OP–051 Effects of white noise and buzzy on infant vaccination pain: randomized controlled trial
Year: 2026
Type: conference-paper
Study designs: Randomized Controlled Trial, Clinical Trial
Abstract: Aim To determine the effects of white noise and the Buzzy device on pain during vaccination in infants.Material and Method This was a three-arm randomized controlled trial. The study was conducted between January and May 2026 at a family health center in Istanbul, Türkiye, with 108 infants scheduled to receive the hexavalent vaccine (DTaP-IPV-Hib-HepB). Infants were randomly assigned to the White Noise (n=36), Buzzy (n=36), and Control (n=36) groups using stratified randomization. Data were collected using an Information Form and the FLACC Pain Scale through assessments made by mothers and an independent nurse. Data were analyzed using SPSS version 30.0. Ethical approval and written parental informed consent were obtained prior to the study. The trial was registered at ClinicalTrials.gov ( NCT07286721). This study was supported by the Scientific Research Projects Coordination Unit of Istanbul Arel University (ArelBAP 2025-ST-006).Results The groups were similar in terms of infants’ descriptive characteristics (p > 0.05). According to both mothers’ and nurses’ evaluations, pain scores during the procedure were significantly lower in the White Noise group (mother: 2.47±1.25; nurse: 2.28±1.19) and the Buzzy group (mother: 3.56±1.78; nurse: 3.19±1.37) compared with the Control group (mother: 5.42±1.32; nurse: 4.92±0.87) (mother: F=36.995; nurse: F=47.914; p < 0.001). Pain scores in the White Noise group were significantly lower than those in both the Buzzy and Control groups, while pain scores in the Buzzy group were significantly lower than those in the Control group (p < 0.05).Conclusion White noise and Buzzy interventions were effective in reducing vaccination-related pain in infants compared with the control group. In addition, white noise was found to be more effective than the Buzzy device in pain management. In line with the philosophy of atraumatic care, integrating white noise and Buzzy interventions into routine nursing practices during vaccination is recommended to reduce pain in infants.
Source: BMJ Paediatrics Open
Institutions: Istanbul Arel University, Yalova University
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7225337755