Acceptability and Usability of Smileyscope Virtual Reality for Paediatric Pain Management During Burn Procedures: Perspectives of Patients, Carers and Clinicians.
acceptability
burns
children
feasibility
painful procedures
virtual reality
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
03 Sep 2024
03 Sep 2024
Historique:
revised:
31
07
2024
received:
22
12
2023
accepted:
11
08
2024
medline:
4
9
2024
pubmed:
4
9
2024
entrez:
3
9
2024
Statut:
aheadofprint
Résumé
To explore clinician, child and parent acceptability and usability of the Smileyscope VR device in the context of addressing the unique pain and distress needs of young burn patients. A survey comprising closed and open-ended questions. Descriptive statistics analysed participant characteristics, pain and analgesia. Qualitative content was collected from April 2022-August 2022 and analysed to identify barriers and enablers. Categories were then mapped onto the Capabilities, Opportunities and Motivation-Behaviour Wheel (COM-B) framework. Smileyscope was found to be effective for reducing pain and anxiety during dressing changes by both patients (n = 39) and parents (n = 37). Clinicians (n = 35) reported high self-efficacy and willingness to reuse the device. However, concerns arose regarding the device's fit and the need for age-appropriate programmes. Smileyscope demonstrated promise in reducing procedural pain and distress. The device is well accepted by all participants implying ease of implementation. Feedback suggests further program development and fitting optimisation is required. Improved procedural pain has proven to decrease wound healing times, decreasing possible need for further scar management and long-term consequences after sustaining a burn injury. Smileyscope use in rural hospitals presents valuable opportunities for optimising early paediatric burn pain. Increased burn pain can delay wound healing and have long term physical and psychological impact on patients. Smileyscope was well received within this cohort; however, improvements in device design and programmes were suggested. This study shows the potential for use of Smileyscope as a non-pharmacological approach to improving paediatric burn pain and distress. While our study included patients, parents and clinicians as research participants, there was no patient or public contribution in the design or conduct of the study, analysis or interpretation of the data.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.
Références
Armstrong, M., J. Lun, J. I. Groner, et al. 2022. “Mobile Phone Virtual Reality Game for Pediatric Home Burn Dressing Pain Management: A Randomized Feasibility Clinical Trial.” Pilot and Feasibility Studies 8, no. 1: 186. https://doi.org/10.1186/s40814‐022‐01150‐9.
Balanyuk, I., G. Ledonne, M. Provenzano, et al. 2018. “Distraction Technique for Pain Reduction in Peripheral Venous Catheterization: Randomized, Controlled Trial.” Acta Bio Medica: Atenei Parmensis 89, no. 4‐S: 55–63. https://doi.org/10.23750/abm.v89i4‐S.7115.
Bauer, M. S., and J. Kirchner. 2020. “Implementation Science: What Is It and Why Should I Care?” Psychiatry Research 283: 112376. https://doi.org/10.1016/j.psychres.2019.04.025.
Bayat, A., R. Ramaiah, and S. M. Bhananker. 2010. “Analgesia and Sedation for Children Undergoing Burn Wound Care.” Expert Review of Neurotherapeutics 10, no. 11: 1747–1759. https://doi.org/10.1586/ern.10.158.
Berduszek, R. J., H. A. Reinders‐Messelink, P. U. Dijkstra, and C. K. van der Sluis. 2022. “Comparison Between Patient‐Reported and Physician‐Estimated Pain and Disability in Hand and Wrist Disorders.” Musculoskeletal Care 20, no. 2: 354–362. https://doi.org/10.1002/msc.1598.
Brown, E., A. De Young, R. Kimble, and J. Kenardy. 2018. “Review of a Parent's Influence on Pediatric Procedural Distress and Recovery.” Clinical Child and Family Psychology Review 21, no. 2: 224–245. https://doi.org/10.1007/s10567‐017‐0252‐3.
Brown, E. A., A. De Young, R. Kimble, and J. Kenardy. 2019a. “Impact of Parental Acute Psychological Distress on Young Child Pain‐Related Behavior Through Differences in Parenting Behavior During Pediatric Burn Wound Care.” Journal of Clinical Psychology in Medical Settings 26, no. 4: 516–529. https://doi.org/10.1007/s10880‐018‐9596‐1.
