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Virtual Reality Technology Versus Standard Technology During Pediatric Oral Food Challenge

Primary Purpose

Food Allergy in Children, Food Allergy

Status
Recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
use of virtual reality
use of standard technology
Sponsored by
Stanford University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Food Allergy in Children focused on measuring food allergy, oral food challenge, virtual reality

Eligibility Criteria

5 Years - 17 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Between the ages of 5 and 17
  • Willing to participate in both the VR and standard of care technology conditions
  • Able to consent or have parental consent
  • Undergoing at least two Oral Food Challenges within the window of recruitment at the Sean N. Parker Center

Exclusion Criteria:

  • People who do not consent
  • Significant Cognitive Impairment
  • History of Severe Motion Sickness
  • Current Nausea
  • Seizures
  • Visual Problems
  • Non-English Speaking
  • Patients who clinically unstable or requires urgent/emergent intervention
  • ASA class 4 or higher

Sites / Locations

  • Stanford UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

virtual reality then standard technology

standard technology then virtual reality

Arm Description

patients randomized to this arm will first use virtual reality (VR) during and oral food challenge and then use standard technology during a second oral food challenge

patients randomized to this arm will first use standard technology during and oral food challenge and then use virtual reality during a second oral food challenge

Outcomes

Primary Outcome Measures

Change in Children's Fear Scale Score Before and After OFC dosing
The Children's Fear Scale (CFS) is used to measure the anxiety or fear level of the children. The one-item scale consists of a row of five sex neutral faces ranging from a no fear (neutral) face on the far left to a face showing extreme fear on the far right.
Change in Childhood Anxiety Meter Score Before and After OFC dosing
The Childhood Anxiety Meter brief measure of the current level of anxiety in a child using a visual scale (thermometer that is colored to the level anxiety, higher thermometer level means more anxiety).

Secondary Outcome Measures

Level of Immersion after OFC
Modified scale to assess cognitive absorption as a measure of immersion in the technology.
Level of satisfaction - participant, caregiver and provider
Patient, caregiver and provider satisfaction after dosing will be assessed through a custom satisfaction evaluation form, with categorical responses to questions tailored to specific challenges during OFC such as the time it takes to administer a dose, how well a patient complies with dosing, and how available technology may influence patient and caregiver desire to continue with a study.

Full Information

First Posted
April 29, 2020
Last Updated
July 11, 2023
Sponsor
Stanford University
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1. Study Identification

Unique Protocol Identification Number
NCT04376242
Brief Title
Virtual Reality Technology Versus Standard Technology During Pediatric Oral Food Challenge
Official Title
The Utilization of Virtual Reality Technology Versus Standard of Care During Pediatric Oral Food Challenge: A Pilot Study
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 1, 2021 (Actual)
Primary Completion Date
September 30, 2024 (Anticipated)
Study Completion Date
September 30, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Stanford University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
The purpose of this study is to determine if non-invasive distracting devices (Virtual Reality headset) are more effective than the standard of care of utilizing existing technologies that are currently more common in food allergy research treatment and clinics (i.e. television and patients' personal electronic devices) for decreasing levels anxiety and fear in pediatric patients undergoing oral food challenge (OFC) and their caregivers.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Food Allergy in Children, Food Allergy
Keywords
food allergy, oral food challenge, virtual reality

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
140 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
virtual reality then standard technology
Arm Type
Experimental
Arm Description
patients randomized to this arm will first use virtual reality (VR) during and oral food challenge and then use standard technology during a second oral food challenge
Arm Title
standard technology then virtual reality
Arm Type
Active Comparator
Arm Description
patients randomized to this arm will first use standard technology during and oral food challenge and then use virtual reality during a second oral food challenge
Intervention Type
Behavioral
Intervention Name(s)
use of virtual reality
Intervention Description
The intervention is a virtual reality program designed to immerse participants in a gaming experience to improve anxiety and fear during an oral food challenge.
Intervention Type
Behavioral
Intervention Name(s)
use of standard technology
Intervention Description
the active comparator group will be allowed standard technology for distraction during oral food challenge which can include TV, non-VR gaming, tablets and smart phones.
Primary Outcome Measure Information:
Title
Change in Children's Fear Scale Score Before and After OFC dosing
Description
The Children's Fear Scale (CFS) is used to measure the anxiety or fear level of the children. The one-item scale consists of a row of five sex neutral faces ranging from a no fear (neutral) face on the far left to a face showing extreme fear on the far right.
Time Frame
measurements occur at single time points before and after each food challenge with approximately 4-6 hours between measurements. Thus 4 discrete measurements will be taken over two food challenges which will occur approximately one week apart.
Title
Change in Childhood Anxiety Meter Score Before and After OFC dosing
Description
The Childhood Anxiety Meter brief measure of the current level of anxiety in a child using a visual scale (thermometer that is colored to the level anxiety, higher thermometer level means more anxiety).
Time Frame
Before and after each evaluation (approximately 4-6 hours between measurements at each visit, with visits approximately 1 week apart)
Secondary Outcome Measure Information:
Title
Level of Immersion after OFC
Description
Modified scale to assess cognitive absorption as a measure of immersion in the technology.
Time Frame
After each evaluation (approximately 1 week apart)
Title
Level of satisfaction - participant, caregiver and provider
Description
Patient, caregiver and provider satisfaction after dosing will be assessed through a custom satisfaction evaluation form, with categorical responses to questions tailored to specific challenges during OFC such as the time it takes to administer a dose, how well a patient complies with dosing, and how available technology may influence patient and caregiver desire to continue with a study.
Time Frame
After each evaluation (approximately 1 week apart)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
5 Years
Maximum Age & Unit of Time
17 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Between the ages of 5 and 17 Willing to participate in both the VR and standard of care technology conditions Able to consent or have parental consent Undergoing at least two Oral Food Challenges within the window of recruitment at the Sean N. Parker Center Exclusion Criteria: People who do not consent Significant Cognitive Impairment History of Severe Motion Sickness Current Nausea Seizures Visual Problems Non-English Speaking Patients who clinically unstable or requires urgent/emergent intervention ASA class 4 or higher
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sayantani Sindher, MD
Organizational Affiliation
Stanford University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Stanford University
City
Stanford
State/Province
California
ZIP/Postal Code
94304
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Study Team
Phone
650-521-7237
Email
snpcenterallergy_inquiry@stanford.edu

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
No plan to share.

Learn more about this trial

Virtual Reality Technology Versus Standard Technology During Pediatric Oral Food Challenge

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