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Updated: Aug 6, 2026

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
Published on: April 14, 2016
Analgesic effect of watching TV during venipuncture
C V Bellieni1, D M Cordelli, M Raffaelli
1Department of Pediatrics, Obstetrics and Reproduction Medicine, University of Siena, Siena, Italy. bellieni@iol.it
Insights
Watching television during blood draws significantly reduced pain perception in children compared to active distraction by mothers. This passive distraction method offers a more effective approach to managing procedural pain in pediatric venipuncture.
Area of Science:
- Pediatric Pain Management
- Child Psychology
- Medical Procedures
Background:
- Venipuncture is a common and often painful procedure for children.
- Effective pain management strategies are crucial for improving pediatric healthcare experiences.
- Distraction techniques are widely used to mitigate procedural pain in children.
Purpose of the Study:
- To evaluate the analgesic efficacy of passive versus active distraction during pediatric venipuncture.
- To compare the pain scores reported by children and their mothers across different distraction conditions.
Main Methods:
- A randomized controlled trial involving 69 children aged 7-12 years undergoing venipuncture.
- Three groups were studied: control (no distraction), active maternal distraction, and passive distraction via television (TV).
- Pain levels were assessed using self-reported scores from both children and mothers post-procedure.
Main Results:
- Children in the TV group reported significantly lower pain levels (8.91) compared to the control (23.04) and active distraction (17.39) groups.
- Mothers also rated pain as significantly lower in the TV group (12.17) compared to the control (21.30) and active distraction (23.04) groups.
- Passive distraction through TV watching proved more effective in reducing perceived pain than active maternal distraction (p<0.05).
Conclusions:
- Passive distraction, specifically TV watching, is a more effective method for reducing venipuncture pain in children than active maternal distraction.
- The enhanced effectiveness of TV distraction may be attributed to its immersive nature or a potential decrease in maternal anxiety during the procedure.
- These findings suggest that passive, engaging distractions should be prioritized for managing procedural pain in pediatric settings.
Aims:
To assess the analgesic effect of passive or active distraction during venipuncture in children.
Methods:
We studied 69 children aged 7-12 years undergoing venipuncture. The children were randomly divided into three groups: a control group (C) without any distraction procedure, a group (M) in which mothers performed active distraction, and a TV group (TV) in which passive distraction (a TV cartoon) was used. Both mothers and children scored pain after the procedure.
Results:
Main pain levels rated by the children were 23.04 (standard deviation (SD) 24.57), 17.39 (SD 21.36), and 8.91 (SD 8.65) for the C, M, and TV groups, respectively. Main pain levels rated by mothers were 21.30 (SD 19.9), 23.04 (SD 18.39), and 12.17 (SD 12.14) for the C, M, and TV groups, respectively. Scores assigned by mothers and children indicated that procedures performed during TV watching were less painful (p<0.05) than control or procedures performed during active distraction.
Conclusion:
TV watching was more effective than active distraction. This was due either to the emotional participation of the mothers in the active procedure or to the distracting power of television.
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