Is tablet-based interactive distraction effective on pain and anxiety during circumcision in children? A randomized controlled trial

Effect of an Active Distraction Method for Pediatric Venipuncture Related Pain and Anxiety

“…These miscellaneous results may be associated with the selection of different distraction methods, measurement methods, and design of the studies. However, it was reported in many studies that active or passive distraction reduced fear and pain before and during the procedure (6,13,14,18,19,20). In our study, active distraction was used in only one group.…”

“…Watching cartoons as a passive distraction was found to be more effective than playing with a robot as an active distraction in the study of Maclaren et al (6). In the study of Mason et al (17), reading books to the child by their parents was considered an active distraction, while watching cartoons was considered passive, and stress levels were found to be significantly lower in the reading book group.…”

“…Hence, passive distraction techniques are involved with watching a stimulant rather than the active participation of children. There are many studies about the effects of different distraction techniques coping with pain, anxiety, and distress during pediatric procedures (6)(7)(8).…”

Virtual reality games as a pain and anxiety reduction in circumcision children: A literature review

“…There were 28 journals from ScienceDirect, 63 journals from PubMed, 5 journals from Scopus, and 196 journals from Google Scholar, which met the inclusion criteria (Table 1). Three interventions that fit the inclusion criteria include virtual reality (n = 4) (Buyuk et al, 2021;Firmansyah et al, 2021;Hassannia et al, 2021;Luo et al, 2022), audio-visual (n = 2) (Bulut et al, 2020;Idris et al, 2020) and games (n=7) Gezginci et al, 2021;Kurt & Seval, 2021;Pazarcikci & Efe, 2022;Suzan et al, 2020;Ünver et al, 2020. Data collection used a quantitative design with RCT research methods (n = 11) and Quasi-experiments (n = 2).…”

“…One thousand seventy-four children underwent circumcision between the ages of 3 and 18. Research according to the literature review was conducted in Turkey (n=8) (Bulut et al, 2020;Buyuk et al, 2021;Gezginci et al, 2021; Kurt Suzan et al, 2020;Ünver et al, 2020, China (n=1) (Luo et al, 2022), Iran (n=1) (Hassannia et al, 2021), Indonesia (n=2) (Firmansyah et al, 2021;Idris et al, 2020) and Denmark (n=1) . The following are the characteristics of the study of boys circumcision using virtual reality, audio-visual and game interventions which are presented in Table 2.…”