Research Project: Biofeedback Tabanlı Sanal Gerçeklik Oyununun Pediatrik Onkoloji Hastalarında Port Ignesi Yerlesimi Sırasında Olusan Agrı, Korku ve Anksiyete Düzeyine Etkisi
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Contributors
Funders
ID
TB.00765
Authors
Umaç, Eyşan Hanzade
PhD Student
Publications
The effect of a biofeedback-based virtual reality game on pain, fear and anxiety levels during port catheter needle insertion in pediatric oncology patients: a randomized controlled study
(Elsevier Sci Ltd, 2024) Semerci, Remziye; Umaç, Eyşan Hanzade; Bayram, Cengiz; School of Nursing; Graduate School of Health Sciences; Yes; GRADUATE SCHOOL OF HEALTH SCIENCES; SCHOOL OF NURSING
Purpose: It is essential to control pain, fear, and anxiety related to medical procedures to improve the well-being of the child and family trying to cope with the disease process. This study investigated the impact of the biofeedback-based virtual reality game (BioVirtualPed) on pain, fear, and anxiety levels during port needle insertion in pediatric oncology patients (POPs). Methods: This randomized controlled study was conducted at a hospital between August and December 2023 involving 62 POPs aged 6-12 and their mothers. The intervention group wore a virtual reality headset and a respiratory sensor during the procedure. Data were collected using the Descriptive Information Form, Wong-Baker Pain Assessment Scale, Child Fear Scale, Children's State Anxiety, Satisfaction Scoring-Visual Analog Scale, and ADXL354 Sensor. Statistical analysis was performed using IBM SPSS for Windows Version 24.0. Results: The intervention group showed lower mean pain scores than the control group (p < 0.001). There was no difference in pre-procedure fear and anxiety scores between groups (p > 0.05 and p > 0.05, respectively). Post-procedure fear and anxiety scores were lower in the intervention group (p < 0.001 and p < 0.001, respectively). The intervention group's mean respiratory rates were lower (p < 0.001), and their satisfaction scores were higher (p < 0.001). Agreements between POPs and mothers on pain, fear, and anxiety scores were good and excellent across groups (p < 0.001). Conclusions: The BioVirtualPed reduced procedure-related pain, anxiety, and fear, increased care satisfaction, and had a positive effect on the mean respiratory rate, hence it shows promising results, but these findings need further comfirmation.
A biofeedback based virtual reality game for pediatric population (BioVirtualPed): a feasibility trial seminars in oncology nursing (vol 40, 151615, 2024)
(Elsevier, 2025) Umaç, Eyşan Hanzade; Semerci, Remziye; Gürsoy, Beren Semiz; Ürey, Hakan; Dinçer, Betül; Sayın, Ata; Umaç, Eyşan Hanzade; School of Nursing; Department of Electrical and Electronics Engineering; Yes; SCHOOL OF NURSING; College of Engineering; Sayın, Ata; Dinçer, Betül
The authors regret an error in the original publication regarding the clinical trial registration number. The article incorrectly stated the clinical trial number as NCT05585840. The correct clinical trial number is NCT06427148. This correction does not affect the study's results, interpretation, or conclusions. The authors would like to apologize for any inconvenience caused.
A biofeedback based virtual reality game for pediatric population (BioVirtualPed): a feasibility trial
(Elsevier, 2024) Gürsoy, Beren Semiz; Ürey, Hakan; Semerci, Remziye; Umaç, Eyşan Hanzade; Dinçer, Betül; Sayın, Ata; Department of Electrical and Electronics Engineering; Graduate School of Health Sciences; School of Nursing; KUH (Koç University Hospital); Yes; College of Engineering; GRADUATE SCHOOL OF HEALTH SCIENCES; SCHOOL OF NURSING; KUH (KOÇ UNIVERSITY HOSPITAL)
Objective: This trial aims to assess the acceptability, feasibility, and safety of BioVirtualPed, a biofeedback-based virtual reality (VR) game designed to reduce pain, anxiety, and fear in children undergoing medical procedures. Methods: An Oculus Quest 2 headset was used in the VR experience, respiratory data was captured using an ADXL354 accelerometer, and these data were integrated into the game with ArdunioUno software. The sample of this study consisted of 15 pediatric oncology patients aged 6 to 12 years between July and August 2023. BioVirtualPed's acceptability, feasibility, and safety were evaluated through child and expert feedback, alongside metrics including the System Usability Scale, Wong-Baker Pain Rating Scale, Child Fear Scale, Child Anxiety Scale-Status, Satisfaction Scoring, and various feasibility and safety parameters. Results: Regarding the acceptability, the expert evaluation showed a mean score of 122.5 ± 3.53, indicating high usability for the system. All children provided positive feedback, and both children and their mothers reported high satisfaction with using BioVirtualPed. The BioVirtualPed was feasible for reducing children's pain, fear, and anxiety levels. All the children complied with the game, and no one withdrew from the trial. BioVirtualPed did not cause symptoms of dizziness, vomiting, or nausea in children and was found to be safe for children. Conclusion: The findings showed that BioVirtualPed meets the following criteria: feasibility, user satisfaction, acceptability, and safety. It is a valuable tool to improve children's experience undergoing port catheter needle insertion procedures. Implication for Nursing Practice: Integration of VR interventions with BioVirtualPed into routine nursing care practices has the potential to effectively manage the pain, anxiety, and fear experienced by children undergoing medical procedures. The safety, feasibility, and acceptability results are promising for further research and integration into pediatric healthcare practice.
