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

Iran J Pediatr. 2015 Jun;25(3):e427. doi: 10.5812/ijp.25(3)2015.427. Epub 2015 Jun 27.

Abstract

Background: Diabetic children and their families experience high level stress because of daily insulin injection.

Objectives: This study was conducted to investigate the impact of an interactive computer game on behavioral distress due to insulin injection among diabetic children.

Patients and methods: In this clinical trial, thirty children (3-12 years) with type 1 diabetes who needed daily insulin injection were recruited and allocated randomly into two groups. Children in intervention groups received an interactive computer game and asked to play at home for a week. No special intervention was done for control group. The behavioral distress of groups was assessed before, during and after the intervention by Observational Scale of Behavioral Distress-Revised (OSBD-R).

Results: Repeated measure ANOVA test showed no significantly difference of OSBD-R over time for control group (P = 0.08), but this changes is signification in the study group (P = 0.001). Comparison mean score of distress were significantly different between two groups (P = 0.03).

Conclusions: According to the findings, playing interactive computer game can decrease behavioral distress induced by insulin injection in type 1 diabetic children. It seems this game can be beneficial to be used alongside other interventions.

Keywords: Children; Computer Game; Injection; Insulin.