Digital Technology Distraction for Acute Pain in Children: A Meta-analysis
Digital distraction is being integrated into pediatric pain care, but its efficacy is currently unknown. To determine the effect of digital technology distraction on pain and distress in children experiencing acutely painful conditions or procedures. Medline, Embase, Cochrane Library, Cumulative Ind...
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| creator | Gates, Michelle Hartling, Lisa Shulhan-Kilroy, Jocelyn MacGregor, Tara Guitard, Samantha Wingert, Aireen Featherstone, Robin Vandermeer, Ben Poonai, Naveen Kircher, Janeva Perry, Shirley Graham, Timothy A D Scott, Shannon D Ali, Samina |
| description | Digital distraction is being integrated into pediatric pain care, but its efficacy is currently unknown.
To determine the effect of digital technology distraction on pain and distress in children experiencing acutely painful conditions or procedures.
Medline, Embase, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Institute of Electrical and Electronics Engineers Xplore, Ei Compendex, Web of Science, and gray literature sources.
Quantitative studies of digital technology distraction for acutely painful conditions or procedures in children.
Performed by 1 reviewer with verification. Outcomes were child pain and distress.
There were 106 studies (
= 7820) that reported on digital technology distractors (eg, virtual reality and video games) used during common procedures (eg, venipuncture, dental, and burn treatments). No studies reported on painful conditions. For painful procedures, digital distraction resulted in a modest but clinically important reduction in self-reported pain (standardized mean difference [SMD] -0.48; 95% confidence interval [CI] -0.66 to -0.29; 46 randomized controlled trials [RCTs];
= 3200), observer-reported pain (SMD -0.68; 95% CI -0.91 to -0.45; 17 RCTs;
= 1199), behavioral pain (SMD -0.57; 95% CI -0.94 to -0.19; 19 RCTs;
= 1173), self-reported distress (SMD -0.49; 95% CI -0.70 to -0.27; 19 RCTs;
= 1818), observer-reported distress (SMD -0.47; 95% CI -0.77 to -0.17; 10 RCTs;
= 826), and behavioral distress (SMD -0.35; 95% CI -0.59 to -0.12; 17 RCTs;
= 1264) compared with usual care.
Few studies directly compared different distractors or provided subgroup data to inform applicability.
Digital distraction provides modest pain and distress reduction for children undergoing painful procedures; its superiority over nondigital distractors is not established. Context, preferences, and availability should inform the choice of distractor. |
| doi_str_mv | 10.1542/peds.2019-1139 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2344226216</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2353032716</sourcerecordid><originalsourceid>FETCH-LOGICAL-c323t-f839ca1b3b8e4e2c86d22085b3a541769cf9b882f8bdd7c6407d12fc1db189703</originalsourceid><addsrcrecordid>eNpdkDtPwzAUhS0EoqWwMiJLLCwpfiW22aqWp4pgKLPl2E7rKo2LnQz99zQUGJCOdJfvHh19AFxiNMY5I7dbZ9OYICwzjKk8AkOMpMgY4fkxGCJEccYQygfgLKU1QojlnJyCAcWykIzTIXiZ-aVvdQ0XzqyaUIflDs58aqM2rQ8NrEKEE9O1Dr5r38B9pitf2-iaOziBr67VmW50vUs-nYOTStfJXfzcEfh4uF9Mn7L52-PzdDLPDCW0zSpBpdG4pKVwzBEjCksIEnlJdc4wL6SpZCkEqURpLTcFQ9xiUhlsSywkR3QEbg692xg-O5datfHJuLrWjQtdUoQyRkhBcLFHr_-h69DF_d6eyimihH9T4wNlYkgpukpto9_ouFMYqd6y6i2r3rLqLe8frn5qu3Lj7B_-q5V-Ae1KdpE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2353032716</pqid></control><display><type>article</type><title>Digital Technology Distraction for Acute Pain in Children: A Meta-analysis</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Gates, Michelle ; Hartling, Lisa ; Shulhan-Kilroy, Jocelyn ; MacGregor, Tara ; Guitard, Samantha ; Wingert, Aireen ; Featherstone, Robin ; Vandermeer, Ben ; Poonai, Naveen ; Kircher, Janeva ; Perry, Shirley ; Graham, Timothy A D ; Scott, Shannon D ; Ali, Samina</creator><creatorcontrib>Gates, Michelle ; Hartling, Lisa ; Shulhan-Kilroy, Jocelyn ; MacGregor, Tara ; Guitard, Samantha ; Wingert, Aireen ; Featherstone, Robin ; Vandermeer, Ben ; Poonai, Naveen ; Kircher, Janeva ; Perry, Shirley ; Graham, Timothy A D ; Scott, Shannon D ; Ali, Samina</creatorcontrib><description>Digital distraction is being integrated into pediatric pain care, but its efficacy is currently unknown.
