Virtual Reality: Endless Potential in Pediatric Palliative Care: A Case Report

Weingarten, K; Macapagal, Francis; Parker, David M.

doi:10.1089/jpm.2019.0207

Cited by 22 publications

(51 citation statements)

References 8 publications

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“…Three studies used VR for distraction from burn pain (2 RCTs [ 47 , 48 ], 1 case report [ 50 ]), 2 studies used VR for distraction from pain and anxiety during chemotherapy sessions (1 RCT [ 46 ], 1 case report [ 51 ]), 1 study [ 49 ] used VR for distraction from pain and anxiety during venipuncture, 1 case report used VR to reduce preoperative anxiety [ 52 ], and 1 case report used VR to improve well-being in palliative care [ 53 ].…”

Section: Resultsmentioning

confidence: 99%

“…Three of the RCTs [ 46 , 48 , 49 ] compared pretest and posttest measures of outcome variables (1 study also included 7-day and 1-month follow-ups [ 46 ]), while 1 RCT [ 47 ] measured burn pain intensity, observed pain behaviors, and objective physiological indicators (heart rate and oxygen saturation) at 3 time points: baseline, during dressing removal, and during dressing application. Two case reports [ 50 , 51 ] compared outcome variables measured with and without VR, while the other 2 case reports [ 52 , 53 ] only recorded qualitative assessments of the patients’ VR experiences.…”

Section: Resultsmentioning

confidence: 99%

“…Detailed characteristics of the included articles (n=8) are provided in Multimedia Appendix 2. Four studies [46][47][48][49] were RCTs and 4 studies [50][51][52][53] were single-case reports. Of the RCTs, 2 studies [46,49] compared VR to standard care, 1 study [47] compared VR to standard distraction (TV, music, books), and 1 study [48] compared VR to 2 control groups-standard care and passive distraction (watching a movie).…”

Section: Health Problems/procedures and Study Designsmentioning

confidence: 99%

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

Ridout¹,

Kelson²,

Campbell³

et al. 2021

J Med Internet Res

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Background Given the high level of interest and increasing familiarity with virtual reality among adolescents, there is great potential to use virtual reality to address adolescents’ unique health care delivery needs while in hospital. While there have been reviews on the use of virtual reality for specific health conditions and procedures, none to date have reviewed the full scope of virtual reality hospital interventions for adolescents who are often combined with children as a homogenous group, despite the fact that adolescents experience virtual environments different from children. Objective The aim of this review was to systematically identify available evidence regarding the use of virtual reality interventions for adolescent patients in hospital settings to evaluate effectiveness, suitability, and safety and identify opportunities for future research. Methods PubMed, PsycINFO, Medline, and Scopus databases were searched using keywords and phrases. Retrieved abstracts (n=1525) were double screened, yielding 276 articles for full-text screening. Of these, 8 articles met inclusion criteria. Data were extracted to a standardized coding sheet, and a narrative synthesis was performed due to the heterogeneity of the studies. Results Four RCTs and 4 single-case reports were identified for inclusion, all of which aimed to reduce pain or anxiety. The scenarios targeted were burn pain, venipuncture, chemotherapy, preoperative anxiety, and palliative care. Three out of 4 RCTs found significant reductions in pain or anxiety outcomes measures when using virtual reality compared to standard care or other distraction techniques; however, only 1 study combined self-reported experiences of pain or anxiety with any physiological measures. Single-case reports relied primarily upon qualitative feedback, with patients reporting reduced pain or anxiety and a preference for virtual reality to no virtual reality. Conclusions Virtual reality can provide a safe and engaging way to reduce pain and anxiety in adolescents while in hospital, particularly when virtual reality software is highly immersive and specifically designed for therapeutic purposes. As VR becomes more accessible and affordable for use in hospitals, larger and more diverse studies that capitalize on adolescents’ interest in and aptitude for virtual reality, and on the full range of capabilities of this emerging technology, are needed to build on these promising results. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42020198760; https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020198760

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Health Problems/procedures and Study Designsmentioning

confidence: 99%

See 1 more Smart Citation

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

Ridout¹,

Kelson²,

Campbell³

et al. 2021

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Three articles were using Randomized Controlled Trials [9,10,12] and article discussed using case report study [11]. In studies of VR in pediatrics, the large effect size suggests that VR is an effective intervention to reduce pain and anxiety in pediatric patients undergoing various medical procedures.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Implementation Virtual Reality (VR) on Pain Levels Among Children with Invasive Procedures: A Literature Review

Perdani¹,

Mutiar²,

Nazmudin³

2021

KLS

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The volume of hospitalized pre-school children has increased in recent years. More than 30% children have experienced hospital treatment and 5% have been treated several times in the hospital. They will undergo painful procedures with physical and psychological impacts. Various technological approaches to pain management have been developed, including the use of virtual reality therapy to reduce pain in pediatric patients. The purpose of this study is to conduct a literature review to the impact of using Virtual Reality (VR) on pain level among children undergoing invasive procedures. Literature review was conducted from 2010-2020 at the five largest databases consist of Pubmed, Google Scholar, CINAHL, Medline and Psycinfo by using keywords “Virtual Reality” “Pain”, “Children Pain”, “Pediatric Pain”, “Virtual Reality and Children Pain” and “Virtual Reality and ‘Pediatric Pain. From four articles discussed both acute and chronic pain, VR can be used to reduce pain or other symptoms related physiological stress during hospitalization Keywords: Children, Pediatric, Pain, Hospitalization and Virtual Reality

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“…Although there are a few publications in this field, VR seems to be effective for non-pharmacological pain reduction. In last years, several studies investigated the use of VR for reducing acute pain during various medical procedures, while there are no studies regarding chronic pain and only one case report [19] described the use of VR in palliative care. Along this line, Eijlers et al [20] has published the first systematic review and meta-analysis specifically focused on VR in pediatric patients showing that VR diminished patient-reported pain and anxiety during a range of medical procedures.…”

Section: Critical Care 1-dental Trauma; 2-painmentioning

confidence: 99%

Best practices, challenges and innovations in pediatrics in 2019

et al. 2020

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This paper runs through key progresses in epidemiology, pathomechanisms and therapy of various diseases in children that were issued in the Italian Journal of Pediatrics at the end of last year. Novel research and documents that explore areas such as allergy, critical care, endocrinology, gastroenterology, infectious diseases, neonatology, neurology, nutrition, and respiratory tract illnesses in children have been reported. These observations will help to control childhood illnesses.

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Virtual Reality: Endless Potential in Pediatric Palliative Care: A Case Report

Cited by 22 publications

References 8 publications

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

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

The Impact of Implementation Virtual Reality (VR) on Pain Levels Among Children with Invasive Procedures: A Literature Review

Best practices, challenges and innovations in pediatrics in 2019

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