Pediatric Cancer, Surgery
Conditions
Brief summary
This is a pilot study to evaluate the feasibility of SpellBound's AR (augmented reality)-enabled scavenger hunt use among 20 pediatric cancer patients undergoing surgery.
Interventions
DEVICEARISE with AR
An augmented reality game for mobile devices with AR experiences enabled
DEVICEARISE without AR
An augmented reality game for mobile devices with AR experiences disabled as an control
Sponsors
National Institute on Drug Abuse (NIDA)
M.D. Anderson Cancer Center
Baylor College of Medicine
ALTality, Inc.
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
3 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
1. Ages 3-18 2. English speaking parents/legal guardians and patients 3. Undergoing major surgery for cancer requiring postoperative hospitalization defined as ≥2 hours of duration of surgery and requiring postoperative hospital admission of at least one night 4. Expected to be prescribed postoperative inpatient opioids 5. Have never taken opioids or have had no daily opioid use within the last 30 days 6. Sufficient cognitive capacity to comprehend and interact with the game. This is defined as ability to utilize mobile technology (use iPad with or without assistance) and activate and respond to AR experiences within the app as determined by the clinician. 7. Both child and a legal guardian are willing and able to provide informed consent.
Exclusion criteria
1. History of documented peripheral neuropathy secondary to cancer treatment 2. Inability to demonstrate an understanding of the game from English instructions 3. Have previous played the ARISETM digital scavenger hunt game 4. Any additional concerns based on the study physicians' assessments
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of patients who receive the AR game who are able to initiate the game and activate any targets with 1% error rate | The patient's postoperative inpatient hospital stay, average 7 days | Success defined as at least 80% of patients who receive the AR game being able to initiate the game and activate any targets with 1% error rate |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Inpatient opioid use | The patient's postoperative inpatient hospital stay, average 7 days | The average daily inpatient MEDD (morphine equivalent dose) will be calculated from the electronic medical record as previously used in pediatric cancer surgical patients by the investigator |
| Outpatient opioid use | The patient's postoperative inpatient hospital stay, average 7 days | We will record whether the patient has any active opioid prescription 90-days (±10 Days) after surgery. This data will be confirmed by direct contact to patients' caregivers or via pharmacy registries on filled prescriptions. |
| Average daily inpatient pain score | The patient's postoperative inpatient hospital stay, average 7 days | Age-appropriate pain-intensity scores will be determined using Visual and Colored Analogue Scales (VAS). This is a 10-point colored scaled validated for measuring pain intensity in pediatric populations and will be assessed twice daily at 9AM and 5PM. |
| Number of opioid requests (rescue analgesia) | The patient's postoperative inpatient hospital stay, average 7 days | We will record the total number of times opioids were required by patients to nurses and the patient-controlled analgesia infusion pumps during the inpatient period as recorded in the electronic medical record. |
| Quality of life assessment | The patient's postoperative inpatient hospital stay, average 7 days | Age-appropriate Pediatric Quality of Life Inventory (PedsQL) paper surveys will be administered to the patient (self-report) or guardian (proxy) when patients reach discharge-ready status. |
| Discharge-ready status | The patient's postoperative inpatient hospital stay, average 7 days | The number of days to discharge-ready status will be determined by the study physicians. This status will be assessed twice daily at 9AM and 5PM. |
| Patient experience | The patient's postoperative inpatient hospital stay, average 7 days | In the patients who receive the AR game, responses to an electronic survey on the patient's experience designed by the MDACC Child Life team will be recorded when patients reach discharge-ready status. |
| Outpatient pain scores | 90 days after the patient is discharged from the hospital | We will record average pain intensity experience by the patient during the 90-day (±10 Days) post surgery period. This data will be confirmed by direct contact to patient's guardian or as recorded in the electronic medical record during the patient's follow-up clinic visit |
| Outpatient quality of life | 90 days after the patient is discharged from the hospital | Age-appropriate Pediatric Quality of Life Inventory (PedsQL) surveys will be administered to the patient (self-report) or guardian (proxy) by phone. |
| Ambulation/ out of bed movement | The patient's postoperative inpatient hospital stay, average 7 days | Distance (meters) achieved out of bed (ambulatory or non-ambulatory/wheelchair) during their inpatient stay while interacting with the app will be calculated by hand, based on how many times patient activated specific targets. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Adverse events | Through study completion, average 4-month time period | Any adverse events clinically determined to be related to the use of AR (i.e., falls) will be recorded |
Countries
United States
Outcome results
None listed