Home to Hospital Live Streaming With Virtual Reality Goggles: A Qualitative Study Exploring the Experiences of Hospitalized Children

Abstract

Background Being separated from home and relatives is a major stressor for children and adolescents when hospitalized. Children long for a manner to be distracted, pleasured, and socially connected during hospitalization. Different technological devices have been applied in health care to answer those needs. Both virtual reality (VR) and videoconferencing have proven their value in hospital wards and pediatrics. VisitU combines these 2 technologies innovatively. VisitU is a recently launched VR product enabling users to be virtually at home during hospitalization. Objective This study aims to explore the experiences of hospitalized patients with the VR intervention of VisitU in addition to standard care. Methods Over a 3-month period, a purposive sample of 10 patients hospitalized in the Radboudumc Amalia Children’s Hospital was included in this qualitative study. Semistructured interviews were performed, one before and one after the use of the VR device. Patients were asked open-ended questions concerning their experiences with VisitU on practical, cognitive, emotional, and social domains. The interviews were audiorecorded and transcribed verbatim. Atlas.ti was used to support the qualitative analysis. Furthermore, the inductive thematic analysis was done according to the 6-step procedure described by Braun and Clarke. Results The following 6 main themes were the result of the qualitative analysis: “Being hospitalized,” “Expectations of VisitU,” “VisitU in use,” “VisitU, the benefits,” “The impact of VisitU,” and “Barriers when using VisitU.” The way VisitU was used by patients varied. The main benefits of VisitU were being somewhere else, being at home, and facilitating social connection. Limitations were experienced on the technical abilities, physical side effects, and complexity of use. Despite that, patients were positive about VisitU and unanimous in the view that they would like to use it again and advise other patients to use it. Conclusions This study shows the positive experiences of pediatric patients with VR live streaming. VisitU brings together the needs of patients and possibilities of VR and videoconferencing; it offers patients a way out of the hospital. Nevertheless, practical and technical obstacles must be overcome and side effects are an area of further research.

Effectiveness of Virtual Reality Interventions for Adolescent Patients in Hospital Settings: Systematic Review

“…Isolation from friends and peers is one of the most frequently reported negative aspects of hospitalization for adolescents [ 27 , 30 ]. Using VR to play games with friends or communicate with family via home-to-hospital live streaming [ 77 ] would therefore be particularly suitable for improving the mood and well-being of hospitalized adolescents, especially given their high level of enthusiasm and predisposition toward VR [ 16 , 20 ] and VR’s emerging acceptability for use in these settings [ 26 ].…”

“It Has Added Another Layer of Stress”: COVID-19’s Impact in the PICU

“…29 Patients and families are encouraged to engage with their social support networks via video, phone calls, and texting facilitated by provision of free Internet and charging equipment by hospitals. 30 Use of technology (eg, virtual reality 31 ) and art interventions 32 may facilitate social connection and counter the effects of restricted movement. Although safety and disease containment must be prioritized, hospital administrators might consider treating patients with COVID-19 on their respective floors when this can be done safely, given that providers observed stress from cohorting patients with suspected or confirmed COVID-19.…”