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The global burden of Celiac Disease (CD) is estimated to be 1% in Western countries and 0.7-1.4% of the global population.The only treatment for CD is a strict, lifelong Gluten Free Diet (GFD). However, dietary adherence is the main barrier against disease control. Whereas experiential learning, learning through experience, has been associated with greater impact in achieving desired nutritional outcomes in pediatric populations. Replicating the environments in which patients would make food choices in clinic is not feasible.
Previous research, in addition to preliminary results indicate that Virtual reality (VR) may act as an effective precursor to the real world by providing a safe and immersive learning environment. As such, the investigators seek to investigate how VR use to Teach, Improve Outcomes, and Engage (VIRTUE) will affect patient GFD knowledge, QoL, symptoms, and CD biomarkers. The central hypothesis will tested through the following specific aims:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard education (Control) | No Intervention | Standard education regarding the gluten free diet by the nutritionist will be provided. | |
| Virtual Reality Program to teach gluten free diet | Experimental | Virtual Reality Goggles and education regarding the gluten free diet will be provided. This group will receive VIRTUE, and watch a VR educational video, and play Chaos Café, which will be administered by a research team member. This group will be prescribed to take home the VIRTUE headset and play modules for 15 minutes per week until the 6-8 month follow up. The VIRTUE technology will track frequency of game playing to control for adherence to the prescription. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Virtual Reality Goggles to provide education a regarding the gluten free diet. | Device | To watch and participate in a virtual reality educational experience regarding the gluten free diet. |
| Measure | Description | Time Frame |
|---|---|---|
| Knowledge of the Gluten Free Diet | GFD-KS at the initial and clinic follow up visit | 9 months |
| Measure | Description | Time Frame |
|---|---|---|
| CD Quality of Life | QoL survey | 9 months |
| Biomarkers to asses status of GFD | Biomarkers maximum value (Ttg IgA and Dgp IgA) | 6-9 months |
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Inclusion Criteria:
Exclusion Criteria:
-Significant Developmental Delays
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nasha Khavari, MD,MPH | Contact | 6504986295 | nkhavari@stanford.edu | |
| Venus Kalami, MNSP, RD | Contact | VKalami@stanfordchildrens.org |
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