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

Harsshika Bajaj1, Akaash Tandel1, Uday Rajput2

  • 1Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, India.

JNMA; Journal of the Nepal Medical Association
|July 14, 2025
PubMed

Insights

Audio-visual gadgets significantly reduce infant pain during vaccinations. This study found lower pain scores in infants using distraction tools compared to routine procedures, suggesting their broader use for painful interventions.

Area of Science:

  • Pediatrics
  • Pain Management
  • Public Health

Background:

  • Routine vaccinations are a common source of pain for infants.
  • Effective pain reduction strategies are crucial during childhood immunizations.

Purpose of the Study:

  • To evaluate the effectiveness of audio-visual gadgets as a distraction for pain reduction in infants during vaccination.
  • To analyze pain reduction in infants undergoing routine vaccination with audio-visual distraction.

Main Methods:

  • A comparative observational study was conducted at a tertiary healthcare center's vaccination outpatient department.
  • Infants aged 1 month to 2 years were divided into a study group (audio-visual clip) and a control group (routine protocol).
  • The Face, Legs, Activity, Cry, Consolability (FLACC) Scale was used to assess behavioral pain responses.

Main Results:

  • The audio-visual group exhibited statistically significant lower mean pain scores compared to the control group.
  • Mean pain score in the audio-visual group was 6.31±0.79 versus 9.57±0.65 in the control group (p=0.001).
  • All components of the FLACC Scale showed lower scores in the audio-visual distraction group.

Conclusions:

  • Audio-visual distraction effectively reduces pain perception in infants during vaccination.
  • These tools can be integrated into routine vaccination protocols to improve patient comfort.
  • The findings support the use of audio-visual distraction for various painful pediatric procedures.
Abstract

Keywords:
FLACCaudio-visualchildrenpainvaccination

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