Effectiveness of Audiovisual Distraction in Reducing Children's Anxiety for Pain During Medical and Dental Treatments: A Systematic Review and Meta-analysis
Background: Audiovisual distraction is a potentially good technique to reduce medical treatment procedure-related fear and anxiety among children. However, few studies have assessed its effectiveness. Objective: To conduct a systematic review and meta-analysis for evaluating the effectiveness of audiovisual distraction in reducing pain anxiety in pediatrics. Methods: Randomized control trials and experimental studies that reported the use of audiovisual distraction during medical/dental treatments among children aged 3-8 years, used the Face, Legs, Activity, Cry, Consolability (FLACC) scale to assess pain, and were published between 2005-2021 and in English were retrieved from PubMed, Scopus, and Web of Science. A random-effects model was used for evidence analysis. Results: A total of four studies were included in the systematic review and meta-analysis: two were from South Asia and one each were from Africa and North America. Three of these studies were randomized control trials. The variability among the studies was high. Three of the four studies found that AV techniques were significantly effective in reducing pain during procedures compared with the control group (P < 0.00001), while one study found no difference; the cumulative evidence in the forest plot was similar. Conclusion: Cumulative evidence suggests that the use of audiovisual distraction is an effective strategy in reducing medical/dental procedures-related pain anxiety among children aged 3-8 years. However, evidence on this is currently limited, and thus further studies are required using various AD techniques and on different populations to substantiate these findings.
机构:
Univ Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, ItalyUniv Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, Italy
Simonetti, Valentina
Tomietto, Marco
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Northumbria Univ, Fac Hlth & Life Sci, Dept Nursing Midwifery & Hlth, Newcastle Upon Tyne, Northumberland, England
Univ Oulu, Res Unit Nursing Sci & Hlth Management, Oulu, FinlandUniv Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, Italy
Tomietto, Marco
Comparcini, Dania
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Azienda Osped Univ Osped Riuniti Ancona, via Conca 71, I-60100 Ancona, ItalyUniv Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, Italy
Comparcini, Dania
Vankova, Nadezhda
论文数: 0引用数: 0
h-index: 0
机构:
Politecn Marche Univ, Ascoli Piceno, ItalyUniv Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, Italy
Vankova, Nadezhda
Marcelli, Stefano
论文数: 0引用数: 0
h-index: 0
机构:
Politecn Marche Univ, Ascoli Piceno, ItalyUniv Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, Italy
Marcelli, Stefano
Cicolini, Giancarlo
论文数: 0引用数: 0
h-index: 0
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Univ Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, ItalyUniv Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, Italy
机构:
Univ Stellenbosch, Fac Hlth Sci, Div Physiotherapy, ZA-7505 Tygerberg, South AfricaUniv Stellenbosch, Fac Hlth Sci, Div Physiotherapy, ZA-7505 Tygerberg, South Africa
Morris, Linzette Deidre
Louw, Quinette Abegail
论文数: 0引用数: 0
h-index: 0
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Univ Stellenbosch, Fac Hlth Sci, Div Physiotherapy, ZA-7505 Tygerberg, South AfricaUniv Stellenbosch, Fac Hlth Sci, Div Physiotherapy, ZA-7505 Tygerberg, South Africa
Louw, Quinette Abegail
Grimmer-Somers, Karen
论文数: 0引用数: 0
h-index: 0
机构:
Univ S Australia, Div Hlth Sci, Adelaide, SA, AustraliaUniv Stellenbosch, Fac Hlth Sci, Div Physiotherapy, ZA-7505 Tygerberg, South Africa
机构:
Brown Univ, Warren Alpert Med Sch, Dept Med, Providence, RI 02912 USABrown Univ, Warren Alpert Med Sch, Dept Med, Providence, RI 02912 USA
Bashir, Zubair S.
Misquith, Chelsea
论文数: 0引用数: 0
h-index: 0
机构:
Brown Univ, Sch Publ Hlth, Providence, RI USABrown Univ, Warren Alpert Med Sch, Dept Med, Providence, RI 02912 USA
Misquith, Chelsea
Has, Phinnara
论文数: 0引用数: 0
h-index: 0
机构:
Brown Univ, Rhode Isl Hosp, Lifespan Biostat Epidemiol & Res Design, Providence, RI USABrown Univ, Warren Alpert Med Sch, Dept Med, Providence, RI 02912 USA
Has, Phinnara
Bukhari, Syed M.
