Abstract:
AIMS:To examine the efficacy of an immersive virtual reality distraction compared with an active non-immersive distraction, such as video games on a tablet, for pain and anxiety management and memory of pain and anxiety in children requiring percutaneous bone pins and/or suture removal procedures. DESIGN:Three-centre randomized clinical trial using a parallel design with two groups: experimental and control. METHODS:Study to take place in the orthopaedic department of three children hospital of the Montreal region starting in 2019. Children, from 7-17 years old, requiring bone pins and/or suture removal procedures will be recruited. The intervention group (N = 94) will receive a virtual reality game (Dreamland), whereas the control group (N = 94) will receive a tablet with video games. The primary outcomes will be both the mean self-reported pain score measured by the Numerical Rating Scale and mean anxiety score, measured by the Child Fear Scale. Recalls of pain and anxiety will be measured 1 week after the procedure using the same scales. We aim to recruit 188 children to achieve a power of 80% with a significance level (alpha) of 5%. DISCUSSION:While multiple pharmacological methods have previously been tested for children, no studies have evaluated the impact of immersive virtual reality distraction for pain and anxiety management in the orthopaedic setting. IMPACT:Improved pain management can be achieved using virtual reality during medical procedures for children. This method is innovative, non-pharmacological, adapted to the hospital setting, and user-friendly. TRIAL REGISTRATION:NCT03680625, registered on clinicaltrials.gov.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Le May S,Tsimicalis A,Noel M,Rainville P,Khadra C,Ballard A,Guingo E,Cotes-Turpin C,Addab S,Chougui K,Francoeur M,Hung N,Bernstein M,Bouchard S,Parent S,Hupin Debeurme Mdoi
10.1111/jan.14607subject
Has Abstractpub_date
2020-10-24 00:00:00eissn
0309-2402issn
1365-2648pub_type
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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journal_title:Journal of advanced nursing
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