Evidence map›Paper›PMID 38873883›Full record

Trial reportJournal of clinical nursing2025

The effect of virtual reality versus standard-of-care treatment on pain perception during paediatric vaccination: A randomised controlled trial.

María Inmaculada Sánchez-López, Marta Lluesma-Vidal, Cayetana Ruiz-Zaldibar, Inmaculada Tomás-Saura, María Isabel Martínez-Fleta, Gema Gutiérrez-Alonso, Laura García-Garcés

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07752680 (The Effect of Virtual Reality Headset Use on Pain, Comfort, and Psychosocial Symptoms in Children Undergoing Hypospadias Surgery), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT07752680 nacompletednot on this map

The Effect of Virtual Reality Headset Use on Pain, Comfort, and Psychosocial Symptoms in Children Undergoing Hypospadias Surgery: A Randomized Controlled Trial.

TypeinterventionalSponsorIstanbul Medipol University HospitalRan2025 to 2026Enrolled62ConditionsPain, Comfort, Psychosocial SymptomsArmsVirtual reality headset, routine clinical practice
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Review
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.

María Inmaculada Sánchez-LópezDepartment of Nursing and Phisiotherapy, Faculty of Health Sciencies, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.ORCID 0000-0002-4359-553X
Marta Lluesma-VidalDepartment of Nursing and Phisiotherapy, Faculty of Health Sciencies, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.ORCID 0000-0002-0055-9897
Cayetana Ruiz-ZaldibarUniversity of Camilo José Cela, Madrid, Spain.ORCID 0000-0002-9930-4092
Inmaculada Tomás-SauraTres Forques Health Centre, General Hospital of Valencia Health Department, Valencia, Spain.
María Isabel Martínez-FletaTres Forques Health Centre, General Hospital of Valencia Health Department, Valencia, Spain.
Gema Gutiérrez-AlonsoTres Forques Health Centre, General Hospital of Valencia Health Department, Valencia, Spain.
Laura García-GarcésDepartment of Nursing and Phisiotherapy, Faculty of Health Sciencies, Universidad Cardenal Herrera-CEU, CEU Universities, Valencia, Spain.ORCID 0000-0003-4103-3960

Funding

CEU Cardenal Herrera UniversityFundación Investigación Hospital General Universitario Valencia
6 · The paper itself

Abstract

AIMS AND

objectivesTo determine the effect of immersive virtual reality (VR) on perceived pain and fear in children during vaccination and parental satisfaction with the procedure.

backgroundVirtual reality can reduce the perception of pain by children but only three studies have analysed its use during vaccination to date; these had small sample sizes and imperfect methodological designs.

designA randomised controlled clinical trial.

methodsOne hundred and sixty participants from the Tres Forques Health Center were randomly assigned to the intervention group (IG) (n = 82) in which distraction with immersive VR was used during the vaccination, while standard distraction techniques were used for the control group (n = 80). The primary outcome was pain (Wong-Baker FACES). Secondary outcomes included (Children's Fear Scale) and parental satisfaction with the vaccination procedure. Chi-squared tests were used for qualitative variables, relationships between quantitative variables were tested with Spearman correlations, and Mann-Whitney U- or Student t-tests were employed to assess the relationship between quantitative and qualitative variables.

resultsCompared to the controls, the children in the IG reported significantly less pain and fear, while parental satisfaction was significantly higher. Reported pain and fear did not differ according to the sex of the patient. Child age was not linked to fear but was related to pain: the younger the patient, the greater the pain they described.

conclusionsImmersive VR effectively controlled pain and fear in children during vaccination and increased parent satisfaction with the vaccination process. Patient sex did not influence the level of pain and fear but age did. RELEVANCE TO CLINICAL PRACTICE: Improving vaccination experiences can reduce perceived pain and fear in children and increase parent satisfaction, thereby enhancing vaccination schedule adherence and improving group immunity. REPORTING

methodThe CONSORT Statement for non-pharmacological randomised clinical trials were followed.

Indexed as

Pain ManagementPain PerceptionVaccinationVirtual RealityChildChild, PreschoolFearFemaleHumansMalePain MeasurementParentsambulatorycarechildchild behaviourchild nursingclinicalclinical trialeffectivenessvaccination

Identifiers

PMID38873883
PMCPMC11808414

What OpenQuestion holds

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Registered trials

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.