Diabetes
Conditions
Keywords
Virtual Reality
Brief summary
Childhood obesity is a national crisis, effecting up to 1 in 5 of children in the US. In the Lucile Packard Children's Hospital Pediatric Weight Management Clinic, the investigators educate parents and caregivers about the importance of dietary modification. In addition to physician guidance, the investigators partner with registered dieticians to counsel families during an hour-long interview. However, traditional methods of education are limited by long-term recall. A typical person only recalls 2- 3% of didactic content after a period of 30 days. In order to improve recall and increase involvement of our pediatric patients in their own dietary modifications, the investigators propose a pragmatic, randomized pilot study investigating the effectiveness of Virtual Reality (VR) in changing dietary choices and improving recall.
Interventions
BEHAVIORALVirtual Reality Application
In VR application, Chaos Café, patients are immersed into a computer-generated kitchen environment. A humorous robotic chef serves children different food groups. Gameplay is advanced by choosing healthy foods, while eating unhealthy foods does not advance the application.
Sponsors
Stanford University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Years to 18 Years
Healthy volunteers
Yes
Inclusion criteria
* Ages 6-18 years of age * Able to consent or have parental consent * Diagnosis of Obesity Grade 1, 2 and 3 at LPCH/SHC facilities
Exclusion criteria
* People who do not consent * Significant Cognitive Impairment * History of Severe Motion Sickness * Visual Problems
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Immediate behavior modification | Duration of appointment, typically 2-3 hours | Immediate behavior modification will be assessed by comparing the selection of an appointment exit reward the end of the study visit. Participants will be presented with two options, either a bag of chips or a healthier alternative. Selection of reward will be recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pediatric Adapted Liking Survey | Duration of appointment, typically 2-3 hours | The survey uses a continuous scale from -100 to 100 to indicate patients' like or dislike of certain foods. The survey was completed by participants after their dietary counseling. The responses were categorized into seven groups, 3 negative, 1 neutral, and 3 positive. -3=\[-100,-67\], -2=\[-66,-34\], -1=\[-33,-1\], 0=0, 1=\[1,33\], 2=\[34,66\], 3=\[67,100\]. Likability of foods were also categorized into fruits, fatty/salty/sugary (FSS), proteins and vegetables. |
| Nutritional knowledge survey | Duration of appointment, typically 2-3 hours | 15-item survey based on the counseling sessions with questions such as If I have vegetables at home, a healthy way to eat them would be: a) fresh, b) fried, c)with cheese dip, d)in a smoothie |
| Satisfaction Survey | Duration of appointment, typically 2-3 hours | 5-point satisfaction survey for participants who completed VR experience with questions such as The technology helps me remember what good food choices are (select one option): (1) Not at all, (2), (3) A little bit, (4), (5) A lot |
Countries
United States
Outcome results
None listed