Children's Pain During IV Induction: A Randomized-Controlled Trial With the MEDi (R) Robot

Objective This study examined the impact of a humanoid robot (MEDi (R)) programmed to teach deep breathing as a coping strategy, on children's pain and fear as primary and secondary outcomes, respectively, during intravenous (IV) line placement. The completion of IV induction was also examined as an exploratory outcome. Methods In this randomized controlled, two-armed trial, 137 children (4-12 years) were recruited in Short Stay Surgery at a tertiary pediatric hospital. Patients were randomly assigned to standard care (SC) with Ametop (C) only (N= 60) or SC and robot-facilitated intervention (N=59) before induction. Pain and fear before, during, and after IV insertion were rated by patients and observers. Results No significant differences were found between groups and there were no changes over time for pain or fear (ps > .05). Exploratory analyses show that patients in the MEDi (R) group were 5.04 times more likely to complete IV induction, compared to SC, Fisher's exact test: X-2 (1) = 4.85, p = .04, phi(c) = 0.22, odds ratio = 5.04, 95% CI [1.06, 24.00]. Conclusion This study was the first to examine children's IV induction experience when provided MEDi (R) support. Reasons for nonsignificance, limitations, and research suggestions were made.