Comparison of Virtual Reality and Passive Distraction on Burn Wound Care Pain in Adolescents

Inclusion Criteria:

• undergoing burn wound care in the Arkansas Children's Hospital (ACH) outpatient burn clinic;
• first time visit to the ACH outpatient burn clinic or first clinic visit without conscious sedation;
• adolescents ages 10 to 17 years;
• English speaking;
• absence of a history of motion sickness (motion sickness has been reported in some VR users);
• absence of a seizure disorder (because prolonged immersion in VR may lead to seizures and vertigo in individuals with seizure disorders, these individuals will be excluded from the study);
• absence of a cognitive developmental disability determined on prescreening by presence of a Section 504 accommodation plan or Title VIII individualized educational plan (IEP) in school. If the parent identifies the nature of the IEP or 504 plan as unrelated to a cognitive delay, then the child or adolescent will be included in the study.

Exclusion Criteria:

• Burns that would interfere with study procedures
• Incarcerated minors
• Children in foster care