论文数: 0引用数: 0
h-index: 0
机构:
Cleveland Clin, Vasc Med, Cleveland, OH USABrown Univ, Warren Alpert Med Sch, Dept Med, Providence, RI 02912 USA
机构:
Clin Espregueira FIFA Med Ctr Excellence, Porto, Portugal
Dom Henrique Res Ctr, Porto, Portugal
Univ Porto, Porto Biomech Lab LABIOMEP, Porto, PortugalUniv Minho, CMEMS UMinho, Guimaraes, Portugal
Andrade, Renato
Valente, Cristina
论文数: 0引用数: 0
h-index: 0
机构:
Clin Espregueira FIFA Med Ctr Excellence, Porto, Portugal
Dom Henrique Res Ctr, Porto, PortugalUniv Minho, CMEMS UMinho, Guimaraes, Portugal
Valente, Cristina
Espregueira-Mendes, Joao
论文数: 0引用数: 0
h-index: 0
机构:
Clin Espregueira FIFA Med Ctr Excellence, Porto, Portugal
Dom Henrique Res Ctr, Porto, Portugal
PT Govt Associate Lab, ICVS 3Bs, Braga Guimaraes, Portugal
Univ Minho, European Inst Excellence Tissue Engn & Regenerat M, Res Grp Biomat Biodegradables & Biomimet 3Bs, Ave Pk,Parque Ciencia & Tecnol,Zona Ind Gandra,Bar, Guimaraes, Portugal
Univ Minho, Sch Med, Braga, PortugalUniv Minho, CMEMS UMinho, Guimaraes, Portugal
机构:
William Beaumont Hosp, Dept Orthopaed Surg, Royal Oak, MI USAUniv Minho, CMEMS UMinho, Guimaraes, Portugal
Hinckel, Betina B.
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Carvalho, Oscar
Leal, Ana
论文数: 0引用数: 0
h-index: 0
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Univ Minho, CMEMS UMinho, Guimaraes, Portugal
Dom Henrique Res Ctr, Porto, Portugal
LABBELS, Associate Lab, Braga, PortugalUniv Minho, CMEMS UMinho, Guimaraes, Portugal
机构:
Univ Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
dos Santos, Kauanny Vitoria Gurgel
Dantas, Joyce Karolayne dos Santos
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Agamenon Magalhaes HAM UPE, Estr Arraial,2723 Casa Amarela, Recife, PE, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
Dantas, Joyce Karolayne dos Santos
Fernandes, Thatiane Evelyn de Lima
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio Grande do Norte, Dept Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
Fernandes, Thatiane Evelyn de Lima
de Medeiros, Kleyton Santos
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio Grande do Norte, Grad Program Hlth Sci, R Gen Gustavo Cordeiro Faria 601,601 Ribeira, Natal, RN, Brazil
Inst Educ Res & Innovat, Av Miguel Castro,1355 Nossa Sra Nazare, Natal, RN, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
de Medeiros, Kleyton Santos
Sarmento, Ayane Cristine Alves
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio Grande do Norte, Grad Program Hlth Sci, R Gen Gustavo Cordeiro Faria 601,601 Ribeira, Natal, RN, Brazil
Inst Educ Res & Innovat, Av Miguel Castro,1355 Nossa Sra Nazare, Natal, RN, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
Sarmento, Ayane Cristine Alves
Ribeiro, Katia Regina Barros
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio Grande do Norte, Dept Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
Ribeiro, Katia Regina Barros
Dantas, Daniele Vieira
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Univ Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
Dantas, Daniele Vieira
Dantas, Rodrigo Assis Neves
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h-index: 0
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Univ Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
Univ Fed Rio Grande do Norte, Dept Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
机构:
Univ Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, ItalyUniv Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, Italy
Simonetti, Valentina
Tomietto, Marco
论文数: 0引用数: 0
h-index: 0
机构:
Northumbria Univ, Fac Hlth & Life Sci, Dept Nursing Midwifery & Hlth, Newcastle Upon Tyne, Northumberland, England
Univ Oulu, Res Unit Nursing Sci & Hlth Management, Oulu, FinlandUniv Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, Italy
Tomietto, Marco
Comparcini, Dania
论文数: 0引用数: 0
h-index: 0
机构:
Azienda Osped Univ Osped Riuniti Ancona, via Conca 71, I-60100 Ancona, ItalyUniv Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, Italy
Comparcini, Dania
Vankova, Nadezhda
论文数: 0引用数: 0
h-index: 0
机构:
Politecn Marche Univ, Ascoli Piceno, ItalyUniv Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, Italy
Vankova, Nadezhda
Marcelli, Stefano
论文数: 0引用数: 0
h-index: 0
机构:
Politecn Marche Univ, Ascoli Piceno, ItalyUniv Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, Italy
Marcelli, Stefano
Cicolini, Giancarlo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, ItalyUniv Bari Aldo Moro, Dept Biomed Sci & Human Oncol, Bari, Italy
机构:
Univ Stellenbosch, Fac Hlth Sci, Div Physiotherapy, ZA-7505 Tygerberg, South AfricaUniv Stellenbosch, Fac Hlth Sci, Div Physiotherapy, ZA-7505 Tygerberg, South Africa
Morris, Linzette Deidre
Louw, Quinette Abegail
论文数: 0引用数: 0
h-index: 0
机构:
Univ Stellenbosch, Fac Hlth Sci, Div Physiotherapy, ZA-7505 Tygerberg, South AfricaUniv Stellenbosch, Fac Hlth Sci, Div Physiotherapy, ZA-7505 Tygerberg, South Africa
Louw, Quinette Abegail
Grimmer-Somers, Karen
论文数: 0引用数: 0
h-index: 0
机构:
Univ S Australia, Div Hlth Sci, Adelaide, SA, AustraliaUniv Stellenbosch, Fac Hlth Sci, Div Physiotherapy, ZA-7505 Tygerberg, South Africa
机构:
Brown Univ, Warren Alpert Med Sch, Dept Med, Providence, RI 02912 USABrown Univ, Warren Alpert Med Sch, Dept Med, Providence, RI 02912 USA
Bashir, Zubair S.
