Evidence map›Paper›PMID 40655515›Full record

Observational studyJNMA; journal of the Nepal Medical Association2025

Audio-Visual Distraction- A Non-Pharmacological Approach to Alleviate Pain in Pediatric Vaccine Administration: An Observational Study.

Harsshika Bajaj, Akaash Tandel, Uday Rajput, Naresh Sonkawade, Rahul Dawre, Sameer Pawar, Sangeeta Chivale, Pragathi Kamath, Kanchan Sakharkar, Poonam Sancheti and 2 more

Abstract readObservational StudyComparative Study
In one paragraph

Observational study in JNMA; journal of the Nepal Medical Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

12 authors.

Harsshika BajajByramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India.
Akaash TandelByramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India.
Uday RajputDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India.
Naresh SonkawadeDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India.
Rahul DawreDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India.
Sameer PawarDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India.
Sangeeta ChivaleDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India.
Pragathi KamathDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India.
Kanchan SakharkarDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India.
Poonam SanchetiDepartment of Community Medicine, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India.
Murlidhar TambeDepartment of Community Medicine, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India.
Aarti KinikarDepartment of Pediatrics, Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The routine vaccine injections are one of the most common and painful procedures during childhood specifically in infancy. In order to improve the effectivity of pain reduction during routine vaccination OPD this study was done to analyse the effectiveness of audio-visual gadgets as a distraction tool for pain reduction in infants during the vaccination procedure. Methods: A comparative observational study conducted at a tertiary healthcare center vaccination out patient department. Children aged 1 month to 2 years receiving the vaccine were included in the study. The study group was exposed to audio-visual clip while the control group received the vaccine as per routine vaccination protocol. The Face, Legs, Activity, Cry, Consolability Scale score was used to assess the behavioural reactions to pain which assesses five behavioural areas. The study protocol was approved by the Institute Ethics Committee (Reference number: BJGMC/IEC/1122238-238). Results: The Face, Legs, Activity, Cry, Controllability Scale score were studied among two groups, it was observed that the pain score and every component of the score had a statistically significant lower mean score in audio-visual group as compared to the control group. Mean pain score in the audio-visual group was 6.31±0.79 as compared to 9.57±0.65 in the control group with the p value of 0.001. Conclusions: A lower pain score in response to vaccination with an audio-visual distraction indicates that it can be regularly used to reduce pain during the vaccination procedure and can be used during different painful procedures.

Indexed as

Audiovisual AidsPainPain ManagementProcedural PainVaccinationVaccinesChild, PreschoolFemaleHumansInfantMalePain MeasurementVaccinesaudio-visualchildrenFLACCpainvaccination

Identifiers

PMID40655515
PMCPMC11930044

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Registered trials

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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.