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A Randomized Controlled Trial on the Use of Virtual Reality for Needle-Related Procedures in Children and Adolescents
Stéphanie Dumoulin1,2, Stéphane Bouchard2,3,4, Jacqueline Ellis4
11Université du Québec à Montréal, Department of Psychology, Montréal, Canada.
Insights
Virtual reality (VR) significantly reduced children's fear of pain during medical procedures compared to Child Life (CL) and television (TV). While VR and CL improved pain intensity, VR showed higher patient satisfaction.
Area of Science:
- Pediatric emergency medicine
- Pain management
- Medical technology
Background:
- Children frequently experience fear and distress during medical procedures like blood draws and IV placements.
- Child Life (CL) interventions are the standard for non-medical pain management in pediatric settings.
- Virtual reality (VR) shows promise as an effective distraction tool for pediatric procedural pain.
Purpose of the Study:
- To evaluate the efficacy of VR distraction for children undergoing medical procedures.
- To compare VR distraction against a Child Life (CL) program and watching television (TV).
Main Methods:
- 59 children (aged 8-17) in an emergency department were randomized into three groups: VR, CL, or TV.
- Pain intensity and fear of pain were measured using visual analog scales before and after the procedure.
- Patient satisfaction was assessed post-intervention.
Main Results:
- All groups showed significant reductions in pain intensity and fear of pain.
- VR distraction led to a significantly greater reduction in fear of pain compared to CL and TV.
- VR distraction did not significantly reduce pain intensity more than CL or TV, but patient satisfaction was higher than TV and comparable to CL.
Conclusions:
- Virtual reality is an effective distraction technique for reducing fear of pain in children during medical procedures.
- VR offers a promising alternative or adjunct to traditional Child Life interventions for pediatric pain management.
- The study highlights the potential advantages of integrating VR into emergency departments for pediatric procedural care.
Abstract:
A large number of children report fear and distress when undergoing blood work and intravenous placement. In pediatric departments, Child Life interventions are considered to be the gold standard in nonmedical pain management techniques. Virtual reality (VR) has also been identified as an effective tool for pain distraction in children undergoing painful medical procedures. The aim of this study was to document the efficacy of VR as a mode of distraction during a medical procedure compared with two comparison conditions: watching television (TV, minimal control condition) and distraction provided by the Child Life (CL, gold standard control condition) program. A total of 59 children aged 8-17 years (35% female) were recruited through the emergency department (ED) of the Children's Hospital of Eastern Ontario and randomly assigned to one of the three conditions. The key outcome measures were visual analog scale ratings of pain intensity and fear of pain, administrated before and right after the procedure. Patient satisfaction was also measured after the intervention. A significant reduction in fear of pain and pain intensity was reported in all three conditions. A larger and statistically significant reduction in fear of pain was observed among children who used VR distraction compared with the CL and TV conditions, but this effect was not observed for pain intensity. The children's satisfaction with the VR procedure was significantly higher than for TV and comparable to CL. The advantages of using VR in the ED to manage pain in children are discussed.
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