Ignite Creation Date:
2024-10-26 @ 3:35 PM
Last Modification Date:
2024-10-26 @ 3:35 PM
Study NCT ID:
NCT06516003
Status:
COMPLETED
Last Update Posted:
None
First Post:
2024-07-17
Brief Title:
VR for Lac Repairs in Peds Emergency Department
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Use of Immersive Virtual Reality for Laceration Repairs in the Pediatric Emergency Department
Status:
COMPLETED
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The goal of the clinical trial is to compare virtual reality to standard of care for laceration repairs in the pediatric emergency department The main question it aims to answer is
-Does virtual reality decrease pain and anxiety scores compared to standard of care for laceration repairs in the pediatric emergency department
Participants who meet the age and other inclusion criteria will be enrolled by research staff They will complete a brief paper survey along with their guardians and the provider doing the laceration repair The surveys will be completed after the laceration repair is finished
-Does virtual reality decrease pain and anxiety scores compared to standard of care for laceration repairs in the pediatric emergency department
Participants who meet the age and other inclusion criteria will be enrolled by research staff They will complete a brief paper survey along with their guardians and the provider doing the laceration repair The surveys will be completed after the laceration repair is finished
Detailed Description:
This will be a randomized pragmatic study for all patients ages 6-17 years with simple lacerations Simple lacerations will be defined as lacerations within the scope of pediatric emergency medicine providers AND not requiring sedation or operative intervention Subjects will be identified by the Emergency Department staff for enrollment The goal number of enrolled participants will be 480 including 240 patients randomized into two groups 120 per group and 240 parentsguardians The Emergency Department accepted to participate in this study and ED providers will complete the providers survey After signing the consent and assent form when appropriate the patients will be randomized to either receive the standard of care or standard or care with immersive virtual reality goggles Consent and assent will be obtained in the patient rooms within the emergency department The standard of care shall be defined to include any of the following local analgesia topical LET and or subcutaneous lidocaine oral or intranasal midazolam distraction Child Life Staff or physical holding Because each of the aforementioned interventions may vary between patients it cannot be truly standardized hence this will be considered a pragmatic study Patients randomized to the VR arm will receive the other standard procedures as well with VR goggles as an adjunct Exclusion criteria include a history of epilepsy visual or hearing impairment or intellectual disability that would preclude use of VR goggles as determined by the guardian Additionally any lacerations around the eyes eyebrows and nose will be excluded as well as patients requiring sedation Non-English speaking patients will be excluded as well Hand lacerations will not be excluded
Participants will be identified by ED staff following evaluation of the laceration The ED staff will be given a flowchart with eligibility criteria All interested participants who meet eligibility criteria will be consented A research team member will obtain consent from parents or guardians by providing and reviewing the consent form see Subject Consent Form For patients who are between 8 and 17 years of age a research team member will obtain assent by providing and reviewing the assent form see Subject Assent Form Consent and assent will be obtained in the patients ED room
Patients will be separated into groups age 6-11 and 12-17 Patients will be randomized via a selection of a sealed envelope which will contain instructions for use of the VR goggles The goggles utilized will be Lenovo Mirage Solo with DayDream which are standalone VR headset with Worldsense Body Tracking Research staff will coach the child on age-appropriate games as previously determined by Lenovo
The goggles will be cleansed with Oxivir Tb disinfectant wipes after each use and allowed to dry in room air prior to next use Education will be provided to all ED providers on the proper cleansing protocol for the VR goggles Figure 4 The disinfectant protocol will be available for all users during the study and has been approved by the director of Infection Control at Childrens Hospital of the Kings Daughters
Following the laceration repair the patient guardian and health care provider will be surveyed Figure 1 2 and 3 on paper surveys The survey includes Likert-type scale questions binary questions as well as incorporates the Wong Baker Faces Pain Scale and Childrens Fear Scale The duration of the procedure will be recorded by the healthcare provider who completed the laceration repair Time of procedure will be defined as from the time of irrigation to wound dressing Patients and parents will both be filling out their own individual surveys The parent should complete the survey first before the child should the child need assistance with completion Patients and parents may decline to participate in any survey at any time
Participants will be identified by ED staff following evaluation of the laceration The ED staff will be given a flowchart with eligibility criteria All interested participants who meet eligibility criteria will be consented A research team member will obtain consent from parents or guardians by providing and reviewing the consent form see Subject Consent Form For patients who are between 8 and 17 years of age a research team member will obtain assent by providing and reviewing the assent form see Subject Assent Form Consent and assent will be obtained in the patients ED room
Patients will be separated into groups age 6-11 and 12-17 Patients will be randomized via a selection of a sealed envelope which will contain instructions for use of the VR goggles The goggles utilized will be Lenovo Mirage Solo with DayDream which are standalone VR headset with Worldsense Body Tracking Research staff will coach the child on age-appropriate games as previously determined by Lenovo
The goggles will be cleansed with Oxivir Tb disinfectant wipes after each use and allowed to dry in room air prior to next use Education will be provided to all ED providers on the proper cleansing protocol for the VR goggles Figure 4 The disinfectant protocol will be available for all users during the study and has been approved by the director of Infection Control at Childrens Hospital of the Kings Daughters
Following the laceration repair the patient guardian and health care provider will be surveyed Figure 1 2 and 3 on paper surveys The survey includes Likert-type scale questions binary questions as well as incorporates the Wong Baker Faces Pain Scale and Childrens Fear Scale The duration of the procedure will be recorded by the healthcare provider who completed the laceration repair Time of procedure will be defined as from the time of irrigation to wound dressing Patients and parents will both be filling out their own individual surveys The parent should complete the survey first before the child should the child need assistance with completion Patients and parents may decline to participate in any survey at any time
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None