Distraction intervention for preschoolers undergoing intramuscular injections and subcutaneous port access

Health Psychol. 2002 Jan;21(1):94-9.

Abstract

This study evaluated a distraction intervention designed to reduce the distress of preschool children undergoing repeated chemotherapy injections. Twenty-nine children aged 2-5 years were randomly assigned either to distraction by a developmentally appropriate electronic toy or to a wait-list control. Children who received the distraction intervention demonstrated lower overt behavioral distress and were rated by parents and nurses as less anxious than children in the control condition. The improvements were maintained over the 8-week intervention. The results suggest that a developmentally appropriate, multisensory, variable-distracting activity that requires active cognitive processing and active motor responses may be a viable cost-effective alternative to more time-intensive parent-training programs for preschool-age children.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / therapeutic use*
  • Anxiety Disorders / etiology
  • Anxiety Disorders / psychology
  • Anxiety Disorders / therapy*
  • Catheters, Indwelling
  • Child, Preschool
  • Cognitive Behavioral Therapy / methods*
  • Female
  • Humans
  • Injections, Intramuscular
  • Male
  • Neoplasms / drug therapy*
  • Neoplasms / psychology

Substances

  • Antineoplastic Agents