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Digital Technology Distraction for Acute Pain in Children: A Meta-analysis
  • Michelle Gates
  • Lisa Hartling
  • Jocelyn Shulhan-Kilroy
  • Tara MacGregor
  • Samantha Guitard
  • Aireen Wingert
  • Robin Featherstone
  • Ben Vandermeer
  • Naveen Poonai, Western University
  • Janeva Kircher
  • Shirley Perry
  • Timothy A D Graham
  • Shannon D Scott
  • Samina Ali
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CONTEXT: Digital distraction is being integrated into pediatric pain care, but its efficacy is currently unknown.

OBJECTIVE: To determine the effect of digital technology distraction on pain and distress in children experiencing acutely painful conditions or procedures.

DATA SOURCES: 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.

STUDY SELECTION: Quantitative studies of digital technology distraction for acutely painful conditions or procedures in children.

DATA EXTRACTION: Performed by 1 reviewer with verification. Outcomes were child pain and distress.

RESULTS: There were 106 studies (

LIMITATIONS: Few studies directly compared different distractors or provided subgroup data to inform applicability.

CONCLUSIONS: 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.

Citation Information
Michelle Gates, Lisa Hartling, Jocelyn Shulhan-Kilroy, Tara MacGregor, et al.. "Digital Technology Distraction for Acute Pain in Children: A Meta-analysis" Pediatrics Vol. 145 Iss. 2 (2020) p. e20191139
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