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The Use of Extended Reality Distraction Methods During Needle-Related Procedures in Pediatric Hospital
Anna Stålberg1,2, Johanna Granhagen Jungner2, Cecilia Bartholdson1,2
1Astrid Lindgren's Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.
Journal for Specialists in Pediatric Nursing : JSPN
|July 29, 2026
Summary
Extended reality (XR) distraction, including virtual reality (VR) and augmented reality (AR), positively impacts children
Area of Science:
- Medical Technology
- Pediatric Care
- Pain Management
Background:
- Needle-based procedures are a common source of anxiety and pain for children.
- Effective pain management strategies are crucial for positive healthcare experiences.
- Extended reality (XR) technologies offer immersive experiences that may serve as distractions.
Purpose of the Study:
- To explore children's experiences using virtual reality (VR) and augmented reality (AR) as distraction methods during needle-related procedures.
- To assess the impact of XR distraction on pain and anxiety levels in pediatric patients.
Main Methods:
- An exploratory, prospective, mixed-methods design was used.
- Data collected through self-report measures, structured observations, and semi-structured interviews.
- Descriptive statistics and thematic analysis were employed for data synthesis.
Main Results:
- 90% of children reported positive experiences with XR distraction.
- Low mean pain scores (VR: 1.26, AR: 1.77) were observed.
- No child refused XR use; physical restraint was minimal, with supportive holding in 10% of cases.
Conclusions:
- XR distraction can be an effective tool for reducing pain and anxiety during pediatric needle procedures.
- A child-centered approach, allowing choice of distraction method, is essential for optimal outcomes.
- Further research is needed to refine implementation strategies and assess cost-effectiveness.
