Evidence map›Paper›PMID 39390439›Full record

SynthesisBMC pediatrics2024

The efficacy of socially assistive robots in improving children's pain and negative affectivity during needle-based invasive treatment: A systematic review and meta-analysis.

Xin-Yun Pan, Xuan-Yi Bi, Yan-Ning Nong, Xu-Chun Ye, Yan Yan, Jing Shang, Yi-Min Zhou, Yu-Zhe Yao

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Can social robots improve the hospital experience of children?Frontiers in rehabilitation sciences · 2026
    Article
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Xin-Yun Pan *School of Nursing, Naval Medical University, No.800, Xiangyin Road, Shanghai, 200433, China.
Xuan-Yi Bi *School of Nursing, Naval Medical University, No.800, Xiangyin Road, Shanghai, 200433, China.
Yan-Ning Nong *School of Nursing, Naval Medical University, No.800, Xiangyin Road, Shanghai, 200433, China.
Xu-Chun YeSchool of Nursing, Naval Medical University, No.800, Xiangyin Road, Shanghai, 200433, China. ye_xch8639@163.com.
Yan YanSchool of Nursing, Naval Medical University, No.800, Xiangyin Road, Shanghai, 200433, China.
Jing ShangSchool of Nursing, Naval Medical University, No.800, Xiangyin Road, Shanghai, 200433, China.
Yi-Min ZhouSchool of Nursing, Naval Medical University, No.800, Xiangyin Road, Shanghai, 200433, China.
Yu-Zhe YaoSchool of Nursing, Naval Medical University, No.800, Xiangyin Road, Shanghai, 200433, China.

Funding

National Natural Science Foundation of China 71974196
6 · The paper itself

Abstract

backgroundThe ability of socially assistive robots (SARs) to treat dementia and Alzheimer's disease has been verified. Currently, to increase the range of their application, there is an increasing amount of interest in using SARs to relieve pain and negative emotions among children in routine medical settings. However, there is little consensus regarding the use of these robots.

objectiveThis study aimed to evaluate the effect of SARs on pain and negative affectivity among children undergoing invasive needle-based procedures.

designThis study was a systematic review and meta-analysis of randomized controlled trials that was conducted in accordance with the Cochrane Handbook guidelines.

methodsThe PubMed, CINAHL, Web of Science, Cochrane Library, Embase, CNKI, and WanFang databases were searched from inception to January 2024 to identify relevant randomized controlled trials (RCTs). We used the Cochrane Risk of Bias tool 2.0 (RoB2.0) to assess the risk of bias among the included studies, and we used RevMan 5.4 software to conduct the meta-analysis. The Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework was used to assess the quality of the evidence.

resultsTen RCTs involving 815 pediatric subjects were selected for this review and reported outcomes related to pain and emotions during IV placement, port needle insertion, flu vaccination, blood sampling, and dental treatment. Children undergoing needle-related procedures with SARs reported less anxiety (SMD= -0.36; 95% CI= -0.64, -0.09) and fewer distressed avoidance behaviors (SMD= -0.67; 95% CI= -1.04, -0.30) than did those receiving typical care. There were nonsignificant differences between these groups in terms of in pain (SMD = -0.02; 95% CI = - 0.81, 0.78) and fear (SMD = 0.38; 95% CI= -0.06, 0.82). The results of exploratory subgroup analyses revealed no statistically significant differences based on the intervention type of robots or anesthetic use.

conclusionsThe use of SARs is a promising intervention method for alleviating anxiety and distress among children undergoing needle-related procedures. However, additional high-quality randomized controlled trials are needed to further validate these conclusions.

trial registrationThe protocol of this study has been registered in the database PROSPERO (registration ID: CRD42023413279).

Indexed as

NeedlesProcedural PainRoboticsChildHumansPain ManagementRandomized Controlled Trials as TopicAcute painEmotionsMeta-analysisPediatricsRoboticsSystematic review

Identifiers

PMID39390439
PMCPMC11465713

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.