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Use of virtual reality to decrease pain and anxiety during vaccination

Descriptive

TitleInfo
Title
Use of virtual reality to decrease pain and anxiety during vaccination
Name (type = personal)
NamePart (type = family)
Higashio
NamePart (type = given)
Julia
NamePart (type = date)
1983-
DisplayForm
Julia Higashio
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Quinn
NamePart (type = given)
Margaret
DisplayForm
Margaret Quinn
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = personal)
NamePart (type = family)
McKegney
NamePart (type = given)
Clare Cardo
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Clare Cardo McKegney
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
outside member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Nursing - RBHS
Role
RoleTerm (authority = RULIB)
school
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Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (encoding = w3cdtf); (qualifier = exact)
2019
DateOther (encoding = w3cdtf); (qualifier = exact); (type = degree)
2019-05
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Abstract (type = abstract)
Vaccinations are routine procedures in pediatric offices, however studies have shown that most primary care settings offer little in the way of pain and anxiety management for the procedure. This lack of intervention combined with significant portions of the population suffering from needle fear and anxiety leads to vaccine hesitancy, delay, and refusal. One way to help this issue is the use of VR. This technology has been used to decrease pain and anxiety in adolescent patients during dressing changes, venipuncture, and vaccination for over 18 years. The costs of the technology have also decreased to make VR an affordable tool for primary care offices for use during vaccinations to help patients who have needle fear and anxiety. This project studied the affect VR has on the perceived pain of vaccination and the situational anxiety patients experience in a primary care office. A total of 104 subjects took part in the study, 52 using the VR during vaccination and 52 only experiencing standard office procedure. Analysis found that anxiety significantly decreased from 3.98 to 2.04 on numeric scales from 0-10 in subjects using the VR, U=1057, p=0.000077. Perceived pain levels also decreased from 3.06 to 2.31 on numeric scales from 0-10, U=750.5, p=0.052. Regression analysis taking into account higher baseline anxiety, number of shots, and higher frequency of more painful shots in the VR group showed that the use of the VR did lead to a significant reduction in pain, ?=-1.12, t(103)= -3.85, p=0.0002. These data show that the VR is an effective tool for vaccine pain and anxiety management, and primary care offices should be encouraged to implement the VR in their practices.
Subject (authority = RUETD)
Topic
Pediatric Nurse Practitioner
Subject (authority = LCSH)
Topic
Vaccination -- Psychological aspects
Subject (authority = LCSH)
Topic
Virtual reality in medicine
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_9989
PhysicalDescription
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application/pdf
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text/xml
Extent
1 online resource (66 pages) : illustrations
Note (type = degree)
DNP
Note (type = bibliography)
Includes bibliographical references
RelatedItem (type = host)
TitleInfo
Title
School of Nursing (RBHS) DNP Projects
Identifier (type = local)
rucore10004500001
Location
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NjNbRU
Identifier (type = doi)
doi:10.7282/t3-z6j8-x657
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Higashio
GivenName
Julia
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2019-05-06 15:43:12
AssociatedEntity
Name
Julia Higashio
Role
Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
Type
Embargo
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2019-05-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2021-05-30
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 30th, 2021.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

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ETD
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windows xp
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1.7
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DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2019-05-06T15:42:30
DateCreated (point = end); (encoding = w3cdtf); (qualifier = exact)
2019-05-06T15:42:30
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