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Effect of Playing Interactive Computer Game on Distress of Insulin Injection Among Type 1 Diabetic Children

Fatemeh Ebrahimpour1, Narges Sadeghi1, Mostafa Najafi2

  • 1Department of Nursing, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, IR Iran.

Iranian Journal of Pediatrics
|July 23, 2015
PubMed

Insights

Interactive computer games significantly reduced behavioral distress from daily insulin injections in children with type 1 diabetes. This intervention offers a promising, engaging approach to managing injection-related anxiety for young patients.

Area of Science:

  • Pediatric Endocrinology
  • Behavioral Psychology
  • Medical Technology

Background:

  • Daily insulin injections cause significant stress for children with diabetes and their families.
  • Managing behavioral distress associated with injections is crucial for treatment adherence.

Purpose of the Study:

  • To evaluate the effectiveness of an interactive computer game in mitigating behavioral distress during insulin injections.
  • To assess the impact of gamification on the psychological well-being of pediatric patients with type 1 diabetes.

Main Methods:

  • A randomized clinical trial involving 30 children (ages 3-12) with type 1 diabetes requiring daily insulin.
  • Intervention group played an interactive computer game for one week; control group received no intervention.
  • Behavioral distress was measured using the Observational Scale of Behavioral Distress-Revised (OSBD-R) pre-, during-, and post-intervention.

Main Results:

  • The intervention group showed a statistically significant decrease in behavioral distress over time (P = 0.001).
  • The control group did not exhibit a significant change in distress levels over the same period (P = 0.08).
  • A significant difference in mean distress scores was observed between the intervention and control groups (P = 0.03).

Conclusions:

  • Interactive computer games can effectively reduce behavioral distress associated with insulin injections in children with type 1 diabetes.
  • This gamified approach shows potential as an adjunct therapy for improving the injection experience in pediatric diabetes care.
Abstract

Keywords:
ChildrenComputer GameInjectionInsulin

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