Abstract
Earlier studies in the field of pain research suggest that little efficient intervention currently exists in response to the exponential increase in the prevalence of pain. In this paper, we present an Android application (PainDroid) with multimodal functionality that could be enhanced with Virtual Reality (VR) technology, which has been designed for the purpose of improving the assessment of this notoriously difficult medical concern. PainDroid has been evaluated for its usability and acceptability with a pilot group of potential users and clinicians, with initial results suggesting that it can be an effective and usable tool for improving the assessment of pain. Participant experiences indicated that the application was easy to use and the potential of the application was similarly appreciated by the clinicians involved in the evaluation. Our findings may be of considerable interest to healthcare providers, policy makers, and other parties that might be actively involved in the area of pain and VR research.
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References
Baker M, et al. Improving the current and future management of chronic pain: A European Consensus Report [online] Available: http://www.mijnpijn.nl/pdf/PainProposalEuropeanReport.pdf. Accessed on: 27/07/2012
Basogain X, Izkara JL, Borro D (March 2007) Educational Mobile Environment with Augmented Reality Technology. In Proc Int Technol Educ Dev Conf, Valencia, 7–9
Basu A, Raij A, Johnsen K (Febraury 2012) Ubiquitous Collaborative Activity Virtual Environments. ACM Conf Comput Support Cooperat Work. Seattle, Washington, 11–15
Brooke J (1996) SUS: a ‘quick and dirty’ usability scale. In: Jordan PW, Thomas B, Weerdmeester BA, McClelland AL (eds) Usability evaluation in industry. Taylor and Francis, London
Cole J, Crowle S, Austwick G, Slater DH (2009) Exploratory findings with virtual reality for phantom limb pain; from stump motion to agency and analgesia. Disabil Rehabil 31:846–854
Fitzmaurice GW, Zhai S, Chignell MH (1993) Virtual reality for palmtop computers. ACM Trans Inform Syst 11(8):197–218
Gaggioli A, Amoresano A, Gruppioni E, Verni G, Riva G (2010) A myoelectric-controlled virtual hand for the assessment and treatment of phantom limb pain in trans-radial upper extremity amputees: a research protocol. Stud Health Technol Inform 154:220–222
Ghinea G, Spyridonis F, Serif T, Frank AO (2008) 3-D pain drawings: mobile data collection using a PDA. IEEE Trans Inf Technol Biomed 12:27–33
Gibson J, Frank AO (May 2004) Pain experienced by Electric Powered Indoor/Outdoor Chairs (EPIOC) users: A pilot exploration using pain drawings. In Proc. 2nd Meeting Eur. Fed. Phys. Rehab. Med., Vienna, Austria, p. 114
Haefeli M, Elfering A (2006) Pain assessment. Eur Spine J 15:17–24
Hoffman HG et al (2011) Virtual reality as an adjunctive non-pharmacologic analgesic for acute burn pain during medical procedures. Ann Behav Med 41:183–191
Holzinger A, Kosec P, Schwantzer G, Debevc M, Frühwirth J, Hofmann-Wellenhof R (2011) Design and development of a mobile computer application to reengineer workflows in the hospital and the methodology to evaluate its effectiveness. J Biomed Inform 44(6):563–570
Holzinger A, Treitler P, Slany W (2012) Making Apps Useable on Multiple Different Mobile Platforms: On Interoperability for Business Application Development on Smart phones. In: G. Quirchmayr et al. (Eds): CD-ARES 2012, Springer Lecture Notes in Computer Science LNCS 7465, IIFIP International Federation for Information Processing, 176–189
Jacob E et al (2012) Usability testing of a Smartphone for accessing a Web-based e-diary for self-monitoring of pain and symptoms in sickle cell disease. J Pediatr Hematol Oncol 34:326–335
Jamison RN, Fanciullo GJ, Baird JC (2004) Usefulness of pain drawings in identifying real or imagined pain: accuracy of pain professionals, Non-professionals, and a decision model. J Pain 5:476–482
Jamison RN, Fanciullo GJ, Baird JC (2004) Computerized dynamic assessment of pain: comparison of chronic pain patients and healthy controls. Pain Med 5:168–177
jPCT-AE. Welcome to jPCT-AE—a free 3D engine for android [online] Available: http://www.jpct.net/jpct-ae/
Kwekkeboom KL, Cherwin CH, Lee JW, Wanta B (2010) Mind-body treatments for the pain-fatigue-sleep disturbance symptom cluster in persons with cancer. J Pain Symptom Manag 39:126–138
Lalloo C, Henry JL (2011) Evaluation of the iconic pain assessment tool by heterogeneous group of people in pain. Pain Res Manag 16:13–18
