ClinicalTrials.gg
CompletedNCT03475901Updated Dec 3, 2019

Virtual Reality for Anxiolysis During Laceration Repair in the Pediatric Emergency Room

An interventional study of Virtual Reality App in Procedural Anxiety and Laceration of Skin, sponsored by Montefiore Medical Center. Completed at 1 site in United States. Open to participants aged 5 Years to 13 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-12-03.

Sponsored by Montefiore Medical Center · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
5 Years to 13 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 60 studies in Lacerations with a site in United States — 12 open to participants now, 14 under way, 1 of them phase 3. Lacerations · United States.

Enrollment
32nd of 52
40 · median 52
Started
2018
with 4 others
No phase
33 of 60
5 open now
Registered
31st of 60
by date
Lead sponsor
2 of 60
Montefiore Medical Center

Among the 60 studies in Lacerations with a site in United States, this one is the 32nd largest by enrollment of the 52 interventional ones, is one of 5 that started in 2018, is one of 33 with no phase, and was the 31st registered.

By phase

60 studies; the count open now beside each. This study's row is marked.

No phasethis study33 · 5 open
Phase 410 · 2 open
Observational7 · 2 open
Phase 26 · 1 open
Phase 11 · 1 open
Phase 1/21 · 0 open
Phase 2/31 · 0 open
Phase 31 · 1 open

By the year they started

First in 2000; this study’s year is marked. 5 started in 2018.

Size and results

Median enrollment 52 across the 52 interventional studies, 50 across the 7 observational. Of the 36 that completed or were terminated, 18 (50%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 60 studies in Lacerations with a site in United States, or all of them as a file.
02

Study summary

The investigators propose a pilot study to examine the feasibility of utilizing immersive virtual reality to reduce procedural anxiety in children undergoing non-facial laceration repair in the Pediatric Emergency Department.

The investigators hypothesize that virtual reality will be well-received by patients and their caregivers, and that the anxiety provoked by laceration repair will be mitigated by the immersive virtual reality experience.

03

Conditions studied

  • Procedural Anxiety
  • Laceration of Skin

Browse trials for

Keywords

  • procedural anxiety
  • virtual reality
  • anxiolysis
  • laceration repair
  • pediatric
04

Who can participate

Ages eligible
5 Years to 13 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • children 5-13 years of age
  • present to ED during the study period with non-facial lacerations
  • patient to undergo wound closure with sutures

Exclusion criteria

Exclusion Criteria:

  • Patients with lacerations on the head/face
  • Patients with lacerations sustained in conjunction with loss of consciousness, altered mental status, life-threatening injuries/illness or multi-trauma
  • Patients who sustained a laceration in conjunction with an open fracture
  • Patients with open skin, lice, scabies, or other infectious skin conditions on the head/face
  • Patients with a history of or current symptoms of vertigo
  • Patients who are blind
  • Patients with significant developmental or cognitive delays who may not be able to engage with or tolerate the virtual reality environment, as determined by their parent/caregiver
  • Patients on whom the VR headset does not fit appropriately
  • Non-English speaking patients will be excluded from this study (we do not have funds available to translate the study documents into other languages)
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Virtualy Reality App

    Virtual reality app produced by KindVR played via a stereoscopic head mounted display (Samsung GearVR) and headphones that the patient will wear over their eyes and ears.

    Other: Virtual Reality App

Interventions

  • OtherVirtual Reality App

    Virtual reality app produced by KindVR played via a stereoscopic head mounted display (Samsung GearVR) and headphones that the patient will wear over their eyes and ears.

06

What researchers measure

Primary outcomes

  1. The percentage of children whose anxiety score did NOT increase by ≥ 20mm on a visual analog anxiety scale

    Anxiety score will be measured on a Visual Analog Scale. This scale consists of a 100mm line on which parents mark their estimate of their child's anxiety level, with anxiety level increasing from left (0mm) to right (100mm).

    Time frame: from the time of enrollment to the placement of the first stitch, which is typically ranges from 15 to 90 minutes

Secondary outcomes

  1. Change in anxiety score

    Anxiety score will be measured on a Visual Analog Scale. This scale consists of a 100mm line on which parents mark their estimate of their child's anxiety level, with anxiety level increasing from left (0mm) to right (100mm).

    Time frame: from the time of enrollment to wound irrigation, which typically ranges from 5 to 80 minutes

  2. Change in anxiety score

    Anxiety score will be measured on a Visual Analog Scale. This scale consists of a 100mm line on which parents mark their estimate of their child's anxiety level, with anxiety level increasing from left (0mm) to right (100mm).

    Time frame: from enrollment to local/regional anesthesia, which typically ranges from 15 to 100 minutes

  3. Change in anxiety score

    Anxiety score will be measured on a Visual Analog Scale. This scale consists of a 100mm line on which parents mark their estimate of their child's anxiety level, with anxiety level increasing from left (0mm) to right (100mm).

    Time frame: from enrollment to procedure completion, which typically ranges from 20 to 180 minutes

  4. Patient satisfaction with the use of VR during the procedure as assessed by a patient questionnaire

    To assess the receptiveness of patients to this technology as well as the efficacy of the VR experience, participants will be asked to complete a brief questionnaire at the end of the procedure assessing their experience while using VR during the laceration repair. These surveys address the patient's comfort and satisfaction with the technology. We have created separate patient surveys for children ages 5-7 and children ages 8-13 - these surveys have the same questions, but the answer choices are simplified from Likert Rating Scales (scale of 1 - 5) for the older children to a simple "Yes, No, I don't know" choice for the younger children. There is also a free text response question for which patients can provide additional comments or suggestions regarding their use of VR during laceration repair.

