Systematic review and meta-analysis of distraction and hypnosis for needle-related pain and distress in children and adolescents.

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Abstract

To systematically review the evidence (and quality) for distraction and hypnosis for needle-related pain and distress in children and adolescents. To explore the effects of distraction characteristics (e.g., adult involvement, type of distracter), child age, and study risk of bias on treatment efficacy.

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The effectiveness of virtual reality distraction for pain reduction: a systematic review.

Kevin M Malloy, Leonard Milling (2010)

Virtual reality technology enables people to become immersed in a computer-simulated, three-dimensional environment. This article provides a comprehensive review of controlled research on the effectiveness of virtual reality (VR) distraction for reducing pain. To be included in the review, studies were required to use a between-subjects or mixed model design in which VR distraction was compared with a control condition or an alternative intervention in relieving pain. An exhaustive search identified 11 studies satisfying these criteria. VR distraction was shown to be effective for reducing experimental pain, as well as the discomfort associated with burn injury care. Studies of needle-related pain provided less consistent findings. Use of more sophisticated virtual reality technology capable of fully immersing the individual in a virtual environment was associated with greater relief. Overall, controlled research suggests that VR distraction may be a useful tool for clinicians who work with a variety of pain problems. Copyright © 2010 Elsevier Ltd. All rights reserved.

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Systematic review of the psychometric properties, interpretability and feasibility of self-report pain intensity measures for use in clinical trials in children and adolescents.

Navreet Gill, Janet Yamada, Jennifer N Stinson … (2006)

The aim of this study was to systematically review the psychometric properties, interpretability and feasibility of self-report pain intensity measures for children and adolescents for use in clinical trials evaluating pain treatments. Databases were searched for self-report measures of single-item ratings of pain intensity for children aged 3-18 years. A total of 34 single-item self-report measures were found. The measures' psychometric properties, interpretability and feasibility, were evaluated independently by two investigators according to a set of psychometric criteria. Six single-item measures met the a priori criteria and were included in the final analysis. While these six scales were determined as psychometrically sound and show evidence of responsivity, they had varying degrees of interpretability and feasibility. No single scale was found to be optimal for use with all types of pain or across the developmental age span. Specific recommendations regarding the most psychometrically sound and feasible measures based on age/developmental level and type of pain are discussed. Future research is needed to strengthen the measurement of pain in clinical trials with children.

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Effectiveness of virtual reality for pediatric pain distraction during i.v. placement.

Jeffrey I. Gold, Seok Hyeon Kim, Alexis Kant … (2006)

The objective of this study was to test the efficacy and suitability of virtual reality (VR) as a pain distraction for pediatric intravenous (i.v.) placement. Twenty children (12 boys, 8 girls) requiring i.v. placement for a magnetic resonance imaging/computed tomography (MRI/CT) scan were randomly assigned to two conditions: (1) VR distraction using Street Luge (5DT), presented via a head-mounted display, or (2) standard of care (topical anesthetic) with no distraction. Children, their parents, and nurses completed self-report questionnaires that assessed numerous health-related outcomes. Responses from the Faces Pain Scale-Revised indicated a fourfold increase in affective pain within the control condition; by contrast, no significant differences were detected within the VR condition. Significant associations between multiple measures of anticipatory anxiety, affective pain, i.v. pain intensity, and measures of past procedural pain provided support for the complex interplay of a multimodal assessment of pain perception. There was also a sufficient amount of evidence supporting the efficacy of Street Luge as a pediatric pain distraction tool during i.v. placement: an adequate level of presence, no simulator sickness, and significantly more child-, parent-, and nurse-reported satisfaction with pain management. VR pain distraction was positively endorsed by all reporters and is a promising tool for decreasing pain, and anxiety in children undergoing acute medical interventions. However, further research with larger sample sizes and other routine medical procedures is warranted.

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Author and article information

Journal

Journal ID (iso-abbrev): J Pediatr Psychol

Title: Journal of pediatric psychology

ISSN (Electronic): 1465-735X

ISSN (Print): 0146-8693

Publication date (Electronic): Sep 2014

Volume: 39

Issue: 8

Affiliations

[1 ] Department of Psychology and Neuroscience, Dalhousie University, Centre for Pediatric Pain Research, IWK Health Centre, Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Department of Pediatrics, Dalhousie University, Mental Health and Addiction Services, IWK Health Centre, and School of Population Health, The University of Queensland Department of Psychology and Neuroscience, Dalhousie University, Centre for Pediatric Pain Research, IWK Health Centre, Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Department of Pediatrics, Dalhousie University, Mental Health and Addiction Services, IWK Health Centre, and School of Population Health, The University of Queensland kbirnie@dal.ca.

[2 ] Department of Psychology and Neuroscience, Dalhousie University, Centre for Pediatric Pain Research, IWK Health Centre, Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Department of Pediatrics, Dalhousie University, Mental Health and Addiction Services, IWK Health Centre, and School of Population Health, The University of Queensland.

[3 ] Department of Psychology and Neuroscience, Dalhousie University, Centre for Pediatric Pain Research, IWK Health Centre, Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Department of Pediatrics, Dalhousie University, Mental Health and Addiction Services, IWK Health Centre, and School of Population Health, The University of Queensland Department of Psychology and Neuroscience, Dalhousie University, Centre for Pediatric Pain Research, IWK Health Centre, Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Department of Pediatrics, Dalhousie University, Mental Health and Addiction Services, IWK Health Centre, and School of Population Health, The University of Queensland Department of Psychology and Neuroscience, Dalhousie University, Centre for Pediatric Pain Research, IWK Health Centre, Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Department of Pediatrics, Dalhousie University, Mental Health and Addiction Services, IWK Health Centre, and School of Population Health, The University of Queensland.

[4 ] Department of Psychology and Neuroscience, Dalhousie University, Centre for Pediatric Pain Research, IWK Health Centre, Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Department of Pediatrics, Dalhousie University, Mental Health and Addiction Services, IWK Health Centre, and School of Population Health, The University of Queensland Department of Psychology and Neuroscience, Dalhousie University, Centre for Pediatric Pain Research, IWK Health Centre, Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Department of Pediatrics, Dalhousie University, Mental Health and Addiction Services, IWK Health Centre, and School of Population Health, The University of Queensland.

Article

Publisher Item ID: jsu029

DOI: 10.1093/jpepsy/jsu029

PubMed ID: 24891439

SO-VID: 83d20791-fa37-4676-a18b-2dc5ffa9fca0

History

Keywords: distraction,distress,empirically supported treatments,hypnosis,needles,pain,randomized controlled trials

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Keywords: distraction, distress, empirically supported treatments, hypnosis, needles, pain, randomized controlled trials

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Systematic review and meta-analysis of distraction and hypnosis for needle-related pain and distress in children and adolescents.

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Most cited references 60

The effectiveness of virtual reality distraction for pain reduction: a systematic review.

Systematic review of the psychometric properties, interpretability and feasibility of self-report pain intensity measures for use in clinical trials in children and adolescents.

Effectiveness of virtual reality for pediatric pain distraction during i.v. placement.

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