An interventional study of irtual Reality 360° Clinic Walkthrough in Anxiety, Stress, Psychological and Fear, sponsored by Berker Okay. Completed at 1 site in Turkey (Türkiye). Open to participants aged 36 Months to 66 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-21.
Sponsored by Berker Okay · Not applicable, Interventional, and Prevention
This prospective, double-blind, randomized controlled trial investigates whether a short, 360° virtual reality (VR) pre-examination walkthrough can reduce anxiety, behavioral distress, and physiological stress responses in preschool children undergoing routine outpatient physical examination. A total of 100 children aged 3-5.5 years were randomized to either a VR group, which viewed a 3-minute real-clinic 360° video via VR goggles, or a control group, which experienced routine waiting only. Primary outcome measures include the Face-Legs-Activity-Cry-Consolability (FLACC) score and crying duration during examination. Secondary outcomes include heart and respiratory rate changes, Wong-Baker Faces Pain Rating Scale (WBS) scores, parent satisfaction, and physician-rated examination ease. The study aims to determine whether immersive, procedure-specific VR preparation can improve examination experience and cooperation while reducing stress for both children and caregivers.
4,868 studies on the registry are indexed under Anxiety Disorders; 1,390 are open to participants now.
This study's enrollment of 100 is above the median of 80 across 4,174 interventional studies indexed under Anxiety Disorders.
Browse Anxiety Disorders studies →Berker Okay is the lead sponsor of 3 studies on the registry; none are open to participants now.
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Exclusion Criteria:
Children in this arm receive a 3-minute, 360° virtual reality (VR) pre-examination walkthrough of the actual pediatric outpatient clinic using a smartphone-based VR headset. The video presents the waiting area, greeting the pediatrician, and routine non-invasive examination steps from a child's eye-level perspective. Intervention(s): Behavioral: Virtual Reality 360° Clinic Walkthrough
Behavioral: irtual Reality 360° Clinic Walkthrough
Children in this arm undergo standard pre-examination waiting without any VR or structured visual preparation. The waiting period is kept similar (approximately 3-5 minutes) to match the duration of the VR exposure. Intervention(s): None (routine waiting only)
A brief, 3-minute 360° video recorded in the actual pediatric outpatient clinic, viewed via VR goggles before examination. The content is child-friendly, non-invasive, and designed to familiarize children with the clinical environment and examination steps to reduce anticipatory anxiety and distress.
FLACC (Face-Legs-Activity-Cry-Consolability) behavioral distress score during examination
Behavioral distress and pain level during physical examination, assessed using the FLACC scale (score range 0-10; higher scores indicate greater distress).
Time frame: During the physical examination (same clinic visit).
Crying duration during examination
Duration of crying (in seconds) recorded with a stopwatch during physical examination; shorter duration reflects lower procedural distress.
Time frame: During the physical examination (same clinic visit).
Parent satisfaction score
Parent-rated satisfaction with the examination process, measured using a 5-point Likert scale (1 = very poor, 5 = excellent).
Time frame: Immediately after the physical examination (same clinic visit).
Plan to share: No
This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.
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