The effectiveness of therapeutic play, using virtual reality computer games, in promoting the psychological well-being of children hospitalised with cancer

• Published in: Journal of clinical nursing Vol. 20; no. 15-16; pp. 2135 - 2143
• Main Authors: Li, William HC, Chung, Joyce OK, Ho, Eva KY
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01.08.2011; Wiley Subscription Services, Inc
• Subjects: Adaptation, Psychological; Adolescent; Cancer; Child; children; Childrens health; Computer & video games; Happiness; Hong Kong; Humans; Neoplasms - psychology; nurses; nursing; Play and Playthings; psychological; therapeutic play; Therapy; User-Computer Interface; virtual reality; Hong Kong
• ISSN: 0962-1067; 1365-2702; 1365-2702
• DOI: 10.1111/j.1365-2702.2011.03733.x

Aims.  To examine the effectiveness of therapeutic play, using virtual reality computer games, in minimising anxiety and reducing depressive symptoms in Hong Kong Chinese children hospitalised with cancer. Background.  There has been an increase in the use of therapeutic play intervention to help children cope with the stress of hospitalisation. However, it is not clear whether therapeutic play is an appropriate psychological intervention for Chinese children hospitalised with cancer. Design.  A non‐equivalent control group pretest–post‐test, between‐subject design was employed. Method.  Hong Kong Chinese Children (8–16 years of age), admitted to a paediatric oncology ward for the treatment of cancer during a 14‐month period, were invited to participate in the study. Of the 122 children, 70 formed the control group receiving routine nursing care and 52 in the experimental group receiving therapeutic play interventions. Results.  The results showed that children in the experimental group reported statistically significant fewer depressive symptoms than children in the control group on day 7. The results, however, find no differences in children’s anxiety scores between the two groups on day 7. Conclusion.  The study provides empirical evidence to support the effectiveness of therapeutic play, using virtual reality computer games, in the psychological preparation of children hospitalised with cancer, thus charting a path towards promoting holistic and quality care. Relevance to clinical practice.  The findings heighten the awareness in healthcare professionals that play is a very important part of children’s life and that they need play even when they are ill.