Acute Pain, Juvenile Idiopahtic Arthritis, Procedural Anxiety
Conditions
Keywords
Virtual Reality, VR, JIA, Rheumatology
Brief summary
The goal of the project is to implement virtual reality for pain and anxiety management for patients undergoing intra-articular glucocorticoid injections in the outpatient pediatric rheumatology clinic.
Detailed description
To assess feasibility of VR use in the clinic, 10 patients will be recruited to use VR during non-sedated intra-articular (IA) glucocorticoid injections. All patients will be offered our typical analgesia (LMX topical cream, freeze spray, lidocaine injection). Patients and caregivers will be asked to fill out pre-injection and post-injection surveys, and staff (rheumatology clinic nurses) will be asked for feedback regarding feasibility of VR in clinical workflows. The specific aims of the study are to: Aim 1: Assess the feasibility and efficacy of VR use to reduce pain in patients undergoing non-sedated IA glucocorticoid injections at Nationwide Children's Hospital
Interventions
OTHERVR-PAT
Virtual Reality Pain Alleviation Therapeutic (VR-PAT) via a Pico Neo3 Pro Eye
Sponsors
Nationwide Children's Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
1. rheumatology patients (5-17 years old) who are undergoing an IA glucocorticoid injection in the Nationwide Children's Rheumatology Clinic, 2. have a legal guardian present for patients less than 18 years old for the procedure (for informed consent), and 3. can communicate orally.
Exclusion criteria
1. any wounds that may interfere with study procedures, 2. vision, hearing, or cognitive/motor impairments preventing valid administration of study measures, 3. history of motion sickness, seizure disorder, dizziness, or migraine headaches precipitated by visual auras, 4. minors in foster care, 5. unable to communicate in English, 6. pregnant women, or 7. prisoners
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Practicality/utility of the VR experience as a pain and anxiety management tool for IA joint injection procedures | Immediately following the IA joint injection procedure | Assessed by the nurse answering the following questions: "Is this distraction tool helpful during joint injection procedures (Yes/No)?" and "Is this distraction tool easy to use during joint injections (Yes/No)?" |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-reported change procedural anxiety | Immediately before the IA joint injection procedure and immediately after | 0-10 Numerical Rating Scale (NRS) (self-reported), 0(min)-10(max), with higher score indicating worse anxiety. |
| Self-reported pain | Immediately following the IA joint injection procedure | 0-10 Numerical Rating Scale (NRS) (self-reported), 0(min)-10(max), with higher score indicating worse pain. Asked for worst pain, average pain, and time spent thinking about pain. |
Countries
United States
Outcome results
None listed