Misquith, Chelsea
论文数: 0引用数: 0
h-index: 0
机构:
Brown Univ, Sch Publ Hlth, Providence, RI USABrown Univ, Warren Alpert Med Sch, Dept Med, Providence, RI 02912 USA
Misquith, Chelsea
Has, Phinnara
论文数: 0引用数: 0
h-index: 0
机构:
Brown Univ, Rhode Isl Hosp, Lifespan Biostat Epidemiol & Res Design, Providence, RI USABrown Univ, Warren Alpert Med Sch, Dept Med, Providence, RI 02912 USA
Has, Phinnara
Bukhari, Syed M.
论文数: 0引用数: 0
h-index: 0
机构:
Cleveland Clin, Vasc Med, Cleveland, OH USABrown Univ, Warren Alpert Med Sch, Dept Med, Providence, RI 02912 USA
机构:
Clin Espregueira FIFA Med Ctr Excellence, Porto, Portugal
Dom Henrique Res Ctr, Porto, Portugal
Univ Porto, Porto Biomech Lab LABIOMEP, Porto, PortugalUniv Minho, CMEMS UMinho, Guimaraes, Portugal
Andrade, Renato
Valente, Cristina
论文数: 0引用数: 0
h-index: 0
机构:
Clin Espregueira FIFA Med Ctr Excellence, Porto, Portugal
Dom Henrique Res Ctr, Porto, PortugalUniv Minho, CMEMS UMinho, Guimaraes, Portugal
Valente, Cristina
Espregueira-Mendes, Joao
论文数: 0引用数: 0
h-index: 0
机构:
Clin Espregueira FIFA Med Ctr Excellence, Porto, Portugal
Dom Henrique Res Ctr, Porto, Portugal
PT Govt Associate Lab, ICVS 3Bs, Braga Guimaraes, Portugal
Univ Minho, European Inst Excellence Tissue Engn & Regenerat M, Res Grp Biomat Biodegradables & Biomimet 3Bs, Ave Pk,Parque Ciencia & Tecnol,Zona Ind Gandra,Bar, Guimaraes, Portugal
Univ Minho, Sch Med, Braga, PortugalUniv Minho, CMEMS UMinho, Guimaraes, Portugal
机构:
William Beaumont Hosp, Dept Orthopaed Surg, Royal Oak, MI USAUniv Minho, CMEMS UMinho, Guimaraes, Portugal
Hinckel, Betina B.
论文数: 引用数:
h-index:
机构:
Carvalho, Oscar
Leal, Ana
论文数: 0引用数: 0
h-index: 0
机构:
Univ Minho, CMEMS UMinho, Guimaraes, Portugal
Dom Henrique Res Ctr, Porto, Portugal
LABBELS, Associate Lab, Braga, PortugalUniv Minho, CMEMS UMinho, Guimaraes, Portugal
机构:
Univ Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
dos Santos, Kauanny Vitoria Gurgel
Dantas, Joyce Karolayne dos Santos
论文数: 0引用数: 0
h-index: 0
机构:
Hosp Agamenon Magalhaes HAM UPE, Estr Arraial,2723 Casa Amarela, Recife, PE, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
Dantas, Joyce Karolayne dos Santos
Fernandes, Thatiane Evelyn de Lima
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio Grande do Norte, Dept Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
Fernandes, Thatiane Evelyn de Lima
de Medeiros, Kleyton Santos
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio Grande do Norte, Grad Program Hlth Sci, R Gen Gustavo Cordeiro Faria 601,601 Ribeira, Natal, RN, Brazil
Inst Educ Res & Innovat, Av Miguel Castro,1355 Nossa Sra Nazare, Natal, RN, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
de Medeiros, Kleyton Santos
Sarmento, Ayane Cristine Alves
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio Grande do Norte, Grad Program Hlth Sci, R Gen Gustavo Cordeiro Faria 601,601 Ribeira, Natal, RN, Brazil
Inst Educ Res & Innovat, Av Miguel Castro,1355 Nossa Sra Nazare, Natal, RN, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
Sarmento, Ayane Cristine Alves
Ribeiro, Katia Regina Barros
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio Grande do Norte, Dept Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
Ribeiro, Katia Regina Barros
Dantas, Daniele Vieira
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
Dantas, Daniele Vieira
Dantas, Rodrigo Assis Neves
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil
Univ Fed Rio Grande do Norte, Dept Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, BrazilUniv Fed Rio Grande do Norte, Dept Nursing, Grad Program Nursing, Campos Univ,Br 101,S-N Lagoa Nova, Natal, RN, Brazil