VR Based Simulation in the Preparation of Children for MRI - MRVR
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: VR, Booklet.
- Who it may be relevant to
- Registry conditions: Children, Only, Anesthesia. Basic parameters: 4 years — 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Hungary
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Efficacy of Virtual Reality Based Simulation in the Preparation of Children for Magnetic Resonance Imaging Examinations: a Randomized Clinical Trial (MRVR)
Overview
The goal of this randomized controlled trial is to evaluate whether a virtual reality based preparation method can efficiently decrease the proportion of children requiring general anesthesia during MRI examinations. Participants will take part in a virtual reality environment resembling an MRI before their scheduled MRI examination. Researchers will compare these children to usual care and a booklet based preparation method to see if less children need anesthesia for completing the MRI examination.
Detailed description
Study Description:
Our study investigates the efficacy of a custom-made virtual reality experience in the preparation of children for MRI examinations. We hypothesise that preparation with VR can significantly reduce the need for anesthesia in children during MRI examinations, or if anesthesia is needed less doses of anesthetics are required.
Objectives:
Primary Objective:
To evaluate whether the VR based preparation decreases the need for anesthesia and sedation during MRI examinations.
Secondary Objectives:
To evaluate whether fear, mood, anxiety, familiarity with the MRI examination of the children and willingness to take part again change as a result of the intervention.
Endpoints:
Primary Endpoint:
The need for any anesthetic or sedative medication during MRI examination.
Secondary Endpoints:
Visual analogue scales related to fear, mood and familiarity, willingness to take part in an MRI examination again.
Study Population: 288 children aged 4-18 years who are in- or outpatients at the Pediatric Center of the Semmelweis University and are scheduled for MRI examination with anesthesia will be enrolled.
Description of Sites/Facilities Enrolling Participants:
The study takes place in the two Departments of the Pediatric Centre of the Semmelweis University
Description of Study Intervention/Experimental Manipulation:
Our research will be conducted as a three arm randomized controlled trial (VR, booklet, usual care). Participants in the VR condition are immersed in a unique 360° VR experience specifically designed for this study.
Children in the booklet condition will be prepared by using an educational booklet containing colorful illustrations about the MRI examination.
In the usual care condition children are prepared by the healthcare staff without using any specific equipment or standardized methods.
Study Duration:
36 months
Participant Duration:
All participants need a single visit intervention to complete all study related tasks.
Interventions
- Other VR
The virtual environment is provided by the Oculus Quest 2 or 3 VR headset, providing a high-quality and immersive visual experience. - Other Booklet
Children in the booklet condition will be prepared by using an educational booklet containing colorful illustrations of the MRI examination room and about the procedure.
Primary outcome measures
- proportion of children requiring anesthesia [Time frame: during the MRI examination, assessed directly after the MRI from anesthesiology documentation]
Secondary outcome measures (6)
- fear [Time frame: assessed directly before the intervention, directly before the MRI examination, no later than 4 hours after the MRI examination]
- mood [Time frame: directly before the intervention, directly before the MRI examination, no later than 4 hours after the MRI examination]
- nervousness [Time frame: directly before the intervention, directly before the MRI examination, no later than 4 hours after the MRI examination]
- familiarity [Time frame: directly before the intervention, directly before the MRI examination, no later than 4 hours after the MRI examination]
- willingness to take part again [Time frame: no later than 4 hours after the MRI examination]
- helpfulness [Time frame: directly before the MRI examination]
Eligibility criteria
Inclusion criteria
- Informed assent and parental informed consent to participate in the study.
- Stated willingness to participate in the intervention and to complete study questionnaires.
- Inpatient or outpatient at the Pediatric Center.
- Age 4-18 years
- Scheduled for MRI examination under anesthesia at the Semmelweis University.
- Fluent in Hungarian language
Exclusion criteria
- Severe visual impairment or hearing loss that would hinder the participation of the VR and booklet experience.
- In case of epilepsy, if the treating physician recommend against participation.
- Children with severe intellectual disability which would hinder participation in the VR group e.g. not able to follow simple instructions.
- Inpatients, if the treating physician indicates that the child is too unwell for the study.
- Face or cranial deformities, wounds on the face and head which would hinder wearing the VR headset.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Triple blind
- Primary purpose
- Supportive care
Study locations
Hungary · 1 center
- Pediatric Center, Semmelweis University — Budapest
Identifiers
NCT: NCT06132854 · SE RKEB 202/2021