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Journal of Pediatric Psychology 2004 29(8):621-626; doi:10.1093/jpepsy/jsh064
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Journal of Pediatric Psychology vol. 29 no. 8 © Society of Pediatric Psychology 2004; all rights reserved.

Brief Report: Evaluation of an Interactive Intervention Designed to Reduce Pediatric Distress During Radiation Therapy Procedures

James L. Klosky, PhD1,6, Vida L. Tyc, PhD1,5, Deo Kumar Srivastava, PhD4,5, Xin Tong, MPH4, Mindy Kronenberg, MS1,6, Zorana J. Booker, MS1, Alberto J. de Armendi, MD3,5 and Thomas E. Merchant, DO, PhD2,5

1 Division of Behavioral Medicine, 2 Department of Radiation Oncology, 3 Department of Anesthesiology, 4 Department of Biostatistics, St. Jude Children’s Research Hospital, 5 Department of Pediatrics, University of Tennessee College of Medicine, and 6 Department of Psychology, University of Memphis, Tennessee

All correspondence concerning this article should be addressed to James L. Klosky, Ph.D., Division of Behavioral Medicine - MS 74, St. Jude Children’s Research Hospital, 332 N Lauderdale Street, Memphis, TN 38105. E-mail: James.Klosky{at}stjude.org.

Objective To evaluate the efficacy of an interactive intervention in reducing distress related to radiation therapy (RT) among pediatric cancer participants as measured by occurrence of sedation, observed behavioral distress (OBD), and heart rate (HR). Methods Seventy-nine children receiving RT simulation were assigned randomly to a STARBRIGHT Hospital Pals group (i.e., interactive intervention group; IG) or modified control group (MCG). The interactive intervention included filmed modeling, exposure to an interactive Barney character, and passive auditory distraction. Results Children in the IG experienced significantly lower HR when compared with MCG participants. No differences were found in terms of sedation or OBD. Conclusions The interactive intervention was effective at reducing RT-related distress (as measured by HR) and would be a useful tool in pediatric radiation oncology settings.

Key words: pediatric distress; interventions; noninvasive medical procedures; radiation therapy.


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