XRHQ
United Kingdom
Scotland
Healthcare

NHS Greater Glasgow and Clyde VR training for at-home peritoneal dialysis

Interactive VR simulation trains patients and families to set up peritoneal dialysis at home, with 3 headsets deployed at NHSGGC for use across Scotland.

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NHS Greater Glasgow and Clyde VR training for at-home peritoneal dialysis

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Background

NHS Greater Glasgow and Clyde (NHSGGC) has deployed a virtual reality training tool at the Royal Hospital for Children in Glasgow to help patients and their families learn how to perform peritoneal dialysis at home. The project was inspired by Dr Ben Reynolds, a Paediatric Nephrologist at the Royal Hospital for Children, who began gaming in VR during the Covid pandemic and recognised the technology's potential for patient education.

The deployment

The training tool immerses users in a simulation of the dialysis setup process, guiding them step by step through the procedure in a risk-free environment. Patients and families work through the process as many times as they need before being discharged to administer dialysis at home. The experience is designed to mirror the physical motions of a real session, building procedural familiarity before patients encounter the equipment in earnest.

Currently used for peritoneal dialysis, the tool is being extended to cover at-home haemodialysis. Both forms of dialysis involve removing waste and excess water from the blood for patients with kidney failure.

Hardware and software

NHSGGC has three VR headsets available for patient and family use. The application was co-developed over more than five years of iterative design with clinicians, nurses, patients, and families. Professor Vassilis Charisis of Edinburgh Napier University (who led the VR research, previously at Glasgow Caledonian University) worked closely with Dr Reynolds throughout development. The project received grant funding from the charity Kidney Research UK and endowment funding from NHSGGC, with support from the West of Scotland Innovation Hub.

Outcomes

The tool has been used successfully by families across Scotland. The clinical team reports it reduces anxiety about at-home dialysis, supports more informed decision-making between dialysis modalities, and reduces the need for repeated in-hospital training visits. A reduction in patient travel is also cited as a secondary environmental benefit. The project was recognised at the Centre of Engineering Education and Development industry awards for innovation and collaboration.

Quotes

During the pandemic I spent some time gaming and using virtual reality myself and quickly realised the potential it had to help train people in new processes. Dialysis can feel overwhelming for patients and families, particularly when they're considering doing it at home, so we wanted to find a way to make the process clearer and less intimidating.

With the virtual reality kit you can try it out as many times as you like. It's the exact same motions you're going through, so it becomes like muscle memory by the time you're doing it for real. The virtual reality kit also prompts you along with all the different steps you need to take so it really built up our confidence.

This tool is the culmination of more than five years of co-design with clinicians, nurses, patients, and families. We believe it can significantly reduce training time, patient anxiety and the need for repeated hospital visits.

Dialysis is complex and relentless. Attending dialysis sessions in hospitals and clinics three days a week takes children away from their education and parents and carers away from their jobs. Therefore, tools which empower families with the confidence and understanding to carry out their own dialysis at home can be nothing short of life changing.

Project Summary

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