The Effect of Virtual Reality Glasses Used During Intravenous Catheter Insertion
Condition: Anxiety and Fear
Study type: Interventional

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.
    

Detailed description: 
      This study was conducted to determine the effect of virtual reality glasses used during
      intravenous catheter insertion on the child's emotional responses. 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. A statistically significant difference was found
      between the Children's Emotional Manifestation Scale scores of the children in the study and
      control groups. The scores of the children in the study group were statistically
      significantly lower than the scores of the children in the control group.During the
      intravenous catheter insertion process, children who watched cartoons on virtual reality
      glasses showed less negative emotional behavior than those who did not.The use of virtual
      reality glasses is a developing technology in child health services, and it is recommended to
      encourage their use in these services.
    

Intervention name(s): virtual reality glasses
Intervention type(s): Device
Intervention description(s): 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.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: study group: children evaluated with virtual reality glasses control group: children receiving standard care
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: Invasive procedures, Pediatrics, Emotion, Fear, Anxiety