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.

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