Awe Inducing Elements in Virtual Reality Applications: A Prospective Study of Hospitalized Children

Study Overview
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Brief Summary
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This is an experimental study to evaluate which aspects of virtual reality (VR) software development can be optimized to increase awe in pediatric perioperative patients and their adult caregivers (e.g., parents, guardians)

Detailed Description
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Hospitalized pediatric patients, especially those undergoing anesthesia and surgery, experience anxiety and fear, resulting in lack of cooperation, withdrawal, and aggression. These reactions delay medical care and negatively impact patient experience. This is an experimental, prospective study to evaluate which aspects of virtual reality (VR) software development can be optimized to increase awe in pediatric perioperative patients and their adult caregivers. The primary center for this study will be Lucile Packard Children's Hospital Stanford (LPCHS) (located within Stanford University, Palo Alto, CA). After software development, we will evaluate the awe and engagement of pediatric patients after experiencing the novel virtual reality application.

Official Title
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Awe Inducing Elements in Virtual Reality Applications: A Prospective Study of Hospitalized Children

Conditions
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Awe

Intervention / Treatment
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* Behavioral: Virtual Reality
* Other: Control


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient with age range from 6 to 25 Adult or LAR with age range from 18 to 99 Able to consent or have parental consent in pre-operative holding and inpatient acute care areas of LCPH English speaking participants Exclusion Criteria: People who do not consent Significant Cognitive Impairment History of Severe Motion Sickness Visual Problems currently have nausea history of seizures non-english participants

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 99 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Virtual Reality<br>Virtual reality intervention will be given 6 times in total and each session will last not more than 60 seconds. | Behavioral: Virtual Reality<br>* Virtual reality intervention will be given 6 times in total and each session will last not more than 60 seconds. Participants will be asked to fill out a survey before the intervention to collect the baseline data, after each session of VR intervention and a final survey at the end of the study.<br>|
| Other: Control<br>Participants will serve as their own controls. Participants will not be given any VR intervention at first but they are requested to fill out the survey to collect the baseline data. | Other: Control<br>* For case control, participants will service as their self control and no VR intervention will be given at first. Participants will be asked to fill out a survey before the intervention to collect the baseline data.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in awe levels measured by Global Perceived Awe Survey | Global Perceived Awe Survey contains 8 items . Scores range from 1 (strongly disagree) to 7 (Strongly agree), with higher score indicates strongly agree to the statement. | Duration of intervention, approximately 20-30 minutes | 
| Change in awe levels measured by Awe Experience Scale | Awe Experience Scale contains 30 items . Scores range from 1 (strongly disagree) to 7 (Strongly agree), with higher score indicates strongly agree to the statement. | Duration of intervention, approximately 20-30 minutes | 
| Change in awe levels measured by Perceived Need for Accommodation Survey | Perceived Need for Accommodation Survey contains 3 items . Scores range from 1 (strongly disagree) to 7 (Strongly agree), with higher score indicates strongly agree to the statement. | Duration of intervention, approximately 20-30 minutes | 
| Change in awe levels measured by Perceived Vastness Survey | Perceived Vastness Survey contains 4 items . Scores range from 1 (strongly disagree) to 7 (Strongly agree), with higher score indicates strongly agree to the statement. | Duration of intervention, approximately 20-30 minutes | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in engagement measured by Game Engagement Questionnaire | Game Engagement Questionnaire contains 19 items . Scores range from 1 (strongly disagree) to 7 (Strongly agree), with higher score indicates strongly agree to the statement. | Duration of intervention, approximately 20-30 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Virtual Reality