Evidence map›Paper›PMID 34286115›Full record

ArticleTechnical innovations & patient support in radiation oncology2021

Effects of immersive virtual reality exposure in preparing pediatric oncology patients for radiation therapy.

Michelle Tennant, Nigel Anderson, George J Youssef, Laura McMillan, Renae Thorson, Greg Wheeler, Maria C McCarthy

Open access · goldAbstract read
In one paragraph

Article in Technical innovations & patient support in radiation oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
10.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Upright positioning in pediatric radiotherapy: rationale, safety considerations and a research roadmap.Technical innovations & patient support in radiation oncology · 2026
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  16. Virtual integration of patient education in radiotherapy (VIPER).Technical innovations & patient support in radiation oncology · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Michelle TennantClinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria 3052, Australia.
Nigel AndersonDivision of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria 3000, Australia.
George J YoussefClinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria 3052, Australia.
Laura McMillanClinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria 3052, Australia.
Renae ThorsonDivision of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria 3000, Australia.
Greg WheelerDivision of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria 3000, Australia.
Maria C McCarthyClinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria 3052, Australia.
Murdoch Children's Research Institute · AURoyal Children's Hospital · AUThe University of Melbourne · AUPeter MacCallum Cancer Centre · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProcedural anxiety in children undergoing radiation therapy (RT) is common and is associated with poor procedural compliance and an increased used of general anaesthesia (GA). There is emerging evidence that Virtual Reality (VR) technology may reduce medical procedural distress through realistic and educative exposure to actual procedures via virtual simulation.

objectiveTo examine the feasibility, acceptability and efficacy of an Immersive VR exposure intervention aimed at reducing anxiety and enhancing preparedness for pediatric patients undergoing radiation therapy, and their parents.

methodA convenience sample of patients (6-18 years) scheduled for RT, and their parent caregivers, were recruited consecutively over a 14-month period. Patients were exposed to a virtual simulation of both CT Simulation (Phase 1) and RT (Phase 2), prior to these procedures occurring. Pre-and-post VR intervention measures (anxiety, health literacy) were administered across multiple time points. GA requirement following VR intervention was also recorded.

resultsThirty children and adolescents were recruited (88% participation rate). High VR acceptability and satisfaction was reported by patients, parents and radiation therapists. There were minimal adverse effects associated with VR. The VR intervention was found to improve children's understanding of the RT procedures (health literacy) and lower pre-procedural child and parental anxiety. Only one child in the study required GA (3.33%).

conclusionsThis study provides novel and preliminary support for utilizing VR to prepare children and families for RT. Subsequent implementation of VR into routine paediatric RT has the potential to improve clinical and operational outcomes.

Indexed as

AnxietyPediatricsRadiation oncologyVirtual reality

Identifiers

PMID34286115
PMCPMC8274338
OpenAlexW3178420478

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.