{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T17:28:35Z","timestamp":1784050115030,"version":"3.55.0"},"reference-count":45,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","pediatricnursing.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Nursing"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1016\/j.pedn.2025.10.011","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T19:20:27Z","timestamp":1761592827000},"page":"783-791","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Reducing vaccination pain using a multidermatomal or deltoid region buzzy\u00ae applications versus control: A randomized controlled study"],"prefix":"10.1016","volume":"85","author":[{"given":"Selda","family":"Ates Besirik","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Alperen","family":"Turgut","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nejla Canbulat","family":"Sahiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy L.","family":"Baxter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziyaeddin","family":"Kirboga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"1","key":"10.1016\/j.pedn.2025.10.011_bb0005","first-page":"61","article-title":"Assessing the effectiveness of a thermomechanical device (buzzy\u00ae) in reducing venous cannulation pain in adult patients","volume":"25","author":"Abidin","year":"2018","journal-title":"Middle East Journal of Anesthesiology"},{"issue":"6","key":"10.1016\/j.pedn.2025.10.011_bb0010","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1097\/AJP.0000000000000690","article-title":"Efficacy of the buzzy device for pain management during needle-related procedures: a systematic review and meta-analysis","volume":"35","author":"Ballard","year":"2019","journal-title":"The Clinical Journal of Pain"},{"issue":"12","key":"10.1016\/j.pedn.2025.10.011_bb0015","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1097\/PEC.0b013e318237ace4","article-title":"An integration of vibration and cold relieves venipuncture pain in a pediatric emergency department","volume":"27","author":"Baxter","year":"2011","journal-title":"Pediatric Emergency Care"},{"key":"10.1016\/j.pedn.2025.10.011_bb0020","doi-asserted-by":"crossref","DOI":"10.3389\/fpain.2023.1114633","article-title":"Multimodal mechanical stimulation reduces acute and chronic low back pain: Pilot data from a HEAL phase 1 study","volume":"4","author":"Baxter","year":"2023","journal-title":"Frontiers in Pain Research"},{"issue":"3","key":"10.1016\/j.pedn.2025.10.011_bb0025","first-page":"124","article-title":"Effects of vibration therapy in pediatric immunizations","volume":"42","author":"Benjamin","year":"2016","journal-title":"Pediatric Nursing"},{"issue":"1","key":"10.1016\/j.pedn.2025.10.011_bb0030","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.pmn.2014.03.003","article-title":"Effectiveness of external cold and vibration for procedural pain relief during peripheral intravenous cannulation in pediatric patients","volume":"16","author":"Canbulat","year":"2015","journal-title":"Pain Management Nursing"},{"issue":"3","key":"10.1016\/j.pedn.2025.10.011_bb0035","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1111\/wvn.12359","article-title":"The effect of distraction cards on reducing pain and anxiety during intramuscular injection in children","volume":"16","author":"Canbulat \u015eahiner","year":"2019","journal-title":"Worldviews on Evidence-Based Nursing"},{"issue":"2","key":"10.1016\/j.pedn.2025.10.011_bb0040","doi-asserted-by":"crossref","DOI":"10.2196\/15757","article-title":"The effectiveness of the buzzy device for pain relief in children during intravenous injection: Quasirandomized study","volume":"5","author":"Cho","year":"2022","journal-title":"JMIR Pediatrics and Parenting"},{"issue":"3","key":"10.1016\/j.pedn.2025.10.011_bb0045","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1177\/003335491613100304","article-title":"Understanding non-completion of the human papillomavirus vaccine series: parent-reported reasons for why adolescents might not receive additional doses, United States, 2012","volume":"131","author":"Clark","year":"2016","journal-title":"Public Health Reports"},{"issue":"6","key":"10.1016\/j.pedn.2025.10.011_bb0050","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1037\/0278-6133.18.6.591","article-title":"Comparative study of distraction versus topical anesthesia for pediatric pain management during immunizations","volume":"18","author":"Cohen","year":"1999","journal-title":"Health Psychology"},{"issue":"6","key":"10.1016\/j.pedn.2025.10.011_bb0055","doi-asserted-by":"crossref","first-page":"e5","DOI":"10.1542\/peds.100.6.e5","article-title":"Vapocoolant spray is equally effective as EMLA cream in reducing immunization pain in school-aged children","volume":"100","author":"Cohen Reis","year":"1997","journal-title":"Pediatrics"},{"key":"10.1016\/j.pedn.2025.10.011_bb0060","doi-asserted-by":"crossref","first-page":"e278","DOI":"10.1016\/j.pedn.2024.10.037","article-title":"Effects of the Helfer skin tap technique and buzzy\u00ae application on the levels of pain and fear experienced by children during vaccination: A randomized controlled trial","volume":"79","author":"D\u00fczkaya","year":"2024","journal-title":"Journal of Pediatric Nursing"},{"issue":"1","key":"10.1016\/j.pedn.2025.10.011_bb0065","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1177\/1074840715618193","article-title":"The parents', hospitalized child's, and health care providers' perceptions and experiences of family-centered care within a pediatric critical care setting: A synthesis of quantitative research","volume":"22","author":"Foster","year":"2016","journal-title":"Journal of Family Nursing"},{"issue":"4","key":"10.1016\/j.pedn.2025.10.011_bb0070","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1017\/S0033291721002609","article-title":"Injection fears and COVID-19 vaccine hesitancy","volume":"53","author":"Freeman","year":"2023","journal-title":"Psychological Medicine"},{"issue":"2","key":"10.1016\/j.pedn.2025.10.011_bb0075","doi-asserted-by":"crossref","first-page":"162","DOI":"10.24911\/SJP.106-1590387019","article-title":"Effect of external cold and thermomechanical stimulation on anxiety and pain during intravenous cannulation among children","volume":"21","author":"Gahlawat","year":"2021","journal-title":"Sudanese Journal of Paediatrics"},{"issue":"15","key":"10.1016\/j.pedn.2025.10.011_bb0080","doi-asserted-by":"crossref","first-page":"2180","DOI":"10.1111\/j.1365-2702.2008.02775.x","article-title":"Turkish children loved distraction: using kaleidoscope to reduce perceived pain during venipuncture","volume":"18","author":"G\u00fcd\u00fcc\u00fc T\u00fcfekci","year":"2009","journal-title":"Journal of Clinical Nursing"},{"issue":"4","key":"10.1016\/j.pedn.2025.10.011_bb0085","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1080\/24694193.2022.2091683","article-title":"Effects of whistling compared with buzzy device during blood sampling on pain and fear in children's emergency department","volume":"45","author":"Halal Mehdi Alfatavi","year":"2022","journal-title":"Comprehensive Child and Adolescent Nursing"},{"issue":"29","key":"10.1016\/j.pedn.2025.10.011_bb0090","first-page":"2263","article-title":"The EMLA cream versus placebo in MMR vaccination of older children in general practice","volume":"155","author":"Hansen","year":"1993","journal-title":"Ugeskrift for Laeger"},{"issue":"5","key":"10.1016\/j.pedn.2025.10.011_bb0095","doi-asserted-by":"crossref","first-page":"1082","DOI":"10.1016\/j.pain.2012.02.011","article-title":"Is touch gating due to sensory or cognitive interference?","volume":"153","author":"Harper","year":"2012","journal-title":"PAIN\u00ae"},{"issue":"8","key":"10.1016\/j.pedn.2025.10.011_bb0100","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1177\/0301006617694630","article-title":"Pacinian signals determine the direction and magnitude of the effect of vibration on pain","volume":"46","author":"Hollins","year":"2017","journal-title":"Perception"},{"issue":"10489","key":"10.1016\/j.pedn.2025.10.011_bb0105","doi-asserted-by":"crossref","first-page":"1633","DOI":"10.1016\/S0140-6736(25)00672-5","article-title":"CONSORT 2025 statement: updated guideline for reporting randomised trials","volume":"405","author":"Hopewell","year":"2025","journal-title":"The Lancet"},{"issue":"2","key":"10.1016\/j.pedn.2025.10.011_bb0110","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1097\/PEC.0000000000001264","article-title":"The effect of external thermomechanical stimulation and distraction on reducing pain experienced by children during blood drawing","volume":"36","author":"Inal","year":"2020","journal-title":"Pediatric Emergency Care"},{"issue":"Supplement_1","key":"10.1016\/j.pedn.2025.10.011_bb0115","doi-asserted-by":"crossref","first-page":"S92","DOI":"10.1542\/peds.2010-1722N","article-title":"Vaccine attitudes, concerns, and information sources reported by parents of young children: results from the 2009 HealthStyles survey","volume":"127","author":"Kennedy","year":"2011","journal-title":"Pediatrics"},{"issue":"8","key":"10.1016\/j.pedn.2025.10.011_bb0120","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1016\/0005-7967(94)90161-9","article-title":"Acquisition of blood, injury, and needle fears and phobias","volume":"32","author":"Kleinknecht","year":"1994","journal-title":"Behaviour Research and Therapy"},{"issue":"11","key":"10.1016\/j.pedn.2025.10.011_bb0125","first-page":"2737","article-title":"Improving vaccine-related pain, distress or fear in healthy children and adolescents\u2013a systematic search of patient-focused interventions","volume":"14","author":"Lee","year":"2018","journal-title":"Human Vaccines & Immunotherapeutics"},{"key":"10.1016\/j.pedn.2025.10.011_bb0130","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijnurstu.2020.103803","article-title":"The effectiveness of the buzzy\u24c7 device to reduce or prevent pain in children undergoing needle-related procedures: the results from a prospective, open-