scholarly journals Virtual Reality vs. Tablet Video as an Experiential Education Platform for Pediatric Patients Undergoing Chest Radiography: A Randomized Clinical Trial

2021 ◽  
Vol 10 (11) ◽  
pp. 2486
Author(s):  
Jung-Hee Ryu ◽  
Jin-Woo Park ◽  
Sang Il Choi ◽  
Ji Young Kim ◽  
Hyunju Lee ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Virtual Reality ◽  
Randomized Clinical Trial ◽  
Experiential Education ◽  
Chest Radiography ◽  
Pediatric Patients ◽  
Procedure Time ◽  
Parental Presence ◽  
Education Platform ◽  
Procedural Outcomes

Virtual reality (VR), which offers an immersive experience, has been implemented into the education of pediatric patients to reduce peri-procedural anxiety. This randomized clinical trial evaluated the effect of VR, compared with standard video, on reducing anxiety and distress in pediatric patients undergoing chest radiography. A total of 120 children aged 4 to 8 years with scheduled chest radiography appointments were randomized into either the tablet or the VR group. Children in the tablet group experienced chest radiography indirectly with a 3 min tablet video, whereas those in the VR group received the same content via a VR experience. The distress of children was measured using the Observational Scale of Behavioral Distress (OSBD) scale. Parental presence and procedural outcomes were also recorded. The number of less distressed children (OSBD score < 5) was significantly higher in the VR group than in the tablet group (49 [81.7%]) vs. 32 [53.3%]) (p = 0.001). The OSBD scores, the need for parental presence, the procedure time, and the number of repeated procedures were all lower in the VR group. The immersive VR experience appears to decrease the degree of anxiety in children and increase the efficiency of the procedures compared with the tablet video with the same content.

scholarly journals Impact of parental presence during induction of anesthesia on anxiety level among pediatric patients and their parents: a randomized clinical trial

2017 ◽  
Vol Volume 12 ◽  
pp. 3237-3241 ◽  
Author(s):  
Afsaneh Sadeghi ◽  
Ahmad Khaleghnejad Tabari ◽  
Alireza Mahdavi ◽  
Sara Salarian ◽  
Seyed Sajjad Razavi
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Pediatric Patients ◽  
Anxiety Level ◽  
Parental Presence

How does virtual reality compare to preparation books and Child Life programming for reducing anxiety and motion during medical imaging? A randomized clinical trial (Preprint)

2020 ◽  
Author(s):  
Chelsea Stunden ◽  
Kirsten Stratton ◽  
Sima Zakani ◽  
John Jacob
Keyword(s):  
Clinical Trial ◽  
Virtual Reality ◽  
Medical Imaging ◽  
Mr Imaging ◽  
Randomized Clinical Trial ◽  
Pediatric Patients ◽  
Clinical Care ◽  
Child Life ◽  
Alternative Methods ◽  
Caregiver Anxiety

BACKGROUND Magnetic Resonance (MR) Imaging is anxiety-provoking, particularly for pediatric patients and their families. Anxiety and non-compliance (ie, movement during imaging) are often managed with sedation; however, the psychological, physiological, and health systems impacts related to sedation have necessitated alternative methods to improve success with non-sedated MR imaging. OBJECTIVE To compare the effectiveness of virtual reality to a preparatory book and Child Life program for reducing motion and anxiety during pediatric MR imaging. METHODS A non-blinded, randomized clinical trial with three arms, including virtual reality (VR), the hospital’s preparation book (BLK), and the hospital’s Child Life Program (CLP), was conducted among children aged 4-to-13 years. Participants progressed through preparing for a head scan with their allocated preparation program, then completing the head scan in the hospital’s MRI simulator room. The primary outcomes were a success during the MR simulator and situational anxiety. Data were collected via REDCap at baseline, after preparing, and after the simulated scan. We secondarily administered measures of caregiver anxiety, usability, and satisfaction with the preparation programs. RESULTS A total of 84 participants were recruited and enrolled in the study (VR n=30, BLK n=24, CLP n=30). No significant differences were found between the groups on success in the MR simulation assessment (X2 = 2.642, p = 0.267, df = 2). Children preparing with the book exhibited trends of higher anxiety between preparation and the assessment than children preparing with VR (x ̅ =1.12, 95% CI = 0.01 to 2.25, p = 0.053). The caregivers in the BLK arm also reported being significantly more anxious than the caregivers in the VR group before the assessment (x ̅ = 5.33, 95% CI = 3.24 to 7.43, p < 0.001) and CLP group (x ̅ = 3.73, 95% CI = 1.64 to 5.83, p < 0.001). Caregiver anxiety in the BLK group continued after the assessment was over and remained higher than the VR group (x ̅ =1.84, 95% CI = 0.25 to 3.43, p = 0.019). In terms of satisfaction with the preparatory materials, children reported more satisfaction in the CLP group compared to the BLK group (x ̅ = 17.51, 95% CI = 0.07 to 34.95, p = 0.049), whereas, caregivers preparing with VR or CLP reported the most satisfaction (x ̅ = 4.51, 95% CI = 2.32 to 6.70, p < 0.001; x ̅ = 4.07, 95% CI = 1.86 to 6.28, p < 0.001, respectively). In all groups, the children reported feeling that the actual experiences with the preparation materials matched their expectations [F(2,81) = 1.014, p = 0.367]. CONCLUSIONS Virtual reality preparation could be a viable alternative to sedation when utilized to improve process compliance and effectiveness of pediatric medical imaging. Future research should focus on testing with pediatric patients in clinical care settings. CLINICALTRIAL U.S. National Library of Medicine (#NCT03931382)

Metformin decreases plasma resistin concentrations in pediatric patients with impaired glucose tolerance: a placebo-controlled randomized clinical trial

Metabolism ◽  
2012 ◽  
Vol 61 (9) ◽  
pp. 1247-1255 ◽  
Author(s):  
Rita A. Gómez-Díaz ◽  
Juan O. Talavera ◽  
Elsy Canché Pool ◽  
Francisco Vianney Ortiz-Navarrete ◽  
Fortino Solórzano-Santos ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Glucose Tolerance ◽  
Impaired Glucose Tolerance ◽  
Randomized Clinical Trial ◽  
Pediatric Patients
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