Virtual Reality Implantation in Paediatric Rehabilitation (IMPLANT-VR4 CHILD)

NCT06627049 | Recruiting

• 1 other identifier: RI2024_008
• Study Type: observational
• Target: 39
• Locations: 1 country
• Sites: 2

Brief Summary

Virtual Reality Implementation in Paediatric Rehabilitation (IMPLANT-VR 4 CHILD) Virtual Reality (VR) and Active Video Games (AVG) are promising devices for children in need of rehabilitation. VR and AVG have been widely studied in research, with promising results in a number of areas, including motor function, cognitive function, pain management and attention disorders. However, despite these promising results and the enthusiasm they generate in research, VR and AVG are rarely used in clinical practice, particularly in the paediatric services of Ty Yann and Perharidy of the ILDYS Foundation. There is a strong demand from professionals for these tools to be better integrate these devices into their clinical practice. The project is to conduct an action research with rehabilitation professionals, health managers and children in need of rehabilitation in order to facilitate the implementation of VR and AVG in the paediatric rehabilitation services of Ty Yann and Perharidy. Firstly, the facilitators and barriers present in these services will be identified. Then, specific strategies to facilitate the implementation of VR will be used. Finally, the impact of these strategies on the use of VR will be evaluated.

Conditions

Children with Undergoing Rehabilitation

Keywords

Virtual Reality; Active Video Games; Paediatric rehabilitation; Implementation Science; Action Research

Outcome Measures

Primary Outcomes (2)

• Form of the number of uses per week

  This form will be used to record the use of VR tools in paediatric rehabilitation, in order to extract the number of times VR devices are used per week. Thanks to this form, we will be able to know if the use of VR devices has increased after the implementation of the strategies. This form will be introduced before, during and after the implementation of the strategies in order to quantify changes in the use of VR. The professionals will complete this form at each session.

  October 2024 - november 2025

• Focus group and interviews based on the Consolidated Framework for Implementation Research (CFIR)

  The CFIR is a conceptual framework used to guide the implementation process. We will use focus groups and interviews to assess facilitators and barriers to the use and the implementation of VR. These results will help us to implement specific strategies. Focus group and interviews will be used to evaluate the strategies. Qualitative methods will be used in Stage 1 to select the strategies to be implemented to improve the use of VR. In Stage 3, the focus group and interviews will be used to gather the views of professionals, decision makers and children on the strategies.

  October 2024 - november 2025

Study Arms (3)

Rehabilitation professionals

Pediatric rehabilitation professionals

Other: Focus group; Other: Implementing facilitating strategies

Decision makers

healthcare managers or directors

Other: Interviews

Children

Children in paediatric rehabilitation services

Other: Focus group; Other: Implementing facilitating strategies

Interventions

Focus group OTHER

Focus group to evaluate the facilitators and barriers to the use of virtual reality.

Children; Rehabilitation professionals

Implementing facilitating strategies OTHER

Implement strategies to facilitate the integration of virtual reality into rehabilitation sessions.

Children; Rehabilitation professionals

Interviews OTHER

Interviews to evaluate the facilitators and barriers to the use of virtual reality.

Decision makers

Eligibility Criteria

• Age: 6 Years - 99 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Pediatric rehabilitation professionals ; Children in paediatric rehabilitation services ; Decision makers of the rehabilitation centre

You may qualify if:

• Rehabilitation professional
• Be fluent in French.
• Work in the paediatric wards at Ty Yann or Perharidy.
• Consent to data processing
• Be aged between 6 and 18.
• Be fluent in French.
• Have received rehabilitation treatment in the Ty Yann or Perharidy paediatric services.
• Have already used virtual reality in a rehabilitation session.
• Have the consent of the child and his/her legal representative to take part in the study.
• Work at the ILDYS Foundation as a health executive or within the management team.
• Be fluent in French.
• Consent to data processing

You may not qualify if:

• Not being able to understand focus group or interview questions.
• Not being able to communicate during focus groups or interviews.

Sponsors & Collaborators

• Fondation Ildys: lead

Study Sites (2)

Fondation ILDYS, Site de Ty Yann

Brest, 29218, France

RECRUITING

Fondation ILDYS, Site de Perharidy

Roscoff, 29680, France

RECRUITING

Related Publications (26)

• Cordeiro L, Soares CB. Action research in the healthcare field: a scoping review. JBI Database System Rev Implement Rep. 2018 Apr;16(4):1003-1047. doi: 10.11124/JBISRIR-2016-003200.

  PMID: 29634517 BACKGROUND

• Waltz TJ, Powell BJ, Fernandez ME, Abadie B, Damschroder LJ. Choosing implementation strategies to address contextual barriers: diversity in recommendations and future directions. Implement Sci. 2019 Apr 29;14(1):42. doi: 10.1186/s13012-019-0892-4.