    Time frame: Patients will fill out the questionnaire at the time their sutured laceration repair is completed, which is typically between 20 and 180 minutes after enrollment

  5. Parent/guardian satisfaction with the use of VR during the procedure as assessed by a parent/guardian questionnaire

    To assess the receptiveness of patients to this technology as well as the efficacy of the VR experience, parents/guardians will be asked to complete a brief survey at the end of the procedure assessing their comfort and satisfaction with their child's use of VR during the laceration repair. The survey contains both rating questions with Likert Rating Scales (scale of 1 - 5), yes/no questions, and questions with free text responses.

    Time frame: Parent/guardian will fill out the questionnaire at the time their child's sutured laceration repair is completed, which is typically between 20 and 180 minutes after enrollment

  6. Provider satisfaction with the use of VR during the procedure as measured by a provider questionnaire

    The ED provider who performed the laceration repair will complete a survey at the end of the procedure assessing their satisfaction with using VR during laceration repair. The survey contains yes/no questions, multiple choice questions, and questions with free text responses.

    Time frame: Providers will fill out the questionnaire at the time their patient's sutured laceration repair is completed, which is typically between 20 and 180 minutes after enrollment

  7. Need for adjunctive anxiolysis methods, sedation, or restraints during the procedure as reported on a provider questionnaire

    The ED provider who performed the laceration repair will complete a questionnaire at the end of the procedure which will detail which, if any, adjunctive measures were needed during the procedure.

    Time frame: from enrollment to procedure completion, which typically ranges from 20 to 180 minutes

  8. Headache due to VR use as reported on a qualitative simulator sickness questionnaire

    The patient (with the help of their parent/guardian for younger children) will complete a questionnaire assessing for symptoms of simulator sickness, including nausea, headache, dizziness, and eye pain. The questionnaire uses Likert Scales (ranging from 1 to 5, with 5 indicating a higher level of symptom) to assess nausea, headache, dizziness, and eye pain associated with VR use.

    Time frame: from enrollment to procedure completion, which typically ranges from 20 to 180 minutes

  9. Eye pain due to VR use as reported on a qualitative simulator sickness questionnaire

    The patient (with the help of their parent/guardian for younger children) will complete a questionnaire assessing for symptoms of simulator sickness, including nausea, headache, dizziness, and eye pain. The questionnaire uses Likert Scales (ranging from 1 to 5, with 5 indicating a higher level of symptom) to assess nausea, headache, dizziness, and eye pain associated with VR use.

    Time frame: from enrollment to procedure completion, which typically ranges from 20 to 180 minutes

  10. Nausea due to VR use as reported on a qualitative simulator sickness questionnaire

    The patient (with the help of their parent/guardian for younger children) will complete a questionnaire assessing for symptoms of simulator sickness, including nausea, headache, dizziness, and eye pain. The questionnaire uses Likert Scales (ranging from 1 to 5, with 5 indicating a higher level of symptom) to assess nausea, headache, dizziness, and eye pain associated with VR use.

    Time frame: from enrollment to procedure completion, which typically ranges from 20 to 180 minutes

  11. Dizziness due to VR use as reported on a qualitative simulator sickness questionnaire

    The patient (with the help of their parent/guardian for younger children) will complete a questionnaire assessing for symptoms of simulator sickness, including nausea, headache, dizziness, and eye pain. The questionnaire uses Likert Scales (ranging from 1 to 5, with 5 indicating a higher level of symptom) to assess nausea, headache, dizziness, and eye pain associated with VR use.

    Time frame: from enrollment to procedure completion, which typically ranges from 20 to 180 minutes

  12. Barriers to the use of VR identified during this study as reported on a provider questionnaire

    The ED provider who performed the laceration repair will complete a questionnaire at the end of the procedure which will detail which, if any, barriers to the use of VR that they encountered during the procedure

    Time frame: from enrollment to procedure completion, which typically ranges from 20 to 180 minutes

07

Study locations

1 site
  • Children's Hospital at Montefiore
    Bronx, New York 10467, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2018 to primary completion in Nov 2019, 19 months.

Of 46 non-industry interventional studies with no phase under Lacerations, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 72. This study's 19 months is close to that.

Counting every sponsor, half of 50 studies reached it within 19 months; a quarter within 12 and three quarters within 72.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 10, 2018
First posted
Mar 23, 2018
StartActual
Apr 15, 2018
Primary completionActual
Nov 22, 2019
CompletionActual
Nov 22, 2019
Last update
Dec 3, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Dec 3, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03475901
Collaborators
KindVR
Responsible party
Daniel Marc Fein (Assistant Professor of Pediatrics, Montefiore Medical Center) — Principal investigator
First posted
Mar 23, 2018
Start date
Apr 15, 2018
Primary completion
Nov 22, 2019
Completion
Nov 22, 2019
Last update
Dec 3, 2019

Study contacts

Daniel M Fein, MD
principal investigator · Montefiore Medical Center

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Dec 2019. You cannot join it, but the record below documents what was studied.

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