Category / Knowledge Exchange

HEIF Small Fund Research Project: Virtual Reality Chillout

Using immersive and non-immersive virtual reality to distract children with moderate to severe eczema from itching.

Project team: Dr Heidi Singleton, Professor Steven Ersser, Professor Debbie Holley. Associate Professor Xiaosong Yang. Dr Emily Arden-Close. Yaqing Cui- (Research Assistant and software developer), Professor Liz Falconer (Virtual Heritage Ltd), Dr Sarah Thomas, Amanda Roberts (Nottingham Support Group for Carers).

Child aged 5 years using Oculus Quest 2™ Headset

The aim of this project was to co-create immersive and non-immersive VR based on the guided imagery approach to managing moderate to severe eczema, targeted at children aged between 5 and 11 years of age.

Co-creation and Evaluation

Through online surveys (n=6) and semi-structured interviews (n=6), children worked with software developers to codesign the VR Chillout software. Children selected settings, interactions, music and sound effects that they felt would best help them relax and be distracted from their eczema.

 

Two resources were developed for evaluation: a relaxing 360 video of a woodland scene (click the image to view the interactive video on Youtube) and immersive VR mobile phone games:

 

Games for mobile phones – (a) Lobby  (b) Snowy World (c) Flying over Sakura

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For the Oculus Quest 2™, three games were developed. The first game ‘Lovely Fruit Grocery’ provides an immersive interaction experience with cartoon animals, via haptic controllers. The second game is ‘Hand Jet Flying’, which not only keeps the subject’s hand busy but also produces a highly immersive VR experience. The third game is ‘Nature Wonderland’, which focuses on presenting a visually and acoustically immersive and peaceful VR environment with animals, water, and natural elements.

Key findings

  • Evaluation of 360 woodland scene, via low-cost VR headsets: children found the experience relaxing and felt they were transported to a different space.
  • Evaluation of mobile VR software: children appreciated additional interactivity offered by the Snowy World animals and flying over Sakura landscapes.
  • Evaluation of Oculus Quest 2™software (VR game useability survey – n=10 and Children’s Dermatology Life Quality Index survey- n=4): children had the opportunity to use haptic hand controllers and reported that this enhanced the distraction from their eczema. Children felt that the Oculus VR Chillout games were very immersive.

“The animals were very realistic. I enjoyed playing with them and giving them food to eat. I loved the VR games; I feel they helped me to forget my itching.”

(Child aged 11)

Next steps

  • We have started discussions with the clinical eczema teams in the South of England and RDS regarding future bidding to proceed to clinical trials.
  • We aim to build upon this work with subsequent HEIF calls.

Links

Interactive 360 Video 

VR Chillout Software Show Reel

 

Pilot studies paper reaches 90,000 reads

Today ResearchGate informed Prof. Vanora Hundley and I that our paper in the Nursing Standard of 2002 had reached 90,000 reads.  This short methods paper called ‘The Importance of Pilot Studies’ [1] was one of our earlier attempts, nearly two decades ago, to publish more of our work in practitioners journals.  This approach has been highly successful in terms of reaching a wider audience.  We have written longer, more sophisticated research methods papers on pilot studies over the years, including in the Journal of Advanced Nursing, Social Research Update, and the SAGE encyclopedia on research methods [2-6], but none of these has been read or cited as often as our short paper in the Nursing Standard. 

The term ‘pilot studies’ refers to mini versions of a full-scale study (also called ‘feasibility’ studies), as well as the specific pre-testing of a particular research instrument such as a questionnaire or interview schedule. Pilot studies are a crucial element of good study design. Conducting a pilot study does not guarantee success in the main study, but it does increase the likelihood of success. Pilot studies fulfill a range of important functions and can provide valuable insights for other researchers. There is a need for more discussion among researchers of both the process and outcomes of pilot studies.

 

References:

  1. van Teijlingen E, Hundley, V. (2002) ‘The importance of pilot studies’ Nursing Standard 16(40): 33-36. Web: nursing-standard.co.uk/archives/vol16-40/pdfs/vol16w40p3336.pdf
  2. van Teijlingen E, Rennie, AM., Hundley, V, Graham, W. (2001) The importance of conducting & reporting pilot studies: example of Scottish Births Survey, Journal of Advanced Nursing, 34: 289-95.
  3. van Teijlingen E, Hundley, V. (2001) The importance of pilot studies, Social Research Update Issue 35, (Editor N. Gilbert), Guildford: University of Surrey. Web:  http://www.soc.surrey.ac.uk/sru/SRU35.html
  4. Hundley, V., van Teijlingen E. (2002) The role of pilot studies in midwifery research RCM Midwives Journal 5(11): 372-74
  5. van Teijlingen E, Hundley, V. (2005) Pilot studies in family planning & reproductive health care, Journal of Family Planning & Reproductive Health Care 31(3): 219-21.
  6. van Teijlingen E, Hundley, V. (2003) Pilot study, In: Encyclopaedia of Social Science Research Methods, Vol. 2, Lewis-Beck, M., Bryman, A. & Liao, T. (eds.), Oregon, Sage: 823-24.