Enhancing Pediatric Magnetic Resonance Imaging Preparation: A Qualitative Study of Current Practices and the Role of Virtual Reality Tools.

Background and objectives: How children prepare for magnetic resonance imaging (MRI) can help reduce the need for sedation and improve access to pediatric health care. Embedding virtual reality (VR) tools within routine preparation for MRI may support this process. The aim of this study was to qualitatively describe the process of preparing a child for MRI in a tertiary health care setting. We sought to understand the roles of health care workers, parents, and special equipment, such as VR, in preparing children for a successful and a high-quality diagnostic scan.

Patients and methods: There were 29 participants (13 children, 13 caregivers, and 3 health professionals). Children scheduled for clinically indicated noncontrast head MRI scans were recorded on video throughout routine MRI preparation with their parents and health care professionals, with VR included as part of standard care. Interviews with children and caregivers were completed on arrival, immediately before MRI, and post MRI. Using an interpretive description methodology, we integrated coded data from the audio and video to identify themes within an attachment theory framework.

Results: Our qualitative analysis of child MRI preparation strategies revealed 2 main categories: (1) strategies that support self-efficacy and (2) a sense of agency. Strategies employed by child life therapists and caregivers included providing opportunities for accomplishment, practicing sensations, and fostering relational connections through play and collaboration. VR tools enhanced the children's sense of agency and confidence and offer additional educational and coaching possibilities.

Conclusions: MRI preparation methods emphasized attachment between child, caregiver, staff, and MR environment by enhancing the child's self-efficacy and sense of agency. VR offers a platform for MR education and building trust between the child, staff, and MRI setting, with potential utility in underserved medical settings.