Mobile virtual reality distraction reduces needle pain and stress in children?

Piskorz, Joanna; Czub, Marcin; Šulžickaja, Beata; Kiliś‐Pstrusińska, Katarzyna

doi:10.5817/cp2020-1-3

Cited by 17 publications

(38 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…VR can also assist patients in coping with uncomfortable and even painful medical procedures [ 2 ]. Piskorz et al [ 20 ] found that 36 children whose attentions were distracted by playing or watching VR games during blood sampling reported significantly lower pain and stress than 21 children who did not experience VR.…”

Section: Virtual Reality In Health Carementioning

confidence: 99%

Virtual Reality in Clinical Practice and Research: Viewpoint on Novel Applications for Nursing

Son¹,

Ross²,

Mendoza-Tirado³

et al. 2022

JMIR Nursing

View full text Add to dashboard Cite

Virtual reality is a novel technology that provides users with an immersive experience in 3D virtual environments. The use of virtual reality is expanding in the medical and nursing settings to support treatment and promote wellness. Nursing has primarily used virtual reality for nursing education, but nurses might incorporate this technology into clinical practice to enhance treatment experience of patients and caregivers. Thus, it is important for nurses to understand what virtual reality and its features are, how this technology has been used in the health care field, and what future efforts are needed in practice and research for this technology to benefit nursing. In this article, we provide a brief orientation to virtual reality, describe the current application of this technology in multiple clinical scenarios, and present implications for future clinical practice and research in nursing.

show abstract

Section: Virtual Reality In Health Carementioning

confidence: 99%

Virtual Reality in Clinical Practice and Research: Viewpoint on Novel Applications for Nursing

Son¹,

Ross²,

Mendoza-Tirado³

et al. 2022

JMIR Nursing

View full text Add to dashboard Cite

show abstract

“…27 VR systems were classified as interactive, meaning that the system afforded interactivity beyond head tracking. Three studies (Gerceker et al, 2020;Gerceker et al, 2021;Piskorz et al, 2020) included both interactive and non-interactive subgroups. The interactive group of VR interventions was diverse; while some merely involved visual effects as the patient focused his or her gaze on a virtual object (e.g., Aydin and Ozyazicioglu, 2019), others involved more interactivity with virtual objects (e.g., Eijlers et al, 2019a) or more demanding tasks and games (e.g., Piskorz and Czub, 2018).…”

Section: Virtual Reality Characteristicsmentioning

confidence: 99%

“…All the non-randomized trials (del Castillo et al, 2019;Piskorz and Czub, 2018;Piskorz et al, 2020;Sullivan et al, 2000) were deemed to have a serious risk of bias. Some of the issues observed in randomized trials were also seen in non-randomized trials, such as lacking pre-specified analysis intentions.…”

Section: Risk Of Bias Within Studiesmentioning

confidence: 99%

“…For example, in Sullivan et al (2000), children that were too anxious to receive VR on the first study day received VR on the second study day instead. In the remaining three studies, allocation was determined by either the timing of admission to the hospital in children that were regularly hospitalized for chronic disease (Piskorz and Czub, 2018;Piskorz et al, 2020), or whether the medical procedure was performed during the day or evening/night shifts (del Castillo et al, 2019). Although it is difficult to ascertain exactly how the timing of hospitalization or the medical procedure may have influenced study results, participants in the VR and non-VR groups may differ systematically in clinically relevant ways.…”

Section: Risk Of Bias Within Studiesmentioning

confidence: 99%

“…However, studies using less interactive VR systems reported significantly lower pain levels (Hedges' g 0.99,95% CI [0.51,1.47]) than those using interactive VR systems (Hedges' g 0.28,95% CI [0.10,0.45]). Four studies were not included in the subgroup analysis of interactivity, as they contained both interactive and non-interactive VR interventions (Chaudhary et al, 2020;Gerceker et al, 2020;Gerceker et al, 2021;Piskorz et al, 2020).…”

Section: Subgroup and Meta-regression Analysis Of The Effects Of Virtual Reality On Painmentioning

confidence: 99%

See 2 more Smart Citations

The Effects of Virtual Reality on Procedural Pain and Anxiety in Pediatrics: A Systematic Review and Meta-Analysis

Nordgård

Låg

2021

Front. Virtual Real.

View full text Add to dashboard Cite

Distraction and procedural preparation techniques are frequently used to manage pain and anxiety in children undergoing medical procedures. An increasing number of studies have indicated that Virtual Reality (VR) can be used to deliver these interventions, but treatment effects vary greatly. The present study is a systematic review and meta-analysis of studies that have used VR to reduce procedural pain and anxiety in children. It is the first meta-analytic assessment of the potential influence of technical specifications (immersion) and degree of user-system interactivity on treatment effects. 65 studies were identified, of which 42 reported pain outcomes and 35 reported anxiety outcomes. Results indicate large effect sizes in favor of VR for both outcomes. Larger effects were observed in dental studies and studies that used non-interactive VR. No relationship was found between the degree of immersion or participant age and treatment effects. Most studies were found to have a high risk of bias and there are strong indications of publication bias. The results and their implications are discussed in context of these limitations, and modified effect sizes are suggested. Finally, recommendations for future investigations are provided.

show abstract

The use of virtual reality during medical procedures in a pediatric orthopedic setting: A mixed‐methods pilot feasibility study

Addab

Hamdy

May

et al. 2022

Paediatric and Neonatal Pain

View full text Add to dashboard Cite

Medical procedures cause pain and anxiety in children. Distraction techniques, including virtual reality (VR), may be used in healthcare settings to reduce rates of undertreated procedural pain and anxiety. A mixed‐methods, concurrent triangulation design was piloted at a pediatric orthopedic hospital to assess the feasibility, clinical utility, tolerability, and initial clinical efficacy of VR distraction during medical procedures received by patients with complex musculoskeletal conditions. Questionnaire, scale, interview, observation, and focus group data were collected from patients, their parents, and healthcare professionals. Triangulation of key quantitative and qualitative findings produced final themes and meta‐themes. A total of 44 patients and their parents undergoing intravenous insertions (n = 30), pin removals (n = 7), blood draws (n = 3), Botox injections (n = 2), dressing change (n = 1), and urodynamic test (n = 1) were recruited along with 11 healthcare professionals performing the medical procedures. The following themes resulted from triangulation of data sources: VR intervention was (a) feasible because VR was easily implemented into the clinical workflow, (b) clinically useful as VR was accepted by stakeholders and easy to use, (c) tolerable as VR caused minimal discomfort, and (d) showed initial clinical efficacy in managing procedural pain and anxiety. These findings will inform policies and procedures for VR use in practice and a sustainable implementation across the [name of hospital removed for peer review] network.

show abstract

Mobile virtual reality distraction reduces needle pain and stress in children?

Cited by 17 publications

References 52 publications

Virtual Reality in Clinical Practice and Research: Viewpoint on Novel Applications for Nursing

Virtual Reality in Clinical Practice and Research: Viewpoint on Novel Applications for Nursing

The Effects of Virtual Reality on Procedural Pain and Anxiety in Pediatrics: A Systematic Review and Meta-Analysis

The use of virtual reality during medical procedures in a pediatric orthopedic setting: A mixed‐methods pilot feasibility study

Contact Info

Product

Resources

About