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Positive Distraction in Pediatric Healthcare Waiting Spaces: Sharing Play Not Germs through Inclusive, Hands-Free
Elaine Biddiss1,2,3, Tara Joy Knibbe1,3, Darcy Fehlings1,3,4
1Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital , Toronto , Canada.
Insights
Shared distractions like interactive media and aquariums in pediatric clinics effectively reduce anxiety in young patients. Hands-free options are particularly beneficial for diverse age groups and mobility levels.
Area of Science:
- Pediatric healthcare environments
- Child psychology and development
- Healthcare facility design
Background:
- Pediatric healthcare settings often present anxiety-inducing situations for young patients.
- Distraction strategies are commonly employed to mitigate anxiety during healthcare visits.
- The effectiveness of shared versus personal distraction methods requires further investigation.
Purpose of the Study:
- To evaluate the impact of shared distraction opportunities on anxiety levels in pediatric patients.
- To compare engagement with shared distractions versus personal items.
- To identify specific types of shared distractions that are most effective in reducing anxiety.
Main Methods:
- Observation of self-selected activities in 271 young people (5-19 years) with neurodevelopmental conditions in a pediatric rehabilitation clinic.
- Shared distraction opportunities included hands-free media (nature video, interactive media) and an aquarium.
- Anxiety was measured using the State Trait Anxiety Scale upon arrival and after 10 minutes in the waiting area.
Main Results:
- Young people showed greater engagement with shared distractions (170/271) compared to personal items (119/271).
- Interactive media and the aquarium significantly reduced anxiety (p < 0.04), while nature videos showed a trend towards increasing it (p = 0.036).
- Personal electronic devices did not positively impact anxiety levels; age influenced preferences and anxiety responses.
Conclusions:
- Shared distraction opportunities are valuable in pediatric healthcare settings.
- Hands-free interactive media and aquariums are particularly effective in reducing patient anxiety.
- Tailoring distraction strategies to age and individual needs can enhance their positive impact.
Abstract:
Purpose: To investigate the value of shared opportunities for positive distraction in pediatric healthcare environments. Methods: Self-selected activities of 271 young people (5-19 years) with diverse neurodevelopmental conditions were observed in an ambulatory pediatric rehabilitation clinic. Shared opportunities included hands-free media (nature video or interactive media) and an aquarium. Anxiety was self-reported on the State Trait Anxiety Scale upon arrival and after 10 minutes in the waiting space. Results: Young people engaged more with shared opportunities for distraction (n = 170/271) than personal items brought from home (n = 119/271), p = 0.02. Personal electronic devices were used by 67 young people, but did not positively impact anxiety. Interactive media and the aquarium significantly reduced anxiety (p < 0.04) while the nature video appeared to increase anxiety (p = 0.036). Age influenced activity preference and anxiety. Shared, hands-free interactive media engaged individuals of diverse age and mobility. Conclusion: Shared opportunities for positive distraction in healthcare facilities are valuable, particularly hands-free interactive media.
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