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.