Monday, July 27, 2015

Computer Tablet Distraction in Children Receiving an Injection

Abstract

Objective

To evaluate the effectiveness of a computer tablet as a distraction tool for minimizing pain and distress in children undergoing an injection.

Design

Using an experimental design, the subjects were randomly assigned to either participate in tablet distraction or receive no distraction during an injection.

Setting

A pediatric clinic in a small city in the Southeast region of the United States.

Subjects

Forty-one children, ages 4–11 years, who were receiving an immunization and their parents.

Methods

During an injection, children either participated in distraction using a computer tablet or did not receive distraction according to their group assignment. Children's emotional response was assessed using a behavioral observation to examine distress. Pain was also measured using a behavior observation scale. After the injection, children reported the level of pain they felt during the injection.

Results

A significant difference was found for pain, both self-reported and observed, and observed emotions. Children receiving distraction using a tablet displayed significantly higher amounts of pain and negative emotions. Gender differences in pain and emotions were found with females having a significantly higher amount of pain and negative emotions.

Conclusions

The use of a tablet as a distraction was not effective in decreasing pain and distress in children receiving an injection.



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