To determine the effect of digital technology distraction on pain and distress in children experiencing acutely painful conditions or procedures.
Medline, Embase, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Institute of Electrical and Electronics Engineers Xplore, Ei Compendex, Web of Science, and gray literature sources.
Quantitative studies of digital technology distraction for acutely painful conditions or procedures in children.
Performed by 1 reviewer with verification. Outcomes were child pain and distress.
There were 106 studies (
= 7820) that reported on digital technology distractors (eg, virtual reality and video games) used during common procedures (eg, venipuncture, dental, and burn treatments). No studies reported on painful conditions. For painful procedures, digital distraction resulted in a modest but clinically important reduction in self-reported pain (standardized mean difference [SMD] -0.48; 95% confidence interval [CI] -0.66 to -0.29; 46 randomized controlled trials [RCTs];
= 3200), observer-reported pain (SMD -0.68; 95% CI -0.91 to -0.45; 17 RCTs;
= 1199), behavioral pain (SMD -0.57; 95% CI -0.94 to -0.19; 19 RCTs;
= 1173), self-reported distress (SMD -0.49; 95% CI -0.70 to -0.27; 19 RCTs;
= 1818), observer-reported distress (SMD -0.47; 95% CI -0.77 to -0.17; 10 RCTs;
= 826), and behavioral distress (SMD -0.35; 95% CI -0.59 to -0.12; 17 RCTs;
= 1264) compared with usual care.
Few studies directly compared different distractors or provided subgroup data to inform applicability.
Digital distraction provides modest pain and distress reduction for children undergoing painful procedures; its superiority over nondigital distractors is not established. Context, preferences, and availability should inform the choice of distractor.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2019-1139</identifier><identifier>PMID: 31969473</identifier><language>eng</language><publisher>United States: American Academy of Pediatrics</publisher><subject>Acute Pain - prevention & control ; Adolescent ; Attention ; Child ; Child, Preschool ; Children ; Computer applications ; Confidence Intervals ; Digital technology ; Humans ; Meta-analysis ; Nursing ; Pain ; Pain Management - methods ; Pain, Procedural - prevention & control ; Pediatrics ; Publication Bias ; Randomized Controlled Trials as Topic - statistics & numerical data ; Sensitivity and Specificity ; Stress, Psychological - prevention & control ; Video Games ; Virtual Reality Exposure Therapy - methods ; Young Adult</subject><ispartof>Pediatrics (Evanston), 2020-02, Vol.145 (2), p.1</ispartof><rights>Copyright © 2020 by the American Academy of Pediatrics.</rights><rights>Copyright American Academy of Pediatrics Feb 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c323t-f839ca1b3b8e4e2c86d22085b3a541769cf9b882f8bdd7c6407d12fc1db189703</citedby><cites>FETCH-LOGICAL-c323t-f839ca1b3b8e4e2c86d22085b3a541769cf9b882f8bdd7c6407d12fc1db189703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31969473$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gates, Michelle</creatorcontrib><creatorcontrib>Hartling, Lisa</creatorcontrib><creatorcontrib>Shulhan-Kilroy, Jocelyn</creatorcontrib><creatorcontrib>MacGregor, Tara</creatorcontrib><creatorcontrib>Guitard, Samantha</creatorcontrib><creatorcontrib>Wingert, Aireen</creatorcontrib><creatorcontrib>Featherstone, Robin</creatorcontrib><creatorcontrib>Vandermeer, Ben</creatorcontrib><creatorcontrib>Poonai, Naveen</creatorcontrib><creatorcontrib>Kircher, Janeva</creatorcontrib><creatorcontrib>Perry, Shirley</creatorcontrib><creatorcontrib>Graham, Timothy A D</creatorcontrib><creatorcontrib>Scott, Shannon D</creatorcontrib><creatorcontrib>Ali, Samina</creatorcontrib><title>Digital Technology Distraction for Acute Pain in Children: A Meta-analysis</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>Digital distraction is being integrated into pediatric pain care, but its efficacy is currently unknown.
To determine the effect of digital technology distraction on pain and distress in children experiencing acutely painful conditions or procedures.
Medline, Embase, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Institute of Electrical and Electronics Engineers Xplore, Ei Compendex, Web of Science, and gray literature sources.
Quantitative studies of digital technology distraction for acutely painful conditions or procedures in children.
Performed by 1 reviewer with verification. Outcomes were child pain and distress.
