For children with burn injuries, changing their dressings can be one of the most traumatising experiences of their treatment journey. This process is not only distressing for the children but also for their parents and the healthcare professionals involved. Current methods to reduce this trauma include the use of play therapists, but such resources are often limited. There is good evidence that Augmented Reality (AR) and Virtual Reality (VR) can help by providing a distracting and immersive environment that eases pain and fear. However, no studies have yet compared these two modern technologies to see which is more effective

Inclusion Criteria:

• • Participants presenting with guardians with parental responsibility, who are willing and able to consent to recruitment.

  • Aged 4-17 years
  • Presenting with burns requiring a dressing change, on their first attendance to the burns clinic.
  • Participating child is able to complete the FACES Pain Scale

Exclusion Criteria:

• • Children aged 4 or below

  • Those with severe cognitive impairment, visual disorders, facial burns or other conditions preventing the safe use of VR/AR technology.
  • Previous 'cybersickness' symptoms (nausea, dizziness).