Eliciting Design Requirements of an XR Application Managing Pain and Stress for Pediatric Oncology Patients

Pediatric oncology patients undergoing chemotherapy face significant physical and psychological challenges, including pain, anxiety, and fear. This work initiated from a study for design principles of an eXtended Reality (XR) application managing pain and stress in pediatric oncological patients. A focus group methodology was employed, involving eight stakeholders: psychologists, pediatric oncologists, medical doctors, education experts, and technologists. The discussion focused on target groups, treatment phases, intervention aims, and XR application features. Results identified three critical psychological factors requiring management: fear, anxiety, and pain. Two distinct patient groups emerged: children aged 6–12 years and adolescents aged 12–16 years, each requiring tailored interventions across two treatment phases: establishment of diagnosis and active treatment. Design principles include gamified education, psychoeducation through storytelling, immersive VR environments, peer connections via avatars, and mindfulness exercises. Findings demonstrated the need for a comprehensive, personalized platform of integrated digital interventions. Insights from this study support further evidence-based designs situated on patient needs and characteristics.