Urinary Catheterization
Conditions
Keywords
Virtual Reality, Tablet-Based Distraction, Pediatric Patients, Urinary Catheterization, Behavioral Distress
Brief summary
This randomized controlled trial will evaluate the effect of Virtual Reality (VR) and tablet-based distraction techniques on children's behavioral distress during urinary catheterization, compared with a control group receiving standard care. Urinary catheterization is a painful and distressing procedure for children that requires effective non-pharmacological interventions to manage anxiety and pain. Participants will be randomly assigned to one of three groups: VR distraction, tablet-based distraction, or control. The findings of this study will provide evidence on the effectiveness of digital distraction methods in reducing behavioral distress and improving the overall experience for pediatric patients undergoing invasive procedures at specialized pediatric centers.
Detailed description
Urinary catheterization is a common yet highly stressful medical procedure in pediatric settings, often leading to significant behavioral distress, anxiety, and pain. High levels of distress can complicate the procedure and lead to negative psychological outcomes for the child. While traditional distraction methods exist, advanced technological approaches such as Virtual Reality (VR) and tablet-based games are gaining attention; however, more comparative evidence is needed regarding their efficacy during specific invasive procedures like catheterization. This study will be conducted as a randomized controlled trial at the Children's Welfare Teaching Hospital within the Medical City Complex in Baghdad. A total of \[Insert Number\] children requiring urinary catheterization will be enrolled and randomly assigned to one of three groups: Virtual Reality (VR) Group: Children will engage with immersive VR content using a headset during the procedure to provide a high level of sensory immersion. Tablet-Based Group: Children will use interactive games or videos on a handheld tablet, representing a more common digital distraction tool. Control Group: Children will receive routine procedural care or standard distraction as per the hospital's current protocols. Data will be collected using standardized tools to measure behavioral distress, such as the Observational Scale of Behavioral Distress-Revised (OSBD-R). The study will compare the effects of these distraction methods on the level of distress exhibited by the children before, during, and after the procedure. Additionally, the study aims to provide clinical evidence that can be integrated into nursing practice at the Children's Welfare Teaching Hospital to enhance the quality of pediatric nursing care and reduce the psychological impact of invasive procedures.
Interventions
DEVICEVirtual Reality Distraction
An immersive VR headset (e.g., Meta Quest or similar) displaying 3D animated content or interactive games specifically designed for pediatric distraction.
DEVICETablet-Based Distraction
A handheld tablet device (e.g., iPad or Android Tablet) providing two-dimensional interactive games or animated videos selected according to the child's preference.
Sponsors
nibras mohammed kadhim
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
participants will be randomly assigned to one of three parallel groups
Eligibility
Sex/Gender
ALL
Age
6 Years to 16 Years
Healthy volunteers
No
Inclusion criteria
* Age: Children aged 6 to 16 years. * Procedure: Children undergoing urinary catheterization at the Children's Welfare Teaching Hospital. * Cognitive Status: Children with normal cognitive development and the ability to follow instructions. * Sensory Ability: Children with normal or corrected-to-normal vision and hearing. * Consent: Obtaining written informed consent from the legal guardian and verbal assent from the child.
Exclusion criteria
* Medical History: History of epilepsy, seizures, or severe motion sickness (VR safety). * Emergency Cases: Children requiring urgent/emergency catheterization. * Disabilities: Children with intellectual disabilities or significant physical impairments.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Children's Behavioral Distress Level | Measurements recorded at three points: 2 minutes before (Baseline), during the procedure (2-5 minutes), and 2 minutes after completion (Recovery). | Behavioral distress will be assessed using the Observational Scale of Behavioral Distress-Revised (OSBD-R), specifically focusing on 8 key behavioral categories (such as crying, screaming, physical restraint, and verbal resistance). Each behavior is weighted based on its intensity to provide a comprehensive distress score. Data will be collected across three procedural phases to evaluate the effectiveness of Virtual Reality and Tablet-based distraction compared to standard care. Lower total scores indicate a reduction in behavioral distress |
Countries
Iraq
Contacts
CONTACTNibras Mohammed Kadhim, PHD
Outcome results
None listed