- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04172948
The Utility of Virtual Reality in the Management of Pediatric Functional Constipation With Pelvic Floor Dysfunction.
- To determine if the adjunctive use of a Virtual Reality (VR) module on diaphragmatic breathing (DB) can improve the quality of life (QOL) and symptoms of children with functional constipation (FC) with pelvic floor dysfunction (PFD) who are receiving standard of care treatment.
- To assess if a VR module on DB can decrease healthcare utilization for children with FC with PFD.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The investigators will assess if the use a Virtual Reality (VR) module on diaphragmatic breathing (DB) can improve quality of life, constipation symptoms, and decrease healthcare utilization for children with functional constipation (FC) with pelvic floor dysfunction (PFD). FC is a common pediatric condition with a high prevalence and $4.25 billion yearly in healthcare expenditures. FC is often complicated with PFD as seen through stool withholding behaviors. Children with FC with PFD are referred to occupational therapy for biofeedback and DB training as standard of care. Occupational therapy uses to teach children with FC with PFD to relax their abdominal muscles, and subsequently their pelvic floor muscles, facilitating a more complete bowel evacuation. VR is a technology currently employed in rehabilitation services, anesthesiology and surgery. VR can provide a fun, immersive environment with a feedback component for children with FC to learn DB effectively and build a positive association with toileting.
The purpose of this study is to examine if a virtual reality module that teaches children diaphragmatic breathing through an immersive game can improve the quality of life and decrease health care utilization for children with functional constipation and pelvic floor dysfunction.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
California
-
Palo Alto, California, United States, 94304
- Stanford Hospital/Lucile Packard Children's Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Ages 7 to 21 years old
- Meets Rome IV criteria for functional constipation and pelvic floor dysfunction
- Developmentally appropriate to understand verbal instructions
Exclusion Criteria:
- Co-existing medical conditions that include inflammatory bowel disease, Hirschsprung's Disease, cystic fibrosis, tethered cord, anal stenosis, sacral agenesis, spinal cord anomalies, untreated thyroid disease, untreated celiac disease, neurogenic bowel, cerebral palsy, major bowel surgery.
- Non-English speaking
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Virtual reality arm
This arm will receive diaphragmatic breathing teaching by a medical professional and virtual reality module that teaches diaphragmatic breathing.
This arm will be sent home with the virtual reality equipment and practice this breathing technique through the virtual reality module for 8 weeks.
|
10 minute virtual reality tutorial on diaphragmatic breathing, a game in practicing diaphragmatic breathing, and two scenarios in which the patient can also practice diaphragmatic breathing.
10 minute tutorial on diaphragmatic breathing by a medical professional.
|
Placebo Comparator: Control
This arm will receive diaphragmatic breathing teaching by a medical professional only.
They will practice this breathing technique with a paper handout of diaphragmatic breathing technique instructions for 8 weeks.
|
10 minute tutorial on diaphragmatic breathing by a medical professional.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in baseline in Rome criteria for functional constipation and symptoms of pelvic floor dysfunction.
Time Frame: Baseline, 1 visit between week 2
|
This outcome will assess cure of functional constipation and pelvic floor dysfunction.
|
Baseline, 1 visit between week 2
|
Change in baseline in Rome criteria for functional constipation and symptoms of pelvic floor dysfunction.
Time Frame: Baseline, week 4
|
This outcome will assess cure of functional constipation and pelvic floor dysfunction.
|
Baseline, week 4
|
Change in baseline in Rome criteria for functional constipation and symptoms of pelvic floor dysfunction.
Time Frame: Baseline, week 8
|
This outcome will assess cure of functional constipation and pelvic floor dysfunction.
|
Baseline, week 8
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from baseline in Pediatric Quality of Life (QOL) gastrointestinal (GI) module
Time Frame: Baseline, 1 visit between week 2
|
Pediatric Quality of Life Inventory™ Gastrointestinal Symptoms Scales (PedsQL™ Gastrointestinal Symptoms Scales).
Scale: 0-4.
The total scale score is tallied from the sum of the reversed scores; the higher the score, the higher the health-related quality of life.
|
Baseline, 1 visit between week 2
|
Change from baseline in Pediatric Quality of Life (QOL) gastrointestinal (GI) module
Time Frame: Baseline, week 4
|
Pediatric Quality of Life Inventory™ Gastrointestinal Symptoms Scales (PedsQL™ Gastrointestinal Symptoms Scales).
Scale: 0-4.
The total scale score is tallied from the sum of the reversed scores; the higher the score, the higher the health-related quality of life.
|
Baseline, week 4
|
Change from baseline in Pediatric Quality of Life (QOL) gastrointestinal (GI) module
Time Frame: Baseline, week 8
|
Pediatric Quality of Life Inventory™ Gastrointestinal Symptoms Scales (PedsQL™ Gastrointestinal Symptoms Scales).
Scale: 0-4.
The total scale score is tallied from the sum of the reversed scores; the higher the score, the higher the health-related quality of life.
|
Baseline, week 8
|
Change from baseline in Patient Assessment of Constipation Symptoms (PAC-SYM) constipation questionnaire
Time Frame: Baseline, 1 visit between week 2
|
Patient Assessment of Constipation Symptoms (PAC-SYM).
The PAC-SYM (12-items) is a survey used to evaluate chronic constipation.
Patients rank the symptoms on a 5 point Likert scale, ranging from 0 to 4, 0 being absent and 4 being very severe.
For each symptom, score changes of 0.5 points indicate minimal improvement, and changes in 1 point correspond to moderate clinical improvement.
|
Baseline, 1 visit between week 2
|
Change from baseline in Patient Assessment of Constipation Symptoms (PAC-SYM) constipation questionnaire
Time Frame: Baseline, week 4
|
Patient Assessment of Constipation Symptoms (PAC-SYM).
The PAC-SYM (12-items) is a survey used to evaluate chronic constipation.
Patients rank the symptoms on a 5 point Likert scale, ranging from 0 to 4, 0 being absent and 4 being very severe.
For each symptom, score changes of 0.5 points indicate minimal improvement, and changes in 1 point correspond to moderate clinical improvement.
|
Baseline, week 4
|
Change from baseline in Patient Assessment of Constipation Symptoms (PAC-SYM) constipation questionnaire
Time Frame: Baseline, week 8
|
Patient Assessment of Constipation Symptoms (PAC-SYM).
The PAC-SYM (12-items) is a survey used to evaluate chronic constipation.
Patients rank the symptoms on a 5 point Likert scale, ranging from 0 to 4, 0 being absent and 4 being very severe.
For each symptom, score changes of 0.5 points indicate minimal improvement, and changes in 1 point correspond to moderate clinical improvement.
|
Baseline, week 8
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Ann Ming Yeh, MD, Stanford Hospital/Lucile Packard Children's Hospital
- Principal Investigator: Alice C Huang, MD, Stanford Hospital/Lucile Packard Children's Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 52684
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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