Evidence map›Paper›PMID 40962354›Full record

ArticleBMJ open2025

Efficacy of virtual reality in reducing pain, anxiety and fear in hospitalised children: a systematic review and meta-analysis protocol.

Maria Carolina Batista da Silva, Roberta Paolli de Paiva Oliveira Arruda Camara, Fernanda de Castro Teixeira, Vinicius Dos Santos Lemos Pereira, Maria Eduarda de Araújo Ramos, Ayane Cristine Alves Sarmento, Kleyton Santos Medeiros, Rodrigo Assis Neves Dantas, Daniele Vieira Dantas

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. 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

9 authors.

Maria Carolina Batista da SilvaFederal University of Rio Grande do Norte, Natal, Brazil.
Roberta Paolli de Paiva Oliveira Arruda CamaraFederal University of Rio Grande do Norte, Natal, Brazil.ORCID http://orcid.org/0000-0003-0560-5802
Fernanda de Castro TeixeiraFederal University of Rio Grande do Norte, Natal, Brazil.ORCID http://orcid.org/0000-0002-6056-0435
Vinicius Dos Santos Lemos PereiraFederal University of Rio Grande do Norte, Natal, Brazil.ORCID http://orcid.org/0000-0002-1681-7678
Maria Eduarda de Araújo RamosFederal University of Rio Grande do Norte, Natal, Brazil.
Ayane Cristine Alves SarmentoInstitute of Education, Research and Innovation, Liga Contra o Câncer, Natal, Brazil.
Kleyton Santos MedeirosInstitute of Education, Research and Innovation, Liga Contra o Câncer, Natal, Brazil kleyton_medeiros@hotmail.com.ORCID http://orcid.org/0000-0002-4105-7535
Rodrigo Assis Neves DantasFederal University of Rio Grande do Norte, Natal, Brazil.
Daniele Vieira DantasFederal University of Rio Grande do Norte, Natal, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPaediatric hospitalisation, encompassing the period from admission to discharge, often involves feelings of pain, fear and anxiety, primarily due to clinical diagnoses and, more significantly, discomfort and stress-inducing procedures. Numerous methodologies and interventions have been investigated and implemented to alleviate these phenomena during paediatric hospitalisation. Virtual reality (VR), for example, has demonstrated efficacy in pain relief for hospitalised children in recent studies. This systematic review, therefore, aims to identify and evaluate the effectiveness of VR in alleviating pain, fear and anxiety in hospitalised children undergoing painful procedures. METHOD AND ANALYSIS: This systematic review and meta-analysis will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Protocols guidelines. A systematic search will be conducted in March and April 2025 across the following databases, with no restrictions on language or publication year: PubMed, Embase, Scopus, Web of Science, Cumulated Index in Nursing and Allied Health Literature, ClinicalTrials.gov and the Cochrane Central Register of Controlled Trials. Eligible studies will include randomised and quasi-randomised clinical trials involving children (aged 2-10 years) and adolescents (aged 10-18 years) who received VR interventions during painful procedures. Data will be managed and analysed using Review Manager software (RevMan 5.2.3). In cases of significant heterogeneity (I² > 50%), a random-effects model will be employed to combine studies and calculate the OR with a 95% CI. The methodological quality of the included studies will be assessed using the Cochrane Risk of Bias 2.0 tool, and the certainty of the evidence will be evaluated using the Grading of Recommendations, Assessment, Development and Evaluations framework. ETHICS AND DISSEMINATION: This study will solely review published data; thus, ethical approval is not required. This systematic review is expected to provide subsidies, evidence and insights into the use of VR. It is also anticipated that the results will directly impact the improvement of care for these patients and the qualification of professional care. PROSPERO REGISTRATION NUMBER: CRD42024568297.

Indexed as

AnxietyChild, HospitalizedFearPainPain ManagementVirtual Reality Exposure TherapyAdolescentChildChild, PreschoolHumansMeta-Analysis as TopicResearch DesignSystematic Reviews as TopicVirtual RealityAnxiety disordersPAIN MANAGEMENTVirtual Reality

Identifiers

PMID40962354
PMCPMC12443181

What OpenQuestion holds

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LicenceCC BY-NC
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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.