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Use of virtual reality, therapeutic play, and music for pain relief during vaccination in children aged 4 to 6 years

Effect of virtual reality, instructional therapeutic play, and music therapy versus usual care on pain during vaccination in children aged 4 to 6 years: a pilot randomized clinical trial protocol

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
REBEC
Registry ID
RBR-6nffmc2
Enrollment
60
Registered
2026-03-04
Start date
2026-07-01
Completion date
Unknown
Last updated
2026-03-30

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute Pain Pain Management

Interventions

It is a study that evaluates four groups with allocation defined by random sequence generation via Random computer software through opaque sealed and sequentially numbered envelopes and open label mas
in the Virtual Reality (VR) Intervention Group with 15 participants VR Shinecon brand glasses are used coupled to a Samsung A54 smartphone displaying three-dimensional video of the seabed and ocean so
in the Music Therapy Intervention Group with 15 participants the procedure occurs in a reserved room lasting 15 minutes before vaccination, conducted by a music therapist who uses active musical recep
in the Instructional Therapeutic Toy (BTI) Intervention Group with 15 participants the session lasts 15 minutes before vaccination and uses rag dolls and simulated materials such as syringes and vials
in the Control Group with 15 participants standard care is performed by nursing technicians consisting of verbal guidelines to parents and positioning the child on the lap in a vertical position witho

Sponsors

Universidade Estadual de Feira de Santana
Lead Sponsor
Universidade Estadual de Feira de Santana
Collaborator

Eligibility

Age
4 Years to 6 Years

Inclusion criteria

Inclusion criteria: Age 4 to 6 years 11 months and 29 days. Both sexes. Child awake. Child accompanied by parents or legal guardian over 18 years of age capable of consenting and native Portuguese speaker. No analgesics or sedatives received in the 12 hours prior to enrollment. Indication for varicella vaccine

Exclusion criteria

Exclusion criteria: Fever = 37.5°C on the day. Undergone needle interventions on the same day. Diagnosed with cognitive deficit or any psychiatric condition such as autism depression or anxiety. Severe neurological conditions that alter behavioral assessment such as epilepsy cerebral palsy or seizures. Withdrawal by the guardian. Visual or hearing impairment. Oculomotor and convergence disorders such as strabismus or nystagmus. History of migraine or labyrinthitis. Head injuries preventing painless placement of VR glasses

Design outcomes

Primary

MeasureTime frame
The primary outcome will be pain intensity measured by the self-report Faces Pain Scale-Revised (FPS-R) composed of six faces with scores from 0 to 10 being 0 no pain and 10 very much pain applied after the child stabilizes post-vaccination using the validated Portuguese version made available by the International Association for the Study of Pain (IASP)

Secondary

MeasureTime frame
Secondary outcomes will include feasibility analysis through eligibility and recruitment and retention and attrition and protocol fidelity and missing data and data loss rates as well as the satisfaction rate of the child and guardian and health professional involved in vaccination

Countries

BR

Contacts

Public ContactValesca Correia

Universidade Estadual de Feira de Santana

valesca@uefs.br+557531618089

Outcome results

None listed

Source: REBEC (via WHO ICTRP) · Data processed: Apr 4, 2026