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.

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