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The use of Biofeedback in Clinical Virtual Reality: The INTREPID Project
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A Biofeedback Based Virtual Reality Game for Pediatric Population (BioVirtualPed): A Feasibility Trial.

Eyşan Hanzade Savaş1, Remziye Semerci1, Ata Sayın2

  • 1School of Nursing, Koc University, Istanbul, Türkiye.

Seminars in Oncology Nursing
|March 8, 2024
PubMed
Summary

BioVirtualPed, a virtual reality (VR) game, effectively reduced pain, anxiety, and fear in pediatric oncology patients during medical procedures. The VR intervention proved safe, feasible, and highly acceptable for children.

Keywords:
AnxietyBiofeedbackFearPainPediatricVirtual reality

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Area of Science:

  • Pediatric oncology
  • Virtual reality in medicine
  • Biofeedback systems

Background:

  • Medical procedures can cause significant pain, anxiety, and fear in children.
  • Current pain management strategies may have limitations or side effects.
  • Innovative approaches are needed to improve pediatric patient experience during healthcare interventions.

Purpose of the Study:

  • To evaluate the acceptability, feasibility, and safety of BioVirtualPed, a novel biofeedback-based virtual reality (VR) game.
  • To assess the efficacy of BioVirtualPed in reducing pain, anxiety, and fear in children undergoing medical procedures.
  • To explore the potential of VR interventions for integration into routine pediatric nursing care.

Main Methods:

  • Utilized an Oculus Quest 2 headset for the VR experience, integrating respiratory data captured by an ADXL354 accelerometer with Arduino Uno software.
  • Recruited 15 pediatric oncology patients aged 6-12 years for the study conducted between July and August 2023.
  • Assessed acceptability, feasibility, and safety using child/expert feedback, System Usability Scale, Wong-Baker Pain Rating Scale, Child Fear Scale, Child Anxiety Scale-Status, and satisfaction scores.

Main Results:

  • Expert evaluation indicated high usability (mean score 122.5 ± 3.53).
  • All child participants and their mothers reported high satisfaction and positive feedback.
  • BioVirtualPed demonstrated feasibility in reducing pain, fear, and anxiety, with full compliance and no adverse events like dizziness or nausea.

Conclusions:

  • BioVirtualPed is a feasible, acceptable, and safe tool that significantly enhances children's experience during procedures like port catheter needle insertion.
  • The integration of BioVirtualPed into nursing care shows promise for effectively managing procedural distress in pediatric patients.
  • Positive results support further research and clinical adoption of VR interventions in pediatric healthcare.