There were 106 studies (
= 7820) that reported on digital technology distractors (eg, virtual reality and video games) used during common procedures (eg, venipuncture, dental, and burn treatments). No studies reported on painful conditions. For painful procedures, digital distraction resulted in a modest but clinically important reduction in self-reported pain (standardized mean difference [SMD] -0.48; 95% confidence interval [CI] -0.66 to -0.29; 46 randomized controlled trials [RCTs];
= 3200), observer-reported pain (SMD -0.68; 95% CI -0.91 to -0.45; 17 RCTs;
= 1199), behavioral pain (SMD -0.57; 95% CI -0.94 to -0.19; 19 RCTs;
= 1173), self-reported distress (SMD -0.49; 95% CI -0.70 to -0.27; 19 RCTs;
= 1818), observer-reported distress (SMD -0.47; 95% CI -0.77 to -0.17; 10 RCTs;
= 826), and behavioral distress (SMD -0.35; 95% CI -0.59 to -0.12; 17 RCTs;
= 1264) compared with usual care.
Few studies directly compared different distractors or provided subgroup data to inform applicability.
Digital distraction provides modest pain and distress reduction for children undergoing painful procedures; its superiority over nondigital distractors is not established. Context, preferences, and availability should inform the choice of distractor.</description><subject>Acute Pain - prevention & control</subject><subject>Adolescent</subject><subject>Attention</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Computer applications</subject><subject>Confidence Intervals</subject><subject>Digital technology</subject><subject>Humans</subject><subject>Meta-analysis</subject><subject>Nursing</subject><subject>Pain</subject><subject>Pain Management - methods</subject><subject>Pain, Procedural - prevention & control</subject><subject>Pediatrics</subject><subject>Publication Bias</subject><subject>Randomized Controlled Trials as Topic - statistics & numerical data</subject><subject>Sensitivity and Specificity</subject><subject>Stress, Psychological - prevention & control</subject><subject>Video Games</subject><subject>Virtual Reality Exposure Therapy - methods</subject><subject>Young Adult</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkDtPwzAUhS0EoqWwMiJLLCwpfiW22aqWp4pgKLPl2E7rKo2LnQz99zQUGJCOdJfvHh19AFxiNMY5I7dbZ9OYICwzjKk8AkOMpMgY4fkxGCJEccYQygfgLKU1QojlnJyCAcWykIzTIXiZ-aVvdQ0XzqyaUIflDs58aqM2rQ8NrEKEE9O1Dr5r38B9pitf2-iaOziBr67VmW50vUs-nYOTStfJXfzcEfh4uF9Mn7L52-PzdDLPDCW0zSpBpdG4pKVwzBEjCksIEnlJdc4wL6SpZCkEqURpLTcFQ9xiUhlsSywkR3QEbg692xg-O5datfHJuLrWjQtdUoQyRkhBcLFHr_-h69DF_d6eyimihH9T4wNlYkgpukpto9_ouFMYqd6y6i2r3rLqLe8frn5qu3Lj7B_-q5V-Ae1KdpE</recordid><startdate>202002</startdate><enddate>202002</enddate><creator>Gates, Michelle</creator><creator>Hartling, Lisa</creator><creator>Shulhan-Kilroy, Jocelyn</creator><creator>MacGregor, Tara</creator><creator>Guitard, Samantha</creator><creator>Wingert, Aireen</creator><creator>Featherstone, Robin</creator><creator>Vandermeer, Ben</creator><creator>Poonai, Naveen</creator><creator>Kircher, Janeva</creator><creator>Perry, Shirley</creator><creator>Graham, Timothy A D</creator><creator>Scott, Shannon D</creator><creator>Ali, Samina</creator><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>202002</creationdate><title>Digital Technology Distraction for Acute Pain in Children: A Meta-analysis</title><author>Gates, Michelle ; Hartling, Lisa ; Shulhan-Kilroy, Jocelyn ; MacGregor, Tara ; Guitard, Samantha ; Wingert, Aireen ; Featherstone, Robin ; Vandermeer, Ben ; Poonai, Naveen ; Kircher, Janeva ; Perry, Shirley ; Graham, Timothy A D ; Scott, Shannon D ; Ali, Samina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c323t-f839ca1b3b8e4e2c86d22085b3a541769cf9b882f8bdd7c6407d12fc1db189703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acute Pain - prevention & control</topic><topic>Adolescent</topic><topic>Attention</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Computer applications</topic><topic>Confidence Intervals</topic><topic>Digital technology</topic><topic>Humans</topic><topic>Meta-analysis</topic><topic>Nursing</topic><topic>Pain</topic><topic>Pain Management - methods</topic><topic>Pain, Procedural - prevention & control</topic><topic>Pediatrics</topic><topic>Publication Bias</topic><topic>Randomized Controlled Trials as Topic - statistics & numerical data</topic><topic>Sensitivity and Specificity</topic><topic>Stress, Psychological - prevention & control</topic><topic>Video Games</topic><topic>Virtual Reality Exposure Therapy - methods</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gates, Michelle</creatorcontrib><creatorcontrib>Hartling, Lisa</creatorcontrib><creatorcontrib>Shulhan-Kilroy, Jocelyn</creatorcontrib><creatorcontrib>MacGregor, Tara</creatorcontrib><creatorcontrib>Guitard, Samantha</creatorcontrib><creatorcontrib>Wingert, Aireen</creatorcontrib><creatorcontrib>Featherstone, Robin</creatorcontrib><creatorcontrib>Vandermeer, Ben</creatorcontrib><creatorcontrib>Poonai, Naveen</creatorcontrib><creatorcontrib>Kircher, Janeva</creatorcontrib><creatorcontrib>Perry, Shirley</creatorcontrib><creatorcontrib>Graham, Timothy A D</creatorcontrib><creatorcontrib>Scott, Shannon D</creatorcontrib><creatorcontrib>Ali, Samina</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gates, Michelle</au><au>Hartling, Lisa</au><au>Shulhan-Kilroy, Jocelyn</au><au>MacGregor, Tara</au><au>Guitard, Samantha</au><au>Wingert, Aireen</au><au>Featherstone, Robin</au><au>Vandermeer, Ben</au><au>Poonai, Naveen</au><au>Kircher, Janeva</au><au>Perry, Shirley</au><au>Graham, Timothy A D</au><au>Scott, Shannon D</au><au>Ali, Samina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Digital Technology Distraction for Acute Pain in Children: A Meta-analysis</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2020-02</date><risdate>2020</risdate><volume>145</volume><issue>2</issue><spage>1</spage><pages>1-</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><abstract>Digital distraction is being integrated into pediatric pain care, but its efficacy is currently unknown.
To determine the effect of digital technology distraction on pain and distress in children experiencing acutely painful conditions or procedures.
Medline, Embase, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Institute of Electrical and Electronics Engineers Xplore, Ei Compendex, Web of Science, and gray literature sources.
Quantitative studies of digital technology distraction for acutely painful conditions or procedures in children.
Performed by 1 reviewer with verification. Outcomes were child pain and distress.
There were 106 studies (
= 7820) that reported on digital technology distractors (eg, virtual reality and video games) used during common procedures (eg, venipuncture, dental, and burn treatments). No studies reported on painful conditions. For painful procedures, digital distraction resulted in a modest but clinically important reduction in self-reported pain (standardized mean difference [SMD] -0.48; 95% confidence interval [CI] -0.66 to -0.29; 46 randomized controlled trials [RCTs];
= 3200), observer-reported pain (SMD -0.68; 95% CI -0.91 to -0.45; 17 RCTs;
= 1199), behavioral pain (SMD -0.57; 95% CI -0.94 to -0.19; 19 RCTs;
= 1173), self-reported distress (SMD -0.49; 95% CI -0.70 to -0.27; 19 RCTs;
= 1818), observer-reported distress (SMD -0.47; 95% CI -0.77 to -0.17; 10 RCTs;
= 826), and behavioral distress (SMD -0.35; 95% CI -0.59 to -0.12; 17 RCTs;
= 1264) compared with usual care.
Few studies directly compared different distractors or provided subgroup data to inform applicability.
Digital distraction provides modest pain and distress reduction for children undergoing painful procedures; its superiority over nondigital distractors is not established. Context, preferences, and availability should inform the choice of distractor.</abstract><cop>United States</cop><pub>American Academy of Pediatrics</pub><pmid>31969473</pmid><doi>10.1542/peds.2019-1139</doi></addata></record> |
| fulltext | fulltext |
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| ispartof | Pediatrics (Evanston), 2020-02, Vol.145 (2), p.1 |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Acute Pain - prevention & control Adolescent Attention Child Child, Preschool Children Computer applications Confidence Intervals Digital technology Humans Meta-analysis Nursing Pain Pain Management - methods Pain, Procedural - prevention & control Pediatrics Publication Bias Randomized Controlled Trials as Topic - statistics & numerical data Sensitivity and Specificity Stress, Psychological - prevention & control Video Games Virtual Reality Exposure Therapy - methods Young Adult |
| title | Digital Technology Distraction for Acute Pain in Children: A Meta-analysis |
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