Pediatric Cancer
Conditions
Brief summary
This study will explore the potential benefits of a virtual reality gaming program that focuses on mindfulness and exercise among pediatric cancer rehabilitation patients. The program will last 8 weeks outside of the hospital. Participants will start immediately in the hospital (immediate start group) or wait 8 weeks after hospital discharge to start the program (waitlist control group).
Interventions
Participants will use a Meta Quest virtual reality headset and play video games for exercise and mindfulness. They will start using the headsets in the hospital and then will continue to do so for 8 weeks after hospital discharge.
Participants will receive usual care in the hospital and outside of the hospital for 8 weeks. After the 8 week post-discharge period, participants will use a Meta Quest virtual reality headset and play video games for exercise and mindfulness for an 8 week period.
Sponsors
Study design
Intervention model description
There will be 2 parallel groups, immediate start group and waitlist control group. Once control participants finish the wait period (8 weeks), they will start the intervention (8 weeks). Participants in the immediate start group will start exercise and mindfulness in the hospital and continue the program for 8 weeks outside of the hospital.
Eligibility
Inclusion criteria
* \>7 years of age * medical diagnosis of malignancy or non-malignant condition requiring hematopoietic stem cell transplant or a hospital stay that is anticipated to last for at least 2 weeks * a caregiver who can assist the child with the study procedures
Exclusion criteria
* complete blindness or deafness * inability to operate the hand-held controllers * susceptible to motion sickness in virtual reality * inability to communicate in English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physical activity | Daily, starting after consent in the hospital (week 0) and ending after the intervention (intervention week 9) | Steps per day measured by a tri-axial accelerometer (Fitbit Flex). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Minutes of gameplay | Hospital discharge (approximately week 4), Intervention week 4, and Intervention Week 8. | Minutes of gameplay measured by the Meta Quest headset. |
| Global Health | Week 0, ~Week 2 (Post-Transplant), ~Week 4 (hospital discharge), Intervention or Wait Period Week 4, Intervention or Wait Period Week 8. | National Institutes of Health (NIH) PROMIS Global Health Short Form 7+2 survey. The scale consists of 7 items that are summarized into a single score of overall health. Participants respond to items without a recall period on how they would rate their overall health, quality of life, and their physical, mental, and social health, using a 5-point Likert scale with varying response categories. |
| Forced Expiratory Volume in the first second (FEV1) | Week 0, ~Week 2 (Post-Transplant), ~Week 4 (hospital discharge), Intervention or Wait Period Week 4, Intervention or Wait Period Week 8. | FEV1 (Liters) by a Spirometer |
Countries
United States