Brown, E. A., A. De Young, R. Kimble, and J. Kenardy. 2019b. “The Role of Parental Acute Psychological Distress in Paediatric Burn Re‐Epithelialization.” British Journal of Health Psychology 24, no. 4: 876–895. https://doi.org/10.1111/bjhp.12384.
Brown, E. A., M. Egberts, R. Wardhani, et al. 2020. “Parent and Clinician Communication During Paediatric Burn Wound Care: A Qualitative Study.” Journal of Pediatric Nursing 55: 147–154. https://doi.org/10.1016/j.pedn.2020.08.003.
Brown, N. J., R. M. Kimble, G. Gramotnev, S. Rodger, and L. Cuttle. 2013. “Predictors of Re‐Epithelialization in Pediatric Burn.” Burns 40: 751–758. https://doi.org/10.1016/j.burns.2013.09.027.
Brown, N. J., R. M. Kimble, S. Rodger, R. S. Ware, and L. Cuttle. 2013. “Play and Heal: Randomized Controlled Trial of Ditto™ Intervention Efficacy on Improving Re‐Epithelialization in Pediatric Burns.” Burns 40, no. 2: 204–213. https://doi.org/10.1016/j.burns.2013.11.024.
Brown, N. J., R. M. Kimble, S. Rodger, et al. 2014. “Biological Markers of Stress in Pediatric Acute Burn Injury.” Burns 40, no. 5: 887–895. https://doi.org/10.1016/j.burns.2013.12.001.
Chan, E., M. Hovenden, E. Ramage, et al. 2019. “Virtual Reality for Pediatric Needle Procedural Pain: Two Randomized Clinical Trials.” Journal of Pediatrics 209: 160–167.e4. https://doi.org/10.1016/j.jpeds.2019.02.034.
Choinière, M., R. Melzack, N. Girard, J. Rondeau, and M.‐J. Paquin. 1990. “Comparisons Between Patients' and Nurses' Assessment of Pain and Medication Efficacy in Severe Burn Injuries.” Pain 40, no. 2: 143–152. https://doi.org/10.1016/0304‐3959(90)90065‐L.
Chu, H., R. Brailey, E. Clarke, and S. K. Sen. 2021. “Reducing Pain Through Distraction Therapy in Small Acute Paediatric Burns.” Burns 47, no. 7: 1635–1638. https://doi.org/10.1016/j.burns.2021.01.012.
Crellin, D., D. Harrison, N. Santamaria, and F. E. Babl. 2021. “Comparison of the Psychometric Properties of the FLACC Scale, the MBPS and the Observer Applied Visual Analogue Scale Used to Assess Procedural Pain.” Journal of Pain Research 14: 881–892. https://doi.org/10.2147/JPR.S267839.
De Young, A. C., J. Hendrikz, J. A. Kenardy, V. E. Cobham, and R. M. Kimble. 2014. “Prospective Evaluation of Parent Distress Following Pediatric Burns and Identification of Risk Factors for Young Child and Parent Posttraumatic Stress Disorder.” Journal of Child and Adolescent Psychopharmacology 24, no. 1: 9–17. https://doi.org/10.1089/cap.2013.0066.
De Young, A. C., J. A. Kenardy, V. E. Cobham, and R. Kimble. 2012. “Prevalence, Comorbidity and Course of Trauma Reactions in Young Burn‐Injured Children.” Journal of Child Psychology and Psychiatry 53, no. 1: 56–63. https://doi.org/10.1111/j.1469‐7610.2011.02431.x.
Fagin, A., and T. L. Palmieri. 2017. “Considerations for Pediatric Burn Sedation and Analgesia.” Burns and Trauma 5: 28. https://doi.org/10.1186/s41038‐017‐0094‐8.
Fetters, M. D., L. A. Curry, and J. W. Creswell. 2013. “Achieving Integration in Mixed Methods Designs‐Principles and Practices.” Health Services Research 48, no. 6 Pt 2: 2134–2156. https://doi.org/10.1111/1475‐6773.12117.
Gillum, M., S. Huang, Y. Kuromaru, J. Dang, H. A. Yenikomshian, and T. J. Gillenwater. 2022. “Nonpharmacologic Management of Procedural Pain in Pediatric Burn Patients: A Systematic Review of Randomized Controlled Trials.” Journal of Burn Care & Research 43, no. 2: 368–373. https://doi.org/10.1093/jbcr/irab167.