  PMID: 31036028 BACKGROUND

• Glegg SMN, Holsti L, Stanton S, Hanna S, Velikonja D, Ansley B, Sartor D, Brum C. Evaluating change in virtual reality adoption for brain injury rehabilitation following knowledge translation. Disabil Rehabil Assist Technol. 2017 Apr;12(3):217-226. doi: 10.3109/17483107.2015.1111944. Epub 2016 Jan 10.

  PMID: 28508725 BACKGROUND

• Levac D, Glegg SM, Sveistrup H, Colquhoun H, Miller PA, Finestone H, DePaul V, Harris JE, Velikonja D. A knowledge translation intervention to enhance clinical application of a virtual reality system in stroke rehabilitation. BMC Health Serv Res. 2016 Oct 6;16(1):557. doi: 10.1186/s12913-016-1807-6.

  PMID: 27716179 BACKGROUND

• Kouijzer MMTE, Kip H, Bouman YHA, Kelders SM. Implementation of virtual reality in healthcare: a scoping review on the implementation process of virtual reality in various healthcare settings. Implement Sci Commun. 2023 Jun 16;4(1):67. doi: 10.1186/s43058-023-00442-2.

  PMID: 37328858 BACKGROUND

• Banerjee-Guenette P, Bigford S, Glegg SMN. Facilitating the Implementation of Virtual Reality-Based Therapies in Pediatric Rehabilitation. Phys Occup Ther Pediatr. 2020;40(2):201-216. doi: 10.1080/01942638.2019.1650867. Epub 2019 Aug 16.

  PMID: 31416381 BACKGROUND

• Levac D, Glegg S, Colquhoun H, Miller P, Noubary F. Virtual Reality and Active Videogame-Based Practice, Learning Needs, and Preferences: A Cross-Canada Survey of Physical Therapists and Occupational Therapists. Games Health J. 2017 Aug;6(4):217-228. doi: 10.1089/g4h.2016.0089.

  PMID: 28816511 BACKGROUND

• Green LW, Ottoson JM, Garcia C, Hiatt RA. Diffusion theory and knowledge dissemination, utilization, and integration in public health. Annu Rev Public Health. 2009;30:151-74. doi: 10.1146/annurev.publhealth.031308.100049.

  PMID: 19705558 BACKGROUND

• Glasziou P, Haynes B. The paths from research to improved health outcomes. Evid Based Nurs. 2005 Apr;8(2):36-8. doi: 10.1136/ebn.8.2.36. No abstract available.

  PMID: 15830412 BACKGROUND

• Olswang LB, Prelock PA. Bridging the Gap Between Research and Practice: Implementation Science. J Speech Lang Hear Res. 2015 Dec;58(6):S1818-26. doi: 10.1044/2015_JSLHR-L-14-0305.

  PMID: 26262822 BACKGROUND

• Kanitkar A, Parmar ST, Szturm TJ, Restall G, Rempel GR, Sepehri N, Naik N. Evaluation of a computer game-assisted rehabilitation program for manual dexterity of children with cerebral palsy: Feasibility randomized control trial. PM R. 2023 Oct;15(10):1280-1291. doi: 10.1002/pmrj.12947. Epub 2023 Jun 28.

  PMID: 36655404 BACKGROUND

• Gehringer JE, Fortin E, Surkar SM, Hao J, Pleiss M, Jensen-Willett S. Hand-Arm Bimanual Intensive Training in Virtual Reality: A Feasibility Study. Pediatr Phys Ther. 2023 Jan 1;35(1):85-91. doi: 10.1097/PEP.0000000000000975. Epub 2022 Dec 2.

  PMID: 36459077 BACKGROUND

• Reifenberg G, Gabrosek G, Tanner K, Harpster K, Proffitt R, Persch A. Feasibility of Pediatric Game-Based Neurorehabilitation Using Telehealth Technologies: A Case Report. Am J Occup Ther. 2017 May/Jun;71(3):7103190040p1-7103190040p8. doi: 10.5014/ajot.2017.024976.

  PMID: 28422630 BACKGROUND

• Tatla SK, Sauve K, Virji-Babul N, Holsti L, Butler C, Van Der Loos HF. Evidence for outcomes of motivational rehabilitation interventions for children and adolescents with cerebral palsy: an American Academy for Cerebral Palsy and Developmental Medicine systematic review. Dev Med Child Neurol. 2013 Jul;55(7):593-601. doi: 10.1111/dmcn.12147. Epub 2013 Mar 29.

  PMID: 23550896 BACKGROUND

• Monge Pereira E, Molina Rueda F, Alguacil Diego IM, Cano de la Cuerda R, de Mauro A, Miangolarra Page JC; CONSOLIDER-Ingenio 2010. Use of virtual reality systems as proprioception method in cerebral palsy: clinical practice guideline. Neurologia. 2014 Nov-Dec;29(9):550-9. doi: 10.1016/j.nrl.2011.12.004. Epub 2012 Feb 17. English, Spanish.

