Virtual Reality-Assisted Cast Application in Children With Forearm Fractures
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age4-15
SponsorBaşakşehir Çam & Sakura City Hospital
About this trial
This prospective randomized controlled trial will evaluate whether virtual reality can reduce procedural distress in children undergoing cast application for forearm fractures. Children will be assigned to either a virtual reality group or a standard care group. In the virtual reality group, children will watch a 3-minute child-friendly animated educational video using a VR headset during cast application. The video explains the casting procedure, how to protect the cast, and what the child should do after the cast is applied.
The study will compare pain, anxiety, heart rate response, caregiver anxiety, and procedure-related fear between the two groups. The casting team will assess the child during the procedure. One day after cast application, each child will undergo an approximately 30-minute evaluation by a child psychiatry clinician who is blinded to group allocation. This follow-up assessment will evaluate the child's current anxiety, anxiety related to the cast experience, fear of returning to the hospital or doctor, and fear-related behaviors after the procedure.
Eligibility criteria
Qualifiers
Children aged 4 to 15 years.
Diagnosis of an isolated forearm fracture requiring cast application with traction (greenstick injuries plastic deformation if NOT over 20 degrees bayonet apposition ok if <10 years and growth remains)
First cast application for the current fracture episode.
Typically developing children without a known developmental delay or cognitive impairment that would prevent participation in the study assessments.
Disqualifiers
Open forearm fracture.
Multiple trauma or an additional painful injury that may affect pain, anxiety, or fear assessment.
Need for emergency surgery, procedural sedation, or general anesthesia during cast application.
Previous participation in this study.
Trial design
Treatments tested in this trial
- Virtual Reality-Based Educational Animation
- Standard Care
Treatment groups
120 Participants
are divided into 2 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov