Digital Technology Distraction for Acute Pain in Children: A Meta-analysis

Gates, Michelle; Hartling, Lisa; Shulhan-Kilroy, Jocelyn; MacGregor, Tara; Guitard, Samantha; Wingert, Aireen; Featherstone, Robin; Vandermeer, Ben; Poonai, Naveen; Kircher, Janeva; Perry, Shirley; Graham, Timothy A.D.; Scott, Shannon D.; Ali, Samina

doi:10.1542/peds.2019-1139

Cited by 76 publications

(79 citation statements)

References 112 publications

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“…Among these novel technologies are virtual reality (VR) and augmented reality (AR), which allow users to engage completely (VR) or partially (AR) in immersive and interactive digital experiences. VR and AR-based interventions have been found to be effective in reducing acute pain from medical procedures associated with transient pain (eg, distraction) among adults [ 1 - 3 ] and youth [ 1 , 4 - 6 ]. In this context, the effectiveness of VR arises from its ability to provide multisensorial engagement that can compete with pain signaling while also eliciting enjoyment and decreasing anxiety and negative mood [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Leveraging Virtual Reality and Augmented Reality to Combat Chronic Pain in Youth: Position Paper From the Interdisciplinary Network on Virtual and Augmented Technologies for Pain Management

et al. 2021

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Background Virtual reality (VR) and augmented reality (AR) interventions are emerging as promising tools in the treatment of pediatric chronic pain conditions. However, in this young field, there is little consensus to guide the process of engaging in the development and evaluation of targeted VR-based interventions. Objective The INOVATE-Pain (Interdisciplinary Network on Virtual and Augmented Technologies for Pain management) consortium aims to advance the field of VR for pediatric chronic pain rehabilitation by providing guidance for best practices in the design, evaluation, and dissemination of VR-based interventions targeting this population. Methods An interdisciplinary meeting of 16 academics, clinicians, industry partners, and philanthropy partners was held in January 2020. Results Reviewing the state of the field, the consortium identified important directions for research-driven innovation in VR and AR clinical care, highlighted key opportunities and challenges facing the field, and established a consensus on best methodological practices to adopt in future efforts to advance the research and practice of VR and AR in pediatric pain. The consortium also identified important next steps to undertake to continue to advance the work in this promising new area of digital health pain interventions. Conclusions To realize the promise of this realm of innovation, key ingredients for success include productive partnerships among industry, academic, and clinical stakeholders; a uniform set of outcome domains and measures for standardized evaluation; and widespread access to the latest opportunities, tools, and resources. The INOVATE-Pain collaborative hopes to promote the creation, rigorous yet efficient evaluation, and dissemination of innovative VR-based interventions to reduce pain and improve quality of life for children.

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Section: Introductionmentioning

confidence: 99%

Leveraging Virtual Reality and Augmented Reality to Combat Chronic Pain in Youth: Position Paper From the Interdisciplinary Network on Virtual and Augmented Technologies for Pain Management

et al. 2021

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“…Virtual reality encompasses 3D computer-simulated environments and entities and includes behavioral interfaces that allow these environments and entities to interact with each other and with a user in a situation of pseudo-natural immersion (Fuchs 2018). In such virtual environments, the user can develop the feeling of "being there," also called sense of presence, which is intimately linked to but distinct from immersion (Slater 2003).…”

Section: Immersion Sense Of Presence and Memorymentioning

confidence: 99%

Memory for a virtual reality experience in children and adults according to image quality, emotion, and sense of presence

2021

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Numerous studies have explored the effects of virtual reality (VR) on adults' cognition. Little is known, however, of these effects in children. The aim of this study was to explore, in both children and adults, the respective roles of the specific factors of VR, such as immersion, sense of presence and emotion, on memory performance. To do so, we used a head-mounted display to present a VR experience in which we manipulated immersion by varying 3D asset quality (High and Low) and emotion by presenting negative, neutral and positive stimuli. 48 adults (M age = 20.65) and 40 children (M age = 11.63) were both divided into two experimental groups (High vs. Low 3D model quality). Valence, arousal, and sense of presence were self-assessed by means of questionnaires, while memory of the presented stimuli was assessed using a free recall task. We also performed physiological measurements to provide objective support for our data. Results showed that memory performance was better for emotional than for neutral stimuli regardless of age group, even though children seemed to avoid looking at negative stimuli compared to neutral ones. Memory was predicted by arousal and presence in adults and only by arousal in children. Memory was not impaired by using poor image quality when highly arousing content was displayed. This study revealed that, contrary to adults, the use of poor image quality did not protect children from strong emotional experiences in VR. The roles of familiarity and arousal are discussed to help explain these results.

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“…Considering the huge variability in any psychological measurement, much larger sample sizes are actually needed for such studies. However, the success of VR technique in other fields, such as pediatrics and orthopedics 5 6 7 8 , suggests that it can make a favorable contribution to the field of endoscopy.…”

Section: Figmentioning

confidence: 99%

‘I want to have virtual reality distraction during my colonoscopy!’

Hassan

Antonelli

2020

Endosc Int Open

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Digital Technology Distraction for Acute Pain in Children: A Meta-analysis

Abstract: CONTEXT: Digital distraction is being integrated into pediatric pain care, but its efficacy is currently unknown.OBJECTIVE: To determine the effect of digital technology distraction on pain and distress in children experiencing acutely painful conditions or procedures.

Cited by 76 publications

References 112 publications

Leveraging Virtual Reality and Augmented Reality to Combat Chronic Pain in Youth: Position Paper From the Interdisciplinary Network on Virtual and Augmented Technologies for Pain Management

Leveraging Virtual Reality and Augmented Reality to Combat Chronic Pain in Youth: Position Paper From the Interdisciplinary Network on Virtual and Augmented Technologies for Pain Management

Memory for a virtual reality experience in children and adults according to image quality, emotion, and sense of presence

‘I want to have virtual reality distraction during my colonoscopy!’

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