Cochrane · systematic review · CD010686
Virtual reality distraction for acute pain in children
Lambert, V, Boylan, P, Boran, L, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
Pain, Palliative and Supportive CareAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
13
No studies
8
Included studies
NR
No studies 8 · 38.1%Ungraded 0 · 0%Very low 7 · 33.3%Low 6 · 28.6%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Virtual reality distraction compared to no distraction
Population: children (0 to 18 years)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Acute pain intensity: self‐report (during procedure) Virtual reality distraction vs no distraction | no estimate extracted | 1 study · 42 participants | Very low Downgraded: risk of bias |
Acute pain intensity: observer‐report (during procedure) Virtual reality distraction vs no distraction | no estimate extracted | NR | No studies |
Acute pain intensity: behavioural measurement (observer‐report) (during procedure) Virtual reality distraction vs no distraction | no estimate extracted | 2 studies · 62 participants | Low Downgraded: risk of bias |
Acute pain intensity: self‐report (post‐procedure) Virtual reality distraction vs no distraction | no estimate extracted | 10 studies · 461 participants | Very low Downgraded: risk of bias |
Acute pain intensity: observer‐report (post‐procedure) Virtual reality distraction vs no distraction | no estimate extracted | 2 studies · 216 participants | Low Downgraded: risk of bias |
Acute pain intensity: behavioural measurement (observer‐report) (post‐procedure) Virtual reality distraction vs no distraction | no estimate extracted | 1 study · 42 participants | Very low Downgraded: risk of bias |
Adverse effects (related to engagement with VR) Virtual reality distraction vs no distraction | no estimate extracted | 5 studies · 154 participants | Very low Downgraded: risk of bias |
Virtual reality distraction compared to non‐VR distraction
Population: children (0 to 18 years)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Acute pain intensity: self‐report (during procedure) Virtual reality distraction vs non‐VR distraction | no estimate extracted | 2 studies · 106 participants | Very low Downgraded: risk of bias |
Acute pain intensity: observer‐report (during procedure) Virtual reality distraction vs non‐VR distraction | no estimate extracted | 2 studies · 106 participants | Low Downgraded: risk of bias |
Acute pain intensity: behavioural measurement (observer‐report) (during procedure) Virtual reality distraction vs non‐VR distraction | no estimate extracted | 2 studies · 106 participants | Low Downgraded: risk of bias |
Acute pain intensity: self‐report (post‐procedure) Virtual reality distraction vs non‐VR distraction | no estimate extracted | 8 studies · 575 participants | Very low Downgraded: risk of bias |
Acute pain intensity: observer‐report (post‐procedure) Virtual reality distraction vs non‐VR distraction | no estimate extracted | 3 studies · 187 participants | Low Downgraded: risk of bias |
Acute pain intensity: behavioural measurement (observer‐report) (post‐procedure) Virtual reality distraction vs non‐VR distraction | no estimate extracted | 2 studies · 106 participants | Low Downgraded: risk of bias |
Adverse effects (related to engagement with VR) Virtual reality distraction vs non‐VR distraction | no estimate extracted | 6 studies · 429 participants | Very low Downgraded: risk of bias |
Virtual reality distraction compared to other VR distraction
Population: children (0‐18 years)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Acute pain intensity: self‐report (during procedure) Virtual reality distraction vs other VR distraction | no estimate extracted | NR | No studies |
Acute pain intensity: observer‐report (during procedure) Virtual reality distraction vs other VR distraction | no estimate extracted | NR | No studies |
Acute pain intensity: behavioural measurement (observer‐report) (during procedure) Virtual reality distraction vs other VR distraction | no estimate extracted | NR | No studies |
Acute pain intensity: self‐report (post‐procedure) Virtual reality distraction vs other VR distraction | no estimate extracted | NR | No studies |
Acute pain intensity: observer‐report (post‐procedure) Virtual reality distraction vs other VR distraction | no estimate extracted | NR | No studies |
Acute pain intensity: behavioural measurement (observer‐report) (post‐procedure) Virtual reality distraction vs other VR distraction | no estimate extracted | NR | No studies |
Adverse effects (related to engagement with VR) Virtual reality distraction vs other VR distraction | no estimate extracted | NR | No studies |