About this trial
This randomized controlled trial evaluates methods to reduce pain during venipuncture in children aged 3 to 15 years. The study compares three approaches: virtual reality distraction using a VR headset, topical anesthesia with EMLA cream, and standard care without an additional pain-reducing intervention. The main question is whether virtual reality reduces pain during venipuncture more effectively than EMLA cream or standard care. Pain is assessed immediately after venipuncture using the Wong-Baker Faces Pain Rating Scale (0-10). The planned study sample includes 450 children.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children aged 3 to 15 years.
Clinical indication for venipuncture.
Written informed consent provided by a parent or legal guardian and verbal or written assent from the child, as appropriate for age and cognitive ability.
Disqualifiers
Known hypersensitivity to local anesthetics.
Diagnosed mental disorder.
Current treatment with analgesic or anxiolytic medications.
Venipuncture not successful on the first attempt.
Trial design
Parallel
Treatments tested in this trial
Virtual Reality Distraction
BehavioralVirtual reality distraction is provided during venipuncture using a Meta Quest 3 headset. All participants assigned to this intervention view the same 360° wildlife video. Children can change the direction of view by moving their head but cannot control the content or sequence of the video. The headset is used throughout the venipuncture procedure.
Lidocaine-Prilocaine Cream
DrugTopical EMLA cream containing lidocaine and prilocaine is applied to the planned venipuncture site, covered with an occlusive dressing, and left in place for at least 60 minutes before venipuncture.
Treatment groups
Trial outcomes
Primary outcomes
Pain Intensity During Venipuncture
Pain intensity is self-reported immediately after venipuncture using the Wong-Baker Faces Pain Rating Scale (0-10), where 0 indicates no pain and 10 indicates the worst pain. Lower scores indicate lower perceived pain intensity.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Marie Lulková
Lead sponsor
Jan Evangelista Purkyne University
Sponsor institution