Interactive video games to reduce paediatric procedural pain and anxiety: a systematic review and meta-analysis
| Autor: | Michael A. Wewege, Claire E. Wakefield, Christina Signorelli, Anne-Sophie Darlington, Jonathan Karpelowsky, Lauren Kelada, A'tikah Binte Yahya Nur, Benedict Akimana, Mona Sajeev |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Adolescent business.industry Interactive video Psychological intervention MEDLINE Infant PsycINFO Perioperative Anxiety Pain Procedural Anesthesiology and Pain Medicine Caregivers Video Games Child Preschool Meta-analysis Physical therapy Humans Medicine medicine.symptom Child business Video game |
| Zdroj: | British Journal of Anaesthesia. 127:608-619 |
| ISSN: | 0007-0912 |
| DOI: | 10.1016/j.bja.2021.06.039 |
| Popis: | Background Procedural pain and anxiety in children can be poorly controlled, leading to significant short- and long-term sequelae, such as longer procedure times or future healthcare avoidance. Caregiver anxiety can exacerbate these effects. We aimed to evaluate the effect of interactive video game interventions on children's procedural pain and anxiety, including the effect of different types of video games on those outcomes. Methods We conducted a systematic review and meta-analysis of the effectiveness of interactive video games compared with standard care in children (0–18 yr) undergoing painful procedures. We searched the databases MEDLINE, Embase, and PsycINFO. We conducted random-effects meta-analysis using ‘R' of children's procedural pain and anxiety and caregivers' anxiety. Results Of 2185 studies screened, 36 were eligible (n=3406 patients). Studies commonly involved venous access (33%) or day surgery (31%). Thirty-four studies were eligible for meta-analyses. Interactive video games appear to reduce children's procedural pain (standardised mean difference [SMD]=–0.43; 95% confidence interval [CI]: –0.67 to –0.20), anxiety (SMD=0.61; 95% CI: –0.88 to –0.34), and caregivers' procedural anxiety (SMD=–0.31; 95% CI: –0.58 to –0.04). We observed no difference between preparatory and distracting games, or between virtual reality and non-virtual reality games. We also observed no difference between interactive video games compared with standard care for most medical outcomes (e.g. procedure length), except a reduced need for restraint. Studies reported minimal adverse effects and typically had high intervention acceptability and satisfaction. Conclusions Our findings support introducing easily available video games, such as distraction-based conventional video games, into routine practice to minimise paediatric procedural pain and child/caregiver anxiety. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|