An interventional study of VR-PAT in Acute Pain, Procedural Anxiety and Juvenile Idiopahtic Arthritis, sponsored by Nationwide Children's Hospital. Enrolling by invitation at 1 site in United States. Open to participants aged 5 Years to 17 Years. Per ClinicalTrials.gov, last updated 2026-08-24.
Sponsored by Nationwide Children's Hospital · Not applicable, Interventional, and Treatment
The goal of the project is to implement virtual reality for pain and anxiety management for patients undergoing intra-articular glucocorticoid injections in the outpatient pediatric rheumatology clinic.
To assess feasibility of VR use in the clinic, 10 patients will be recruited to use VR during non-sedated intra-articular (IA) glucocorticoid injections. All patients will be offered our typical analgesia (LMX topical cream, freeze spray, lidocaine injection). Patients and caregivers will be asked to fill out pre-injection and post-injection surveys, and staff (rheumatology clinic nurses) will be asked for feedback regarding feasibility of VR in clinical workflows.
The specific aims of the study are to:
Aim 1: Assess the feasibility and efficacy of VR use to reduce pain in patients undergoing non-sedated IA glucocorticoid injections at Nationwide Children's Hospital
Exclusion Criteria:
Participants will be using the VR-PAT during IA glucocorticoid injections
Other: VR-PAT
Virtual Reality Pain Alleviation Therapeutic (VR-PAT) via a Pico Neo3 Pro Eye
Practicality/utility of the VR experience as a pain and anxiety management tool for IA joint injection procedures
Assessed by the nurse answering the following questions: "Is this distraction tool helpful during joint injection procedures (Yes/No)?" and "Is this distraction tool easy to use during joint injections (Yes/No)?"
Time frame: Immediately following the IA joint injection procedure
Self-reported change procedural anxiety
0-10 Numerical Rating Scale (NRS) (self-reported), 0(min)-10(max), with higher score indicating worse anxiety.
Time frame: Immediately before the IA joint injection procedure and immediately after
Self-reported pain
0-10 Numerical Rating Scale (NRS) (self-reported), 0(min)-10(max), with higher score indicating worse pain. Asked for worst pain, average pain, and time spent thinking about pain.
Time frame: Immediately following the IA joint injection procedure
Plan to share: No
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Nationwide Children's Hospital