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RecruitingACTRN12611000913976

The Impact Pain, Anxiety and Stress Levels Have on Acute Burn Wound Healing in Children

A prospective randomised control trial in children 4-12 years with an acute burn injury will determine the effect of the Ditto (Trademark(TM)) virtual reality-based intervention on time to healing (re-epithelialisation) when compared to standard practice (e.g. parental soothing, toys, books, TV).

Sponsor

Diversionary Therapy Technologies

Enrollment

60 participants

Start Date

Aug 9, 2011

Study Type

Interventional

Conditions

Wound healing of acute burn injuries in childrenPain, anxiety and stress during wound care procedures

Summary

To determine whether the use of the Ditto(TM) device (a virtual reality based portable console, involving procedural preparation and distraction), used during acute burn wound care procedures with children 4-12 years, will result in reduced pain levels, stress levels and anxiety. In addition, determine whether its use will improve the wound healing of children with acute burns compared to standard practice.

Eligibility

Sex: Both males and femalesMin Age: 4 YearssMax Age: 12 Yearss

Inclusion Criteria6

  • Children 4-12 years
  • Outpatients
  • Acute burn injury
  • Any burn depth
  • Total body surface area (TBSA) of the burn<15%
  • First dressing change (recruited)

Exclusion Criteria8

  • Non-English speaking
  • Cognitive impairment
  • Visual impairment
  • Auditory impairment
  • Diagnosis of ASD or illness in addition to burn
  • Sedative medication (Midazolam, Entonox)
  • Children managed under Child Protection, or known to the Child Advocacy Service (CAS) or children notified for Suspician of Child Abuse or Neglect (SCAN).
  • Data will be collected until the time point of a burn requiring grafting

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Interventions

At every dressing change, before the wound care procedure, the child engages in the procedural preparation story called "Bobby gets a burn" on the Ditto(TM) device. This takes place in the waiting ar

At every dressing change, before the wound care procedure, the child engages in the procedural preparation story called "Bobby gets a burn" on the Ditto(TM) device. This takes place in the waiting area during the 20 minute waiting period for medication to take effect. Then in the treatment room, during wound care procedures the child is distracted through engagement in touch and find stories or games on the Ditto(TM). The child begins to use the distraction phase of the Ditto just before the nurse commences the wound care procedures and continues to engage in games/stories until the completion of the wound care procedures. This is repeated at every dressing change until healing.

Locations(1)

Australia

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ACTRN12611000913976