title: Effect of Playing Interactive Computer Game on Distress of Insulin Injection Among Type 1 Diabetic Children.
abstract: BACKGROUND
  Diabetic children and their families experience high level stress because of daily insulin injection.
  
  
  OBJECTIVE
  This study was conducted to investigate the impact of an interactive computer game on behavioral distress due to insulin injection among diabetic children.
  
  
  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.
authors.affiliation: Department of Nursing, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, IR Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Ebrahimpour
authors.affiliation: Department of Nursing, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, IR Iran.
authors.forename: Narges
authors.initials: N
authors.lastname: Sadeghi
authors.affiliation: Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IR Iran.
authors.forename: Mostafa
authors.initials: M
authors.lastname: Najafi
authors.affiliation: Isfahan Endocrine and Metabolism Research Center, Isfahan University of Medical Sciences, Isfahan, IR Iran.
authors.forename: Bijan
authors.initials: B
authors.lastname: Iraj
authors.affiliation: Department of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, IR Iran.
authors.forename: Akram
authors.initials: A
authors.lastname: Shahrokhi
keywords: Children; Computer Game; Injection; Insulin