Gold, J. I., M. SooHoo, A. M. Laikin, A. S. Lane, and M. J. Klein. 2021. “Effect of an Immersive Virtual Reality Intervention on Pain and Anxiety Associated With Peripheral Intravenous Catheter Placement in the Pediatric Setting: A Randomized Clinical Trial.” JAMA Network Open 4, no. 8: e2122569. https://doi.org/10.1001/jamanetworkopen.2021.22569.
Griggs, C., J. Goverman, E. A. Bittner, and B. Levi. 2017. “Sedation and Pain Management in Burn Patients.” Clinics in Plastic Surgery 44, no. 3: 535–540. https://doi.org/10.1016/j.cps.2017.02.026.
Guetterman, T., M. Fetters, and J. Creswell. 2015. “Integrating Quantitative and Qualitative Results in Health Science Mixed Methods Research Through Joint Displays.” Annals of Family Medicine 13: 554–561. https://doi.org/10.1370/afm.1865.
Hansen, J. K., J. Voss, H. Ganatra, et al. 2019. “Sedation and Analgesia During Pediatric Burn Dressing Change: A Survey of American Burn Association Centers.” Journal of Burn Care & Research 40, no. 3: 287–293. https://doi.org/10.1093/jbcr/irz023.
He, Z. H., H. M. Yang, R. D. Dela Rosa, and M. B. De Ala. 2022. “The Effects of Virtual Reality Technology on Reducing Pain in Wound Care: A Meta‐Analysis and Systematic Review.” International Wound Journal 19, no. 7: 1810–1820. https://doi.org/10.1111/iwj.13785.
Hicks, C. L., C. L. von Baeyer, P. A. Spafford, I. van Korlaar, and B. Goodenough. 2001. “The Faces Pain Scale–Revised: Toward a Common Metric in Pediatric Pain Measurement.” Pain 93, no. 2: 173–183. https://doi.org/10.1016/S0304‐3959(01)00314‐1.
Hoffman, H. G., G. T. Chambers, W. J. Meyer 3rd, et al. 2011. “Virtual Reality as an Adjunctive Non‐Pharmacologic Analgesic for Acute Burn Pain During Medical Procedures.” Annals of Behavioral Medicine 41, no. 2: 183–191. https://doi.org/10.1007/s12160‐010‐9248‐7.
Hoffman, H. G., J. N. Doctor, D. R. Patterson, G. J. Carrougher, and T. A. Furness 3rd. 2000. “Virtual Reality as an Adjunctive Pain Control During Burn Wound Care in Adolescent Patients.” Pain 85, no. 1–2: 305–309. https://doi.org/10.1016/s0304‐3959(99)00275‐4.
Hoffman, H. G., D. R. Patterson, G. J. Carrougher, and S. R. Sharar. 2001. “Effectiveness of Virtual Reality‐Based Pain Control With Multiple Treatments.” Clinical Journal of Pain 17, no. 3: 229–235. https://doi.org/10.1097/00002508‐200109000‐00007.
Hoffman, H. G., D. R. Patterson, J. Magula, et al. 2004. “Water‐Friendly Virtual Reality Pain Control During Wound Care.” Journal of Clinical Psychology 60, no. 2: 189–195. https://doi.org/10.1002/jclp.10244.
Hoffman, H. G., D. R. Patterson, R. A. Rodriguez, R. Pena, W. Beck, and W. J. Meyer. 2020. “Virtual Reality Analgesia for Children With Large Severe Burn Wounds During Burn Wound Debridement.” Frontiers in Virtual Reality 1: 602299. https://doi.org/10.3389/frvir.2020.602299.
Hoffman, H. G., R. A. Rodriguez, M. Gonzalez, et al. 2019. “Immersive Virtual Reality as an Adjunctive Non‐Opioid Analgesic for Pre‐Dominantly Latin American Children With Large Severe Burn Wounds During Burn Wound Cleaning in the Intensive Care Unit: A Pilot Study.” Frontiers in Human Neuroscience 13: 262. https://doi.org/10.3389/fnhum.2019.00262.
