Using Virtual Reality Simulation to Prepare Children Undergoing MRI
NCT ID: NCT04402216
Last Updated: 2025-02-20
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
165 participants
INTERVENTIONAL
2020-07-15
2024-05-01
Brief Summary
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Detailed Description
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Evaluation and intervention from a Child Life Specialist reduce anxiety and allows for children and families to be better prepared for their MRI, reducing distress of the child undergoing MRI, and reducing the need for anesthesia. Child life specialists are also able to utilize medical play using mock scanners and coach children in breathing exercises, such as blowing bubbles or pinwheels to help children comply with holding their breath during MRI scans, resulting in clearer images. Child Life specialists play a crucial role in effective communication with families and the rest of the medical team during and after examination.
III. Preliminary Studies/Progress Report
Another technique that has reduced distress in children during MRI is MRI compatible video goggles, which allow children to watch videos during the MRI scan. Giving children something to focus on while inside the MRI machine helps them to stay still and feel less anxious while still remaining awake. VR is a promising technology that has been used to reduce anxiety and serve as a pain distraction during intravenous placement required for MRI and CT scans as well as with children with sickle cell disease managing vaso-occlusive pain episodes. The inherent immersive and interactive properties of VR games make them effective for pain relief and distraction and also lends VR to countless potential applications in pediatric healthcare. KindVR is an independent VR firm that develops VR software specifically for the use of pediatric patients in a hospital setting. This software has been developed to minimize significant motion, mitigating risk of motion sickness or nausea, and providing targeted, age-appropriate content. There is not yet any published evidence that VR can be used to successfully prepare children for MRI scans, but there is strong evidence that this technology, especially paired with software specifically designed for use with pediatric patients in a hospital setting can impact important outcomes.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Current standard of care, no formal preparation
Participants in this group will receive the standard of care with no formal preparation. MRI technologist will meet patient prior to scan introducing role of patient, role of MRI technician, and give verbal discussion of MRI process. MRI technologist will offer opportunity for patient to watch a movie as alternative focus/distraction during MRI scan. The child life specialist will not meet with the caregiver or child during their visit.
No interventions assigned to this group
Child Life-led preparation
Participants will meet with a child life specialist who will provide psychological preparation utilizing photos, MRI sounds, verbal discussion of MRI process, and discuss various coping strategies such as deep breathing or stress ball and option to watch a movie for alternative focus/distraction during the scan.
Child Life-led preparation
Support from a certified child life specialist in preparation for MRI
MRI preparation video
Participants will be shown an MRI preparation video by the research coordinator in the MRI dressing room prior to MRI scan. The MRI preparation video will walk the patient through the MRI experience with a mock patient explaining all the steps of MRI process from check in to discharge. The child life specialist will not meet with the caregiver or child during their visit.
MRI preparation video
A descriptive video about what to expect when undergoing MRI
Child Life preparation with VR
Participants will be provided MRI preparation with a child life specialist using the Kind VR device. The VR (virtual reality) session will consist of an audio and visual MRI experience designed to serve as an opportunity for the patient to practice their scan prior to MRI. The VR session will take place once during the Radiology admission and will be approximately 15 minutes in duration. The VR software was developed by Kind VR and was designed specifically for the purpose of preparation for brain MRI. The interactive VR experience walks patients through each step of an MRI. Patients can practice holding still for the MRI and will get feedback from the VR headset when they are moving their head. Along with VR practice session CCLS will discuss various coping strategies such as deep breathing and/or stress ball and option to watch a movie for alternative focus/distraction during the scan.
Child Life-led preparation
Support from a certified child life specialist in preparation for MRI
KindVR Virtual Reality MRI Preparation Experience
A VR experience to prepare pediatric patients for MRI, to be used in addition to support from a certified child life specialist
Interventions
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Child Life-led preparation
Support from a certified child life specialist in preparation for MRI
MRI preparation video
A descriptive video about what to expect when undergoing MRI
KindVR Virtual Reality MRI Preparation Experience
A VR experience to prepare pediatric patients for MRI, to be used in addition to support from a certified child life specialist
Eligibility Criteria
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Inclusion Criteria
* (2) without anesthesia and
* (3) without contrast
Exclusion Criteria
* (2) visual impairment that could not be corrected by lenses;
* (3) non-English speaking parent or patient.
6 Years
17 Years
ALL
Yes
Sponsors
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Children's Hospital Colorado
OTHER
Responsible Party
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Brianne Newman
Certified Child Life Specialist
Locations
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Children's Hospital Colorado
Aurora, Colorado, United States
Countries
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Other Identifiers
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20-0098
Identifier Type: -
Identifier Source: org_study_id
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