Child and Parent Perspectives on the Acceptability of Virtual Reality to Mitigate Medical Trauma in an Infusion Center.
Introduction: Children may experience medical trauma when undergoing medical procedures even when procedures are minor. While virtual reality (VR) is effective for managing procedural pain and anxiety, few studies address how families feel about using VR. We explore pediatric patient and guardian vi...
| Publicado en: | Maternal & Child Health Journal Vol. 24; no. 8; pp. 986 - 998 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2020
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144282247&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144282247 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Aug2020 vid: 24 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 144282247 144055211 144282247 144282247 10.1007/s10995-020-02955-x 144282247 ppf: 986 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Child and Parent Perspectives on the Acceptability of Virtual Reality to Mitigate Medical Trauma in an Infusion Center. aug: au: Easterlin, Molly C. Berdahl, Carl T. Rabizadeh, Shervin Spiegel, Brennan Agoratus, Lauren Hoover, Clarissa Dudovitz, Rebecca affil: UCLA National Clinician Scholars Program, 1100 Glendon Ave. Suite 900, Space #19, 90024, Los Angeles, CA, USA sug: subj: Attitude Evaluation Parental Attitudes Evaluation Virtual Reality Exposure Therapy Trauma Human Semi-Structured Interview Qualitative Studies Inflammatory Bowel Diseases Therapy Data Analysis Software Constant Comparative Method Distraction Emotions Infusions, Intravenous Adverse Effects Coping Physical Mobility Shock Confusion Family Funding Source Tertiary Health Care Sampling Methods Interview Guides Female Male Child Anxiety Pain Appointments and Schedules Parents Psychosocial Factors Control (Psychology) Adolescence Adaptation, Psychological Child: 6-12 years Adolescent: 13-18 years Female Male ab: Introduction: Children may experience medical trauma when undergoing medical procedures even when procedures are minor. While virtual reality (VR) is effective for managing procedural pain and anxiety, few studies address how families feel about using VR. We explore pediatric patient and guardian views regarding the acceptability of using VR during procedures to mitigate medical trauma. Methods: Semi-structured qualitative interviews with 18 patient-guardian dyads at a tertiary outpatient infusion center for inflammatory bowel disease (IBD) treatment. Interviews explored how VR may change the infusion experience, including benefits, risks, and recommendations for clinical integration. Interviews were recorded, transcribed, and analyzed in ATLAS.ti. Two coders used a 3-step coding approach to: (1) identify themes; (2) develop a codebook and code transcripts using the constant comparative method; and (3) describe themes/patterns. Results: Potential benefits of VR were distraction from infusion-related anxiety and pain and generating excitement for the appointment. Potential challenges were VR-side effects (dizziness, nausea), limited mobility during the procedure, disorientation/immersion leading to shock upon IV-placement, and a lost opportunity to build coping skills. Families queried when VR should first be introduced and when during the appointment use would be optimal. Parents expressed concerns about pushing VR when their child was already under stress. A limited number of families doubted the utility of VR. Conclusions: Patients and parents found VR to be an acceptable option for helping to manage medical trauma during infusions but highlighted that the VR experience must be carefully crafted to avoid unintended consequences, including lost opportunities to build resilience. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|