Virtual reality (VR) to reduce anxiety in children in the plaster room: a study protocol for a randomised controlled trial

Abstract Background Paediatric fractures are highly prevalent and are most often treated with plaster. The removal of plaster is often an anxious experience for children. Virtual reality (VR) has proven to effectively distract children and reduce their anxiety in other clinical settings. This study...

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Main Authors: Lisa van der Water, Max A. Poppelaars, Iris Koenraadt-van Oost, Pieter Boele van Hensbroek, Christiaan J. A. van Bergen
Format: Article
Language:English
Published: BMC 2022-07-01
Series:Trials
Subjects:
Online Access:https://doi.org/10.1186/s13063-022-06488-2
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author Lisa van der Water
Max A. Poppelaars
Iris Koenraadt-van Oost
Pieter Boele van Hensbroek
Christiaan J. A. van Bergen
author_facet Lisa van der Water
Max A. Poppelaars
Iris Koenraadt-van Oost
Pieter Boele van Hensbroek
Christiaan J. A. van Bergen
author_sort Lisa van der Water
collection DOAJ
description Abstract Background Paediatric fractures are highly prevalent and are most often treated with plaster. The removal of plaster is often an anxious experience for children. Virtual reality (VR) has proven to effectively distract children and reduce their anxiety in other clinical settings. This study aims to investigate the effect of VR on the anxiety level of children with fractures that undergo plaster removal or replacement in the plaster room. Methods This study is designed as a randomised controlled trial (RCT). The sample size is 270 patients, aged 5 to 17 years, with a fracture of the upper or lower extremity treated with plaster. The intervention group will be distracted with VR goggles and headphones during the replacement or removal of the plaster, whereas the control group will receive standard care. As a primary outcome, the level of anxiety will be measured with the Child Fear Scale (CFS). Secondary outcomes include anxiety reduction (difference between CFS after and CFS before plaster procedure) and Numeric Rating Scales (NRS) pain and satisfaction. Additionally, the children’s fastest heart rate during the procedure will be recorded. An unpaired samples t-test or a Mann-Whitney U test (depending on the data distribution) will be used to analyse the data. Discussion When completed, this trial will provide evidence on the potential role of VR in children with fractures treated with plaster. The purpose is to increase the quality of healthcare by decreasing anxiety and possibly pain perception of children during a plaster procedure. Trial registration Netherlands Trial Register NL9065 . Registered on 27 November 2020
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spelling doaj.art-42cc8bcbb1ab444c96702a769fdd432f2022-12-22T00:42:05ZengBMCTrials1745-62152022-07-012311910.1186/s13063-022-06488-2Virtual reality (VR) to reduce anxiety in children in the plaster room: a study protocol for a randomised controlled trialLisa van der Water0Max A. Poppelaars1Iris Koenraadt-van Oost2Pieter Boele van Hensbroek3Christiaan J. A. van Bergen4Department of Orthopaedic Surgery, Amphia HospitalDepartment of Orthopaedic Surgery, Amphia HospitalFoundation for Orthopaedic Research, Care & Education, Amphia HospitalDepartment of Trauma Surgery, Amphia HospitalDepartment of Orthopaedic Surgery, Amphia HospitalAbstract Background Paediatric fractures are highly prevalent and are most often treated with plaster. The removal of plaster is often an anxious experience for children. Virtual reality (VR) has proven to effectively distract children and reduce their anxiety in other clinical settings. This study aims to investigate the effect of VR on the anxiety level of children with fractures that undergo plaster removal or replacement in the plaster room. Methods This study is designed as a randomised controlled trial (RCT). The sample size is 270 patients, aged 5 to 17 years, with a fracture of the upper or lower extremity treated with plaster. The intervention group will be distracted with VR goggles and headphones during the replacement or removal of the plaster, whereas the control group will receive standard care. As a primary outcome, the level of anxiety will be measured with the Child Fear Scale (CFS). Secondary outcomes include anxiety reduction (difference between CFS after and CFS before plaster procedure) and Numeric Rating Scales (NRS) pain and satisfaction. Additionally, the children’s fastest heart rate during the procedure will be recorded. An unpaired samples t-test or a Mann-Whitney U test (depending on the data distribution) will be used to analyse the data. Discussion When completed, this trial will provide evidence on the potential role of VR in children with fractures treated with plaster. The purpose is to increase the quality of healthcare by decreasing anxiety and possibly pain perception of children during a plaster procedure. Trial registration Netherlands Trial Register NL9065 . Registered on 27 November 2020https://doi.org/10.1186/s13063-022-06488-2Virtual realityVRChildrenAnxietyPlasterFracture
spellingShingle Lisa van der Water
Max A. Poppelaars
Iris Koenraadt-van Oost
Pieter Boele van Hensbroek
Christiaan J. A. van Bergen
Virtual reality (VR) to reduce anxiety in children in the plaster room: a study protocol for a randomised controlled trial
Trials
Virtual reality
VR
Children
Anxiety
Plaster
Fracture
title Virtual reality (VR) to reduce anxiety in children in the plaster room: a study protocol for a randomised controlled trial
title_full Virtual reality (VR) to reduce anxiety in children in the plaster room: a study protocol for a randomised controlled trial
title_fullStr Virtual reality (VR) to reduce anxiety in children in the plaster room: a study protocol for a randomised controlled trial
title_full_unstemmed Virtual reality (VR) to reduce anxiety in children in the plaster room: a study protocol for a randomised controlled trial
title_short Virtual reality (VR) to reduce anxiety in children in the plaster room: a study protocol for a randomised controlled trial
title_sort virtual reality vr to reduce anxiety in children in the plaster room a study protocol for a randomised controlled trial
topic Virtual reality
VR
Children
Anxiety
Plaster
Fracture
url https://doi.org/10.1186/s13063-022-06488-2
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