  PMID: 22341675 BACKGROUND

• Warnier N, Lambregts S, Port IV. Effect of Virtual Reality Therapy on Balance and Walking in Children with Cerebral Palsy: A Systematic Review. Dev Neurorehabil. 2020 Nov;23(8):502-518. doi: 10.1080/17518423.2019.1683907. Epub 2019 Nov 1.

  PMID: 31674852 BACKGROUND

• Rathinam C, Mohan V, Peirson J, Skinner J, Nethaji KS, Kuhn I. Effectiveness of virtual reality in the treatment of hand function in children with cerebral palsy: A systematic review. J Hand Ther. 2019 Oct-Dec;32(4):426-434.e1. doi: 10.1016/j.jht.2018.01.006. Epub 2018 Jul 14.

  PMID: 30017414 BACKGROUND

• Romero-Ayuso D, Toledano-Gonzalez A, Rodriguez-Martinez MDC, Arroyo-Castillo P, Trivino-Juarez JM, Gonzalez P, Ariza-Vega P, Gonzalez ADP, Segura-Fragoso A. Effectiveness of Virtual Reality-Based Interventions for Children and Adolescents with ADHD: A Systematic Review and Meta-Analysis. Children (Basel). 2021 Jan 21;8(2):70. doi: 10.3390/children8020070.

  PMID: 33494272 BACKGROUND

• Burin-Chu S, Baillet H, Leconte P, Lejeune L, Thouvarecq R, Benguigui N. Effectiveness of virtual reality interventions of the upper limb in children and young adults with cerebral palsy: A systematic review with meta-analysis. Clin Rehabil. 2024 Jan;38(1):15-33. doi: 10.1177/02692155231187858. Epub 2023 Jul 27.

  PMID: 37499213 BACKGROUND

• Levac DE, Huber ME, Sternad D. Learning and transfer of complex motor skills in virtual reality: a perspective review. J Neuroeng Rehabil. 2019 Oct 18;16(1):121. doi: 10.1186/s12984-019-0587-8.

  PMID: 31627755 BACKGROUND

• van den Broek MD. Why does neurorehabilitation fail? J Head Trauma Rehabil. 2005 Sep-Oct;20(5):464-73. doi: 10.1097/00001199-200509000-00007.

  PMID: 16170254 BACKGROUND

• Jackman M, Sakzewski L, Morgan C, Boyd RN, Brennan SE, Langdon K, Toovey RAM, Greaves S, Thorley M, Novak I. Interventions to improve physical function for children and young people with cerebral palsy: international clinical practice guideline. Dev Med Child Neurol. 2022 May;64(5):536-549. doi: 10.1111/dmcn.15055. Epub 2021 Sep 21.

  PMID: 34549424 BACKGROUND

• Jackman M, Lannin N, Galea C, Sakzewski L, Miller L, Novak I. What is the threshold dose of upper limb training for children with cerebral palsy to improve function? A systematic review. Aust Occup Ther J. 2020 Jun;67(3):269-280. doi: 10.1111/1440-1630.12666. Epub 2020 Apr 27.

  PMID: 32342517 BACKGROUND

• Novak I, Morgan C, Fahey M, Finch-Edmondson M, Galea C, Hines A, Langdon K, Namara MM, Paton MC, Popat H, Shore B, Khamis A, Stanton E, Finemore OP, Tricks A, Te Velde A, Dark L, Morton N, Badawi N. State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy. Curr Neurol Neurosci Rep. 2020 Feb 21;20(2):3. doi: 10.1007/s11910-020-1022-z.

  PMID: 32086598 BACKGROUND

• Wright A, Roberts R, Bowman G, Crettenden A. Barriers and facilitators to physical activity participation for children with physical disability: comparing and contrasting the views of children, young people, and their clinicians. Disabil Rehabil. 2019 Jun;41(13):1499-1507. doi: 10.1080/09638288.2018.1432702. Epub 2018 Jan 30.

  PMID: 29382235 BACKGROUND

• Shahmoradi L, Rezayi S. Cognitive rehabilitation in people with autism spectrum disorder: a systematic review of emerging virtual reality-based approaches. J Neuroeng Rehabil. 2022 Aug 18;19(1):91. doi: 10.1186/s12984-022-01069-5.

  PMID: 35982460 BACKGROUND

MeSH Terms

Interventions

Focus Groups; Interviews as Topic

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Jéromine HERVO

  Fondation Ildys

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Manon LE GOFF

CONTACT

0298028308; manon.legoff@ildys.org

Matthieu PICHELIN

CONTACT

0298293915; matthieu.pichelin@ildys.org

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 23, 2024
• First Posted: October 4, 2024
• Study Start: October 1, 2024
• Primary Completion: November 1, 2025
• Study Completion: November 1, 2025
• Last Updated: October 16, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

FR (2)