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Virtual reality for routine immunisations in needle phobic children with and without developmental disabilities: A
Allya Makhijani1, Narelle Jenkins2, Jessica Kaufman3
1Department of General Medicine, The Royal Children's Hospital, Melbourne, Australia; Department of Paediatrics, University of Melbourne, Australia.
Vaccine
|November 2, 2024
Summary
Virtual reality (VR) is a feasible and acceptable tool for routine immunizations in children with needle phobia, including those with developmental disabilities. This pilot study showed VR improved experiences and was well-received by children, caregivers, and clinicians.
Area of Science:
- Pediatric healthcare
- Medical technology
- Psychological interventions
Background:
- Virtual Reality (VR) has shown promise in improving pediatric needle procedure experiences.
- Its utility in supporting immunizations for children with anxiety and behavioral challenges, including those with developmental disabilities, remains unevaluated.
- This study addresses the gap by assessing VR for immunizations in needle-phobic children.
Purpose of the Study:
- To evaluate the feasibility and acceptability of using Virtual Reality (VR) for routine immunizations in children experiencing needle phobia.
- To include children with and without developmental disabilities in the assessment.
- To gather insights from children, caregivers, and clinicians regarding VR's role in vaccination.
Main Methods:
- A mixed-method pilot study was conducted at a children's hospital.
- Participants included needle-phobic children aged 4-14 years, with and without developmental disabilities, undergoing immunization.
- VR was offered as an adjunct to standard care, with data collected via electronic surveys and qualitative interviews.
Main Results:
- VR preparation was quick (80% in <5 min). Most children (96%) used VR before immunization, and 57% continued during the procedure.
- Successful immunization was achieved in 90% of children, with reduced sedation needs.
- VR use during immunization led to a more positive experience for 94% of users, and 63% of all participants found VR beneficial.
Conclusions:
- Virtual Reality (VR) appears feasible and acceptable for immunizing children with needle phobia, irrespective of developmental disability status.
- The positive outcomes suggest VR's potential to enhance vaccination experiences for this population.
- Findings support the design of a randomized controlled trial to further assess VR's effectiveness.

