Virtual Reality as a Dietary Education Adjunct for Pediatric Patients With Obesity: A Pragmatic, Randomised Pilot Study

ABSTRACT Background Pediatric obesity is associated with increased morbidity. One common therapy within multicomponent treatment for obesity is nutrition counselling and dietary education led by a Registered Dietitian (RD). Virtual reality (VR) improves engagement when used as an educational adjunct. Methods The primary aim investigated immediate dietary choices when pediatric patients with obesity engaged in traditional RD nutrition counselling compared to VR‐supplemented nutrition counselling. Secondary aims explored food likability, knowledge, and satisfaction. Patients, 6–20 years old, presenting for obesity counselling were recruited. The primary aim was measured by after‐visit food choice. Secondary aims were measured with the Pediatric Adapted Liking Scale, an assessment of nutritional facts, and a VR satisfaction survey. Statistical analysis included Chi‐square, Wilcoxon and t ‐tests. Results Forty participants were enroled and divided into two groups described above. There were no differences in food choice ( p = 0.90). Regarding likability, the VR group liked vegetables more than those in the standard of care group ( p = 0.045). Conclusion There were no differences in nutritional knowledge ( p = 0.574). Participants in the VR group reported high satisfaction.