The use of virtual reality in children undergoing vascular access procedures: a systematic review and meta-analysis.
Anxiety
Fear
Paediatrics
Pain
Vascular access
Virtual reality
Journal
Journal of clinical monitoring and computing
ISSN: 1573-2614
Titre abrégé: J Clin Monit Comput
Pays: Netherlands
ID NLM: 9806357
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
received:
16
05
2021
accepted:
21
05
2021
pubmed:
31
5
2021
medline:
22
7
2022
entrez:
30
5
2021
Statut:
ppublish
Résumé
Venous access procedures are painful and feared by children and their parents. Virtual reality has become increasingly prominent and has been shown to be effective in various procedures. The aim of this meta-analysis was to examine virtual reality's effect on pain and fear in children from 4 to 12 in the context of vascular access. From the 20th to the 26th December 2020, we searched Sciencedirect, Springerlink, CENTRAL, Pubmed and PMC. Studies using virtual reality versus a control in vascular access for children were included in a meta-analysis to evaluate the effect of virtual reality regarding pain as a primary and fear/anxiety as a secondary endpoint during the procedures. The Jadad scale and Delphi List were used to assess study quality. 20,894 citations were identified, 9 met our inclusion criteria. One publication was conducted in two different situations and was thus considered as 2 studies. Compared to standard of care, virtual reality significantly reduced pain (10 studies, 930 participants: standardized mean difference [SMD] 2.54, 95%CI 0.14-4.93, p = 0.038), and fear/anxiety (6 studies, 648 participants: SMD 0.89, 95%Cl 0.16-1.63, p = 0.017). For both parameters, we found significant heterogeneity between studies. This is the first meta-analysis to look at the use virtual reality in young children undergoing vascular access procedures, providing weak to moderate evidence for its use. Although large effect sizes provide evidence for a positive effect of virtual reality in reducing pain and fear, there is significant heterogeneity between studies. More research with larger groups and age stratification is required.
Identifiants
pubmed: 34052954
doi: 10.1007/s10877-021-00725-w
pii: 10.1007/s10877-021-00725-w
doi:
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1003-1012Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Nature B.V.
Références
Kilkelly U. Child-friendly health care: the views and experiences of children and young people in Council of Europe member States. 2011.
Kuensting LL, DeBoer S, Holleran R, Shultz BL, Steinmann RA, Venella J. DIFFICULT VENOUS ACCESS IN CHILDREN: TAKING CONTROL Identifying Children at Risk for Peripheral DVA. 2009;
Kennedy RM, Luhmann J, Zempsky WT. Clinical Implications of Unmanaged Needle-Insertion Pain and Distress in Children. 2008 [cited 2021 Mar 16]; Available from: www.pediatrics.org/cgi/doi/10.1542/
Walsh BM, Bartfield JM. Survey of parental willingness to pay and willingness to stay for “painless” intravenous catheter placement. Pediatr Emerg Care. 2006;22(11):699–703.
doi: 10.1097/01.pec.0000238743.96606.69
Brenner SM, Rupp VR, Boucher PharmD J, Weaver KDO, Dusza DrPH SW, Bokovoy DJ. Original Contribution A randomized, controlled trial to evaluate topical anesthetic for 15 minutes before venipuncture in pediatrics ☆,☆☆. Am J Emerg Med. 2013;31:20–5.
doi: 10.1016/j.ajem.2012.05.003
Fetzer SJ. Reducing venipuncture and intravenous insertion pain with eutectic mixture of local anesthetic: a meta-analysis. Nurs Res. 2002;51:119–24.
doi: 10.1097/00006199-200203000-00008
Chan E, Hovenden M, Ramage E, Ling N, Pham JH, Rahim A, et al. Virtual reality for pediatric needle procedural pain: two randomized clinical trials. J Pediatr. 2019;209:160–7.
doi: 10.1016/j.jpeds.2019.02.034
Vetri Buratti C, Angelino F, Sansoni J, Fabriani L, Mauro L, Latina R. Distraction as a technique to control pain in pediatric patients during venipuncture. A narrative review of literature. Prof Inferm Prof Inferm; 2015. p. 52–62
Virtual Reality | Definition of Virtual Reality by Merriam-Webster [Internet]. [cited 2021 Apr 8]. Available from: https://www.merriam-webster.com/dictionary/virtual reality
Lambert V, Boylan P, Boran L, Hicks P, Kirubakaran R, Devane D, et al. Virtual reality distraction for acute pain in children. Cochrane database Syst Rev. 2020;10:CD010686.
pubmed: 33089901
Özalp Gerçeker G, Ayar D, Özdemir EZ, Bektaş M. Effects of virtual reality on pain, fear and anxiety during blood draw in children aged 5–12 years old: a randomised controlled study. J Clin Nurs. 2020;29:1151–61.
doi: 10.1111/jocn.15173
Aydın Aİ, Özyazıcıoğlu N. Using a virtual reality headset to decrease pain felt during a venipuncture procedure in children. J Perianesthesia Nurs. 2019;34:1215–21.
doi: 10.1016/j.jopan.2019.05.134
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ Br Med J. 2021; 372:n71.
Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJM, Gavaghan DJ, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996;17:1–12.
doi: 10.1016/0197-2456(95)00134-4
Verhagen AP, De Vet HCW, De Bie RA, Kessels AGH, Boers M, Bouter LM, et al. The Delphi list: a criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus. J Clin Epidemiol. 1998;51:1235–41.
doi: 10.1016/S0895-4356(98)00131-0
Hla TK, Hegarty M, Russell P, Drake-Brockman TF, Ramgolam A, Von Ungern-Sternberg BS. Perception of pediatric pain: a comparison of postoperative pain assessments between child, parent, nurse, and independent observer. Paediatr Anaesth. 2014;24:1127–31.
doi: 10.1111/pan.12484
Viechtbauer W. Bias and efficiency of meta-analytic variance estimators in the random-effects model. J Educ Behav Stat. 2005;30:261–93.
doi: 10.3102/10769986030003261
Higgins JPT, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med Stat Med. 2002;21:1539–58.
doi: 10.1002/sim.1186
Gold JI, Kim SH, Kant AJ, Joseph MH, Rizzo A. Effectiveness of virtual reality for pediatric pain distraction during IV placement. Cyberpsychology Behav. 2006;9:207–12.
doi: 10.1089/cpb.2006.9.207
Gerçeker G, Binay Ş, Bilsin E, Kahraman A, Yılmaz HB. Effects of virtual reality and external cold and vibration on pain in 7- to 12-year-old children during phlebotomy: a randomized controlled trial. J Perianesthesia Nurs. 2018;33:981–9.
doi: 10.1016/j.jopan.2017.12.010
Babaie M, Farahani AS, Nourian M, Pourhoseingholi A, Masoumpour A. The effect of audio-visual distraction on catheterization pain among school-age children. Evid Based Care J. 2019;9:35–42.
İnangil D, Şendir M, Büyükyılmaz F. Efficacy of cartoon viewing devices during phlebotomy in children: a randomized controlled trial. J Perianesthesia Nurs. 2020;35:407–12.
doi: 10.1016/j.jopan.2020.01.008
Koç Özkan T, Polat F. The effect of virtual reality and kaleidoscope on pain and anxiety levels during venipuncture in children. J Perianesthesia Nurs. 2020;35:206–11.
doi: 10.1016/j.jopan.2019.08.010
Piskorz JE, Czub M, Šulžickaja B, Kiliś-Pstrusińska K. Mobile virtual reality distraction reduces needle pain and stress in children. Cyberpsychology. 2020. https://doi.org/10.5817/CP2020-1-3 .
doi: 10.5817/CP2020-1-3
Blount RL, Piira T, Cohen LL, Cheng PS. Pediatric procedural pain. Behav Modif Behav Modif. 2006;30(1):24–49.
doi: 10.1177/0145445505282438
Schmitz AK, Vierhaus M, Lohaus A. Pain tolerance in children and adolescents: sex differences and psychosocial influences on pain threshold and endurance. Eur J Pain (United Kingdom). 2013. https://doi.org/10.1002/j.1532-2149.2012.00169.x .
doi: 10.1002/j.1532-2149.2012.00169.x
Rezai MS, Goudarzian AH, Jafari-Koulaee A, Bagheri-Nesami M. The effect of distraction techniques on the pain of venipuncture in children: a systematic review. J Pediatr Rev. 2017;5(1):26–37.
Iannicelli AM, Vito D, Dodaro CA, De Matteo P, Nocerino R, Sepe A, et al. Does virtual reality reduce pain in pediatric patients? A systematic review. Italy J Pediatr. 2019;45(1):1–6.
doi: 10.1186/s13052-018-0596-4
Mahrer NE, Gold JI. The use of virtual reality for pain control: a review. Curr Pain Headache Rep. 2009;13(2):100–9.
doi: 10.1007/s11916-009-0019-8
Smith V, Warty RR, Sursas JA, Payne O, Nair A, Krishnan S, et al. The effectiveness of virtual reality in managing acute pain and anxiety for medical inpatients: systematic review. J Med Internet Res. 2020;22(11):e1798.
doi: 10.2196/17980
Eijlers R, Utens EMWJ, Staals LM, De Nijs PFA, Berghmans JM, Wijnen RMH, et al. Systematic review and meta-analysis of virtual reality in pediatrics: effects on pain and anxiety. Anesth Analg. 2019;129(5):1344.
doi: 10.1213/ANE.0000000000004165
Malloy KM, Milling LS. The effectiveness of virtual reality distraction for pain reduction: a systematic review. Clinical Psychol Rev. 2010;30(8):1011–8.
doi: 10.1016/j.cpr.2010.07.001
McMurtry CM, Pillai Riddell R, Taddio A, Racine N, Asmundson GJG, Noel M, et al. Far from “Just a Poke.” Clin J Pain. 2015. https://doi.org/10.1097/AJP.0000000000000272 .
doi: 10.1097/AJP.0000000000000272
pubmed: 26352921
pmcid: 4900433
Pancekauskaitė G, Jankauskaitė L. Paediatric pain medicine: pain differences, recognition and coping acute procedural pain in paediatric emergency room. Medicina. 2018;54(6):94.
doi: 10.3390/medicina54060094