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Enrolling by Invitation

NCT Number: NCT07048275

Exploring the Application of Virtual Reality in Enhancing Chest Percussion Techniques, Reducing Caregiver Stress, and Improving Teaching Effectiveness for Caregivers of Children With Pneumonia

This study intends to adopt a Randomized Controlled Trial (RCT) design to explore the application of virtual reality in training chest percussion techniques for children with pneumonia. The aim is to evaluate the accuracy and efficiency of caregivers in performing this technique. The study will analyze the potential clinical benefits of improving caregivers' chest percussion skills and reducing caregiver stress

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Key information

Conditions

Virtual Reality

Age range

Up to 17 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hui-Mei, Chen

Yuanlin, Taiwan

About this study

This study explores the application of virtual reality (VR) in training chest percussion techniques for children with pneumonia, aiming to enhance the accuracy and efficiency of caregivers performing this technique. Chest percussion is a critical component of pulmonary physiotherapy, especially for pediatric patients with respiratory diseases requiring adjunctive chest therapy.

The purpose of this paper is to investigate the use of VR technology in chest percussion training, including its underlying principles, clinical practice, and future development. By reviewing both domestic and international research, the study analyzes the potential clinical benefits of improving caregivers' chest percussion skills and alleviating caregiver stress.

Research Objective:

To explore the application of virtual reality in enhancing chest percussion techniques, reducing caregiver stress, and improving teaching effectiveness for caregivers of children with pneumonia.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Primary caregivers of pediatric patients who have been diagnosed by a physician as requiring chest percussion as an adjunct therapy and are at least 18 years old

Exclusion criteria

  • Severe communication barriers (inability to communicate in Mandarin or Taiwanese, blindness, or deafness) that prevent understanding of the simulator.
  • Primary caregivers of pediatric patients with contraindications to chest percussion therapy, such as rib fractures, osteoporosis, tumors or skin graft sites, or pulmonary embolism.

Treatment and study plan

Virtual Reality Chest Percussion Teaching Program

Behavioral

Participants will be assessed at two time points: on the day of hospital admission or transfer, and on the fourth day after the teaching intervention.

Primary outcomes

  1. Pediatric Chest Physiotherapy Technique Assessment Form

    Time frame: Participants will be assessed at two time points: on the day of hospital admission or transfer, and on the fourth day after the teaching intervention

    An evaluation checklist consisting of nine items was developed in accordance with the nursing skills standards for pediatric chest physiotherapy

  2. Pediatric Chest Percussion Knowledge Assessment

    Time frame: Participants will be assessed at two time points: on the day of hospital admission or transfer, and on the fourth day after the teaching intervention

    includes ten items addressing percussion techniques and precautions, and evaluates caregivers' knowledge of the chest percussion process and safety considerations.

Secondary outcomes

  1. Caregiver Stress Self-Assessment Scale

    Time frame: Participants will be assessed at two time points: on the day of hospital admission or transfer, and on the fourth day after the teaching intervention

    The scale consists of 14 items covering aspects such as physical and emotional impact, interpersonal relationships, and financial burden. A 4-point Likert scale is used, with each item scored from 0 to 3. The scoring criteria are as follows: "never" = 0 points, "rarely" = 1 point, "sometimes" = 2 points, and "often" = 3 points. Total scores range from 0 to 42, with scores of 0-13 indicating good adjustment, 14-25 indicating mild caregiver stress, and 26-42 indicating a high level of perceived caregiver stress.

  2. Respiratory Sounds of Pediatric Patients

    Time frame: Participants will be assessed at two time points: on the day of hospital admission or transfer, and on the fourth day after the teaching intervention

    A physician confirmed the presence of abnormal breath sounds in the pediatric patient through auscultation, including crackles (moist rales), rhonchi (dry rales), wheezing, and stridor.

  3. Learning Outcomes of Virtual Reality-Based Teaching Materials

    Time frame: Fourth day after virtual reality intervention

    The instrument includes 10 items, each rated on a 6-point Likert scale, with scores ranging from 0 (strongly disagree) to 5 (strongly agree).

Sponsors and collaborators

Lead sponsor

National Taiwan University Hospital

Other

Registry information

Important dates

Study start
2025
Primary completion
2026
Study completion
2027
First posted
Jul 2, 2025
Registry last updated
May 5, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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