Article Text

Download PDFPDF
Randomised controlled trial
A multifaceted distraction intervention may reduce pain and discomfort in children 4–6 years of age receiving immunisation
  1. Lindsey L Cohen
  1. Lindsey L Cohen
    Department of Psychology, Georgia State University, Atlanta, GA 30302-5010, USA; llcohen{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Commentary on: OpenUrlAbstract/FREE Full Text

Children experience frequent pain with regular healthcare (eg, immunisations), and evidence suggests that there are a host of negative repercussions for untreated pain. Berberich and Landman evaluated an innovative intervention to minimise children’s pain. They combined ethyl chloride, a plastic “multipronged gripper” similar to the ShotBlocker (Bionix, Toledo, Ohio, USA), vibration and a game with the child guessing when the vibrating instrument reached the elbow. The authors refer to this as a “multifaceted distraction” (p. e203) and compared it with routine care for preschoolers’ immunisation injections. Twenty children were randomised to the intervention group and 21 to the control group. Patient self-report, parent report and observational behavioural coding indicated that the intervention resulted in lower paediatric patient distress than in the control group (p < 0.001).

In general, this …

View Full Text


  • Competing interests None.