NCT06189222

Brief Summary

The purpose of this clinical trial is to evaluate the effect of the virtual reality glasses device on the child's emotional responses during invasive interventions in child health services. The main question it aims to answer are: \- Is there a difference between the emotional responses of children who watched cartoons with virtual reality glasses (experimental group) and the children in the control group during the intravenous catheter insertion process? First, the descriptive data form for the children was filled out for the control and study groups. Then, to distract the children during the application of the intravenous catheter, they watched cartoon videos of their choice for the 7-12 age group through virtual reality glasses by using a free internet application throughout the procedure. The procedure started with tying the tourniquet and continued until the intravenous catheter insertion was completed. During this period, the child's emotional responses were evaluated with the Children's Emotional Manifestation Scale. No intervention was applied to the control group. throughout the process the child's emotional responses were evaluated with the Children's Emotional Manifestation Scale. No intervention was applied to the control group.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
102

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Mar 2021

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 15, 2021

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 15, 2021

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2021

Completed
2.2 years until next milestone

First Submitted

Initial submission to the registry

December 7, 2023

Completed
27 days until next milestone

First Posted

Study publicly available on registry

January 3, 2024

Completed
Last Updated

January 3, 2024

Status Verified

December 1, 2023

Enrollment Period

1 month

First QC Date

December 7, 2023

Last Update Submit

December 19, 2023

Conditions

Keywords

Invasive procedures, Pediatrics, Emotion, Fear, Anxiety

Outcome Measures

Primary Outcomes (1)

  • The Children's Emotional Manifestation Scale (CEMS)

    The scale, which allows direct behavioral observation, consists of five different behavioral categories, namely facial expression, vocalization, activity, interaction, and level of cooperation. Each category includes five different observable behaviors rated by level and intensity. The scale is scored by reviewing descriptions of the behavior in each category and selecting the value that most represents the observed behavior. Each category is scored from 1 to 5. The scores obtained for each category are summed and a total score between 5- 25 is obtained. High scale scores indicate the exhibition of more negative emotional behaviors.

    7 months

Study Arms (2)

virtual reality glasses

EXPERIMENTAL

The sample of the research, which was carried out as a randomized controlled experimental study, consisted of 102 children, including 51 in the control group and 51 in the study group, who were aged between 7 and 12 and were on treatment in the emergency department. Research data were collected using a Descriptive Data Form for Children and the Children's Emotional Manifestation Scale. During the data collection phase, first, the Descriptive Data Form for Children was filled out for the control and study groups. No intervention was applied to the control group. After the tourniquet was tied in the study group, the children started watching a video of their choice through virtual reality glasses. When the process was completed, the video was stopped. During this period, the child was evaluated using the Children's Emotional Manifestation Scale.

Device: virtual reality glasses

standard care

NO INTERVENTION

Intervention during intravenous catheter insertion to the child

Interventions

The population of the study consisted of children who were aged between 7- 12 and were on treatment using an intravenous catheter in the pediatric emergency unit of a state hospital in Turkey.Participants were divided into two groups, namely experimental and control groups, by using simple randomization software. The design and implementation of the study were based on the principles in the CONSORT list (Consolidated Standards of Reporting Studies). Descriptive data form for children,this form was prepared to collect information about the children included in the sample. It consists of seven questions on children's sociodemographic characteristics and previous intravenous catheter insertion experience.The Children's Emotional Manifestation Scale (CEMS), this scale was developed by Li \& Lopez (2005) to measure children's emotional responses during stressful medical procedures. The VR glasses we used in our study were connected to a mobile phone.

virtual reality glasses

Eligibility Criteria

Age7 Years - 12 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Children who
  • were aged 7-12,
  • had parental permission,
  • gave verbal consent,
  • and whose parents could speak Turkish,
  • were conscious,
  • and did not have orthopedic, neurological, or sight-related problems that prevented wearing virtual reality glasses were included in the study.

You may not qualify if:

  • Children who
  • had a chronic disease that required frequent vascular access,
  • had visual and hearing impairments,
  • had a mental and neurological disability,
  • had previously participated in a similar study,
  • had a febrile illness at the time of application,
  • had a history of fainting during vascular access procedures, or
  • had used medication in the last 24 hours before the application, which might have an analgesic effect, were not included in the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Pamukkale University

Denizli, 20160, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: study group: children evaluated with virtual reality glasses control group: children receiving standard care
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Professional Nurse

Study Record Dates

First Submitted

December 7, 2023

First Posted

January 3, 2024

Study Start

March 15, 2021

Primary Completion

April 15, 2021

Study Completion

September 30, 2021

Last Updated

January 3, 2024

Record last verified: 2023-12

Locations