VR-PAT During Home Burn Dressings - Multisite

This study will evaluate the effectiveness of smartphone Virtual Reality Pain Alleviation Therapy (VR-PAT) as a pain distraction tool during repeated at-home burn dressing changes among 100 children (age 6-17 years) with a burn injury in comparison to 100 children with a burn injury who do not use the VR-PAT.

Inclusion Criteria:Being treated for acute burn injuryAge 6-17 years, inclusiveReceiving their first outpatient clinic dressing change or being discharged from the ED or inpatient burn unitHave a dressing that requires daily changes at home for at least 7 days after their first outpatient appointment or discharge from the hospital (ED or inpatient)Patient and family caregivers can communicate (read and write) using English or SpanishReported at least moderate or worse NRS pain score of ≥3 (NRS 0-10 with 10 being worst pain) from the most recent dressing change.Exclusion Criteria:Any wounds that may interfere with study proceduresVision, hearing, or cognitive/motor impairments preventing valid administration of study measuresHistory of motion sickness, seizure disorder, dizziness, or migraine headaches precipitated by visual aurasMinors in foster care, prisoners, or currently pregnantSuspected child abuseFamilies who do not have access to a VR compatible smartphone.