24 fully completing study measures. The majority of participants were male (n=19, 54.3%), White (n=29, 82.9%), and with second degree burns (n=32, 91.4%). Children and caregivers in the VR group reported less pain than the control group at the 4th dressing change. Participants in the VR group showed a clinically meaningful (≥30%) reduction in child-reported overall pain (33.3%) and caregiver-reported worst pain (31.6%) in comparison with subjects in the control group. Children's satisfaction with the VR remained at a high level across dressing changes over the 1-week period, with reported realism and engagement increasing over time. Over half of the children (54.5%) enjoyed playing the game and did not report any challenges nor any side effects.

Conclusions

Subjects found the VR to be a useful distraction during home dressing changes and reported no challenges/side effects. VR should be considered as a nonpharmacologic companion for pain management during at-home burn dressing changes.

Trial registration

ClinicalTrials.gov Identifier: NCT04548635. Registered September 14, 2020-retrospectively registered.

SUBMITTER: Armstrong M 

PROVIDER: S-EPMC9386208 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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Publications

Mobile phone virtual reality game for pediatric home burn dressing pain management: a randomized feasibility clinical trial.

Armstrong Megan M   Lun Jonathan J   Groner Jonathan I JI   Thakkar Rajan K RK   Fabia Renata R   Noffsinger Dana D   Ni Ai A   Keesari Rohali R   Xiang Henry H  

Pilot and feasibility studies 20220818 1


<h4>Background</h4>Virtual reality (VR) gaming is considered a safe and effective alternative to standard pain alleviation in the hospital. This study addressed the potential effectiveness and feasibility of a VR game that was developed by our research team for repeated at-home burn dressing changes.<h4>Methods</h4>A randomized clinical trial was conducted among patients recruited from the outpatient burn clinic of a large American Burn Association-verified pediatric burn center between Septembe  ...[more]

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