Holbert, M. D., R. M. Kimble, L. V. Jones, S. H. Ahmed, and B. R. Griffin. 2021. “Risk Factors Associated With Higher Pain Levels Among Pediatric Burn Patients: A Retrospective Cohort Study.” Regional Anesthesia and Pain Medicine 46, no. 3: 222–227. https://doi.org/10.1136/rapm‐2020‐101691.
Holtman, J. R., Jr., and W. S. Jellish. 2012. “Opioid‐Induced Hyperalgesia and Burn Pain.” Journal of Burn Care & Research 33, no. 6: 692–701. https://doi.org/10.1097/BCR.0b013e31825adcb0.
Hornsby, N., L. Blom, and M. Sengoelge. 2020. “Psychosocial Interventions Targeting Recovery in Child and Adolescent Burns: A Systematic Review.” Journal of Pediatric Psychology 45, no. 1: 15–33. https://doi.org/10.1093/jpepsy/jsz087.
Hua, Y., R. Qiu, W. Y. Yao, Q. Zhang, and X. L. Chen. 2015. “The Effect of Virtual Reality Distraction on Pain Relief During Dressing Changes in Children With Chronic Wounds on Lower Limbs.” Pain Management Nursing 16, no. 5: 685–691. https://doi.org/10.1016/j.pmn.2015.03.001.
Jeffs, D., D. Dorman, S. Brown, et al. 2014. “Effect of Virtual Reality on Adolescent Pain During Burn Wound Care.” Journal of Burn Care & Research 35, no. 5: 395–408. https://doi.org/10.1097/BCR.0000000000000019.
Kaheni, S., M. Sadegh Rezai, M. Bagheri‐Nesami, and A. Hossein Goudarzian. 2016. “The Effect of Distraction Technique on the Pain of Dressing Change Amoung 3–6 Year Old Children.” International Journal of Pediatrics 4, no. 4: 1603–1610.
Kim, D. E., K. A. Pruskowski, C. R. Ainsworth, H. R. Linsenbardt, J. A. Rizzo, and L. C. Cancio. 2019. “A Review of Adjunctive Therapies for Burn Injury Pain During the Opioid Crisis.” Journal of Burn Care & Research 40, no. 6: 983–995. https://doi.org/10.1093/jbcr/irz111.
Kipping, B., S. Rodger, K. Miller, and R. M. Kimble. 2012. “Virtual Reality for Acute Pain Reduction in Adolescents Undergoing Burn Wound Care: A Prospective Randomized Controlled Trial.” Burns 38, no. 5: 650–657. https://doi.org/10.1016/j.burns.2011.11.010.
Lauwens, Y., F. Rafaatpoor, K. Corbeel, S. Broekmans, J. Toelen, and K. Allegaert. 2020. “Immersive Virtual Reality as Analgesia During Dressing Changes of Hospitalized Children and Adolescents With Burns: A Systematic Review With Meta‐Analysis.” Children 7, no. 11: 194. https://doi.org/10.3390/children7110194.
Lifland, B. E., R. Mangione‐Smith, T. M. Palermo, and J. A. Rabbitts. 2018. “Agreement Between Parent Proxy Report and Child Self‐Report of Pain Intensity and Health‐Related Quality of Life After Surgery.” Academic Pediatrics 18, no. 4: 376–383. https://doi.org/10.1016/j.acap.2017.12.001.
Markus, L. A., K. E. Willems, C. C. Maruna, et al. 2009. “Virtual Reality: Feasibility of Implementation in a Regional Burn Center.” Burns 35, no. 7: 967–969. https://doi.org/10.1016/j.burns.2009.01.013.
McCarthy, A. M., C. Kleiber, K. Hanrahan, M. B. Zimmerman, N. Westhus, and S. Allen. 2010. “Impact of Parent‐Provided Distraction on Child Responses to an IV Insertion.” Children's Health Care 39, no. 2: 125–141. https://doi.org/10.1080/02739611003679915.
Michie, S., M. M. van Stralen, and R. West. 2011. “The Behaviour Change Wheel: A New Method for Characterising and Designing Behaviour Change Interventions.” Implementation Science 6: 42. https://doi.org/10.1186/1748‐5908‐6‐42.
Miller, K., S. Rodger, B. Kipping, and R. M. Kimble. 2011. “A Novel Technology Approach to Pain Management in Children With Burns: A Prospective Randomized Controlled Trial.” Burns 37, no. 3: 395–405. https://doi.org/10.1016/j.burns.2010.12.008.
Mosso, J. L., A. Gorini, G. De La Cerda, et al. 2009. “Virtual Reality on Mobile Phones to Reduce Anxiety in Outpatient Surgery.” Studies in Health Technology and Informatics 142: 195–200. https://www.ncbi.nlm.nih.gov/pubmed/19377147.
Patterson, D. R., S. Drever, M. Soltani, et al. 2022. “A Comparison of Interactive Immersive Virtual Reality and Still Nature Pictures as Distraction‐Based Analgesia in Burn Wound Care.” Burns 49: 182–192. https://doi.org/10.1016/j.burns.2022.02.002.
Preston, D., and A. Ambardekar. 2020. “The Pediatric Curn: Current Trends and Future Directions.” Anesthesiology Clinics 38, no. 3: 517–530. https://doi.org/10.1016/j.anclin.2020.05.003.
Sekhon, M., M. Cartwright, and J. J. Francis. 2022. “Development of a Theory‐Informed Questionnaire to Assess the Acceptability of Healthcare Interventions.” BMC Health Services Research 22, no. 1: 279. https://doi.org/10.1186/s12913‐022‐07577‐3.
Smith, K. L., Y. Wang, and L. Colloca. 2022. “Impact of Virtual Reality Technology on Pain and Anxiety in Pediatric Burn Patients: A Systematic Review and Meta‐Analysis.” Frontiers in Virtual Reality 2: 751735. https://doi.org/10.3389/frvir.2021.751735.
Solomon, P. 2001. “Congruence Between Health Professionals' and Patients' Pain Ratings: A Review of the Literature.” Scandinavian Journal of Caring Sciences 15, no. 2: 174–180.
Srouji, R., S. Ratnapalan, and S. Schneeweiss. 2010. “Pain in Children: Assessment and Nonpharmacological Management.” International Journal of Pediatrics 2010: 1–11. https://doi.org/10.1155/2010/474838.
Stockton, K. A., J. Harvey, and R. M. Kimble. 2015. “A Prospective Observational Study Investigating All Children Presenting to a Specialty Paediatric Burns Centre.” Burns 41, no. 3: 476–483. https://doi.org/10.1016/j.burns.2014.09.018.
Summer, G. J., K. A. Puntillo, C. Miaskowski, P. G. Green, and J. D. Levine. 2007. “Burn Injury Pain: The Continuing Challenge.” Journal of Pain 8, no. 7: 533–548. https://doi.org/10.1016/j.jpain.2007.02.426.
Tennant, M., N. Anderson, G. J. Youssef, et al. 2021. “Effects of Immersive Virtual Reality Exposure in Preparing Pediatric Oncology Patients for Radiation Therapy.” Technical Innovations and Patient Support in Radiation Oncology 19: 18–25. https://doi.org/10.1016/j.tipsro.2021.06.001.
Tomlinson, D., C. L. von Baeyer, J. N. Stinson, and L. Sung. 2010. “A Systematic Review of Faces Scales for the Self‐Report of Pain Intensity in Children.” Pediatrics 126, no. 5: e1168–e1198. https://doi.org/10.1542/peds.2010‐1609.
Vears, D. F., and L. Gillam. 2022. “Inductive Content Analysis: A Guide for Beginning Qualitative Researchers.” Focus on Health Professional Education: A Multi‐Professional Journal 23, no. 1: 11–127. https://doi.org/10.11157/fohpe.v23i1.544.
Xiang, H., J. Shen, K. K. Wheeler, et al. 2021. “Efficacy of Smartphone Active and Passive Virtual Reality Distraction vs Standard Care on Burn Pain Among Pediatric Patients: A Randomized Clinical Trial.” JAMA Network Open 4, no. 6: e2112082. https://doi.org/10.1001/jamanetworkopen.2021.12082.
Zanatta, F., A. Giardini, A. Pierobon, M. D'Addario, and P. Steca. 2022. “A Systematic Review on the Usability of Robotic and Virtual Reality Devices in Neuromotor Rehabilitation: Patients' and Healthcare Professionals' Perspective.” BMC Health Services Research 22, no. 1: 523. https://doi.org/10.1186/s12913‐022‐07821‐w.