Ouch that Hurt! Convert The Hurt With Single-Sensory Distraction Techniques During Vaccinations.
Roselyn Thom
Lord Byng Secondary
Floor Location : M 183 H

Objective: The goal was to test single-sensory distraction techniques designed to reduce injection-associated pain and distress in infants aged 2-6 months.

Motivation: Untreated pain and distress during infant vaccinations can have negative long term effects, including the development of adult needle fears and later health care avoidance behaviours. It is essential to make first vaccination experiences positive. Very few studies have been done on reducing vaccination-associated pain and distress in the 2-6 month infant age group.

Methods: A randomized control trial tested 3 different single-sensory distraction techniques. Infants were randomized to 4 experimental groups: the typical care (control), physical distraction, visual distraction, and auditory distraction. Infants received the Hexavalent vaccine. The typical care group received the vaccine lying supine on the examination table. Distraction techniques included swaddling (physical), watching a stuffed toy (visual), and listening to music (auditory). Pain was measured using the Faces-Legs-Activity-Crying-Consolability (FLACC) scale. Distress was measured by timing the length of time the infant cried after the vaccination.

Results: Infants who received single-sensory distraction techniques experienced a significant reduction in injection-associated pain and distress compared to the typical care group. Overall, auditory distraction was the most effective intervention in reducing injection-associated pain and distress in infants.

Conclusion: Single-sensory distraction techniques significantly reduce pain and distress during infant vaccinations.