Lamont K, Chin M, Kogan M (2011) Mirror box therapy: seeing is believing. Explore 7:369–372
Lee SJ (2001) Pain measurement: understanding existing tools and their application in the emergency department. Emerg Med 13:279–287
Li A, Montano Z, Chen VJ, Gold JI (2011) Virtual reality and pain management: current trends and future directions. Pain Manag 1:147–157
Lumsden J, Brewster S (2003) A Paradigm Shift: Alternative Interaction Techniques for Use with Mobile & Wearable Devices. In Proc CASCON ’03, Toronto, Ontario, Canada, IBM Press, 197–210
Maani CV et al (2011) Combining ketamine and virtual reality pain control during severe burn wound care: one military and one civilian patient. Pain Med 12:673–678
Maani CV et al (2011) Virtual reality pain control during burn wound debridement of combat-related burn injuries using robot-like arm mounted VR goggles. J Trauma 71:S125–S130
Mannion AF, Balague F, Pellise F, Cedraschi C (2007) Pain measurement in patients with low back pain. Nat Clin Pract Rheumatol 3:610–618
Marceau LD, Link C, Jamison RN, Carolan S (2007) Electronic diaries as a tool to improve pain management: is there any evidence? Pain Med 8:S101–S109
Margolis RB, Tait RC, Krause SJ (1986) A rating system for use with patient pain drawings. Pain 24:57–65
Masferrer R, Prendergast V, Hagell P (2003) Colored pain drawings: preliminary observations in neurosurgical practice. Eur J Pain 7:213–217
Murray CD et al (2007) The treatment of phantom limb pain using immersive virtual reality: three case studies. Disabil Rehabil 29:1465–1469
Ohnmeiss DD (2000) Repeatability of pain drawings in a Low back pain population. Spine 25:980–988
Ohnmeiss DD, Vanharanta H, Ekholm J (1999) Relationship of pain drawings to invasive tests assessing intervertebral disc pathology. Eur Spine J 8:126–131
Paggio P, Jongejan B (2001) Multimodal Communication in the Virtual Farm of the Staging Project. In Proc Int Workshop Inf Present Natural Multimod Dialogue, Verona, pp. 41–45
Patterson DR, Jensen MP, Wiechman SA, Sharar SR (2010) Virtual reality hypnosis for pain associated with recovery from physical trauma. Int J Clin Exp Hypn 58:288–300
Patterson DR, Tininenko JR, Schmidt AR, Sharar SR (2004) Virtual reality hypnosis: a case report. Int J Clin Exp Hypn 52:27–38
Patterson DR, Wiechman SA, Jensen MP, Sharar SR (2006) Hypnosis delivered through immersive virtual reality for burn pain: a clinical case series. Int J Clin Exp Hypn 54:130–142
Pirhonen A, Brewster SA, Holguin C (2002) Gestural and audio metaphors as a means of control for mobile devices. In: Proc ACM CHI. ACM Press, Minneapolis, pp 291–298
Rosser BA, Eccleston C (2011) Smartphone applications for pain management. J Telemed Telecare 17:308–312
Sander Wint S, Eshelman D, Steele J, Guzzetta CE (2002) Effects of distraction using virtual reality glasses during lumbar punctures in adolescents with cancer. Oncol Nurs Forum 29:E8–E15
Serif T, Ghinea G (2005) Recording of time-varying back-pain data: a wireless solution. IEEE Trans Inf Technol Biomed 9:447–458
Serif T, Ghinea G, Frank AO (2005) Visualizing pain data for wheelchair users: a ubiquitous approach. J Mobile Multimed 1:161–177
Spyridonis F, Gawronski J, Ghinea G, Frank AO (2012) An interactive 3D application for pain management: results from a pilot study in spinal cord injury rehabilitation. Comput Methods Programs Biomed. In press
Von Baeyer CL, Lin V, Seidman LC, Tsao JC, Zeltzer LK (2011) Pain charts (body charts or manikins) in assessment of the location of pediatric pain. Pain Manag 1:61–68
Vuzix, Corp. Wrap 920 Video Eyewear [online] Available: http://www.vuzix.com/consumer/products_wrap920.html#overview
Windich-Biermeier A, Sjoberg I, Dale JC, Eshelman D, Guzzetta CE (2007) Effects of distraction on pain, fear and distress during venous port access and venipuncture in children and adolescents with cancer. J Pediatr Oncol Nurs 24:8–19
Acknowledgements
The authors would like to acknowledge Cyberware, Inc. for providing a 3-D model, which we adapted and then manipulated and extended to meet this study’s needs. We also acknowledge EDB ErgoGroup for providing employee time to evaluate our application.
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Spyridonis, F., Hansen, J., Grønli, TM. et al. PainDroid: an android-based virtual reality application for pain assessment. Multimed Tools Appl 72, 191–206 (2014). https://doi.org/10.1007/s11042-013-1358-3
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DOI: https://doi.org/10.1007/s11042-013-1358-3