Using of Virtual Reality to Relieve Procedural Pain in Pediatric Oncology.

Medical procedures can be a very frightening experience for children. It is known that children who received painful medical procedures can develop a higher sensitivity of pain during their following experiences. During their treatments for malignant diseases, children are exposed to a lot of painful procedures (eg. needle insertion, lumbar punction, myelogram, etc…) Therefore, medical societies propose the use of interventions like distraction techniques for pain management in complement of pharmacological treatment. In addition, the repetitions of painful procedures and ineffective prevention of pain can create care phobia. Within this context, immersive and participative virtual reality (VR) could be an innovative distraction technique for pain management among children undergoing medical procedures. Attention Pain Theory can explain how virtual reality can reduce the perception of pain. Attention is required to feel pain. When the patient is focused on another subject like an immersive virtual environment, his brain is less available to treat information like painful stimulus from care procedures. The investigators hypothesis is that VR can reduce procedural-related pain and can decrease fear during the following procedures. Results of previous studies are varied : some showed a non-significant reduction of patient's procedural pain despite the use of VR, whereas others concluded to a decrease of pain. The question of the benefit of VR for the patients who are exposed to repeated painful procedures remains still unclear, especially with patients who are likely to feel chronic pain or many pain-related exposures. The aim of this study is to evaluate the non-inferiority of virtual reality as a distraction technique for pain management in children and adolescents with onco-hematological diseases, undergoing painful procedures, compared to standard of care.

Sex

All

Minimum age

7 Years

Maximum age

18 Years

Inclusion Criteria:

Quantitative component:

* Child aged 7 to 18 years
* Child followed in pediatric onco-hematology in the context of hematological malignancy or non malignant hematology or solid tumor management.
* Child who has already experienced a potentially painful care procedure before entry the study
* Child who will have the same potentially painful care procedure (Hüber needle placement or lumbar puncture) on three occasions during the course of their care.
* Child with consent.
* Child whose parental authority holders have given their consent to participate to the study.

Qualitative component:

* Professional who used both care-induced pain prevention techniques and agreed to be interviewed.
* A parent or guardian.

Exclusion Criteria:

* Child who refuse to use this distraction technique (VR).
* Child who refuse to not use MEOPA during VR.
* Child who hasn't experienced the potentially painful care procedure that will be done during the study at least once before inclusion
* Child who does not speak French and whose parents do not speak French