• Jonathan Gershon, Elana Zimand, Melissa Pickering, Barbara Olasov Rothbaum, and Larry Hodges.
• E P Bradley Hospital, East Providence, RI 02879, USA. jgershon@lifespan.org
• J Am Acad Child Adolesc Psychiatry. 2004 Oct 1;43(10):1243-9.

ObjectiveTo pilot and test the feasibility of a novel technology to reduce anxiety and pain associated with an invasive medical procedure in children with cancer.MethodChildren with cancer (ages 7-19) whose treatment protocols required access of their subcutaneous venous port device (port access) were randomly assigned to a virtual reality distraction intervention, a non-virtual reality distraction, or treatment as usual without a distraction. The researchers obtained assessments of the child's pain and anxiety from the parent, child, and unblinded nurses. Pulse rate was monitored throughout the procedure, and behavioral indices of distress were recorded, as observed by the researchers.ResultsReductions in pain and anxiety were found for children who used the virtual reality distraction in comparison with the no distraction condition as evidenced by lower pulse rate and reports of pain by nurses. No significant differences were found for the non-virtual reality condition versus the no distraction condition on pulse rate.ConclusionsThese findings suggest that virtual reality may be a useful tool for distraction during painful medical procedures, but further studies are needed to test potential efficacy and feasibility during other, more distressing medical procedures with larger sample sizes.

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