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Burns. 2018 Jun;44(4):886-895. doi: 10.1016/j.burns.2017.11.020. Epub 2018 Jan 2.

Assessing the feasibility of implementing low-cost virtual reality therapy during routine burn care.

Author information

1
West Virginia University, Department of Psychology, P.O. Box 6040, Morgantown, WV 26506-6040, United States.
2
Department of Oral Health Sciences, School of Dentistry, University of Washington, 1959 NE Pacific Street, Box 357475, Seattle, WA 98195, United States.
3
Department of Surgery, West Penn Burn Center, Allegheny Health Network, Pittsburgh, PA, United States.
4
West Virginia University, Department of Psychology, P.O. Box 6040, Morgantown, WV 26506-6040, United States. Electronic address: Christina.Duncan@mail.wvu.edu.

Abstract

Burn care often involves procedures that result in significant pain experiences for patients which, in turn, can lead to poorer physical and psychological health outcomes. Distraction and virtual reality (VR) are an effective adjunct to pharmacological interventions in reducing pain. Much of the research that has demonstrated efficacy for VR in burn care has involved expensive and extensive technology. Thus, identifying cost-effective, feasible, acceptable, and effective approaches to apply distraction within routine burn care is important. The objective of this mixed-methods study was to evaluate key stakeholder (i.e., patients, providers) perceptions of feasibility, acceptability, and effectiveness for the use of low-cost VR technology during routine burn care with adult patients. Ten adult patients used VR during burn care dressing changes in an outpatient clinic setting, after which they completed a satisfaction survey and individual qualitative interview. Providers also completed a satisfaction/perception survey after each participant's care. Quantitative and qualitative results from both patient and provider perspectives consistently supported the feasibility and utility of applying low-cost VR technology in this outpatient burn clinic setting. Special considerations (e.g., aspects to consider when choosing an apparatus or application) stemming from stakeholder feedback are discussed.

KEYWORDS:

Adults; Burn care; Distraction; Virtual reality

PMID:
29305105
PMCID:
PMC5953841
[Available on 2019-06-01]
DOI:
10.1016/j.burns.2017.11.020
[Indexed for MEDLINE]

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