Conclusion : Systemic changes to academic and funding structures could better support eHealth tool availability and may reduce potential for research waste .
Abstract Introduction : Numerous eHealth tools for pain assessment and management have been developed and evaluated with promising results regarding psychometric properties , efficacy , and effectiveness .
Although considerable re sources are spent on developing and evaluating these tools with the aim of increasing access to care , current evidence suggests they are not made available to end users , reducing their impact and creating potential research waste .
The efficacy of an augmented virtual reality system to alleviate pain in children undergoing burns dressing changes: a randomised controlled trial.
In children , the pain and anxiety associated with acute burn dressing changes can be severe , with drug treatment alone frequently proving to be inadequate . Virtual reality ( VR ) systems have been successfully trialled in limited numbers of adult and paediatric burn patients .  Augmented reality ( AR ) differs from VR in that it overlays virtual images onto the physical world , instead of creating a complete virtual world . This prospect i ve r and omised controlled trial investigated the use of AR as an adjunct to analgesia and sedation in children with acute burns . Forty-two children ( 30 male and 12 female ) , with an age range of 3 - 14 years ( median age 9 years ) and a total burn surface area ranging from 1 to 16 % were r and omised into a treatment ( AR ) arm and a control ( basic cognitive therapy ) arm after administration of analgesia and /or sedation .  Pain scores , pulse rates ( PR ) , respiratory rates ( RR ) and oxygen saturations ( SaO2 ) were recorded pre-procedurally , at 10 min intervals and post-procedurally . Parents were also asked to grade their child 's overall pain score for the dressing change . Mean pain scores were significantly lower ( p=0.0060 ) in the AR group compared to the control group , as were parental pain assessment scores ( p=0.015 ) . Respiratory and pulse rates showed significant changes over time within groups , however , these were not significantly different between the two study groups . Oxygen saturation did not differ significantly over time or between the two study groups . This trial shows that augmented reality is a useful adjunct to pharmacological analgesia
Conclusion : Systemic changes to academic and funding structures could better support eHealth tool availability and may reduce potential for research waste .
Abstract Introduction : Numerous eHealth tools for pain assessment and management have been developed and evaluated with promising results regarding psychometric properties , efficacy , and effectiveness .
Although considerable re sources are spent on developing and evaluating these tools with the aim of increasing access to care , current evidence suggests they are not made available to end users , reducing their impact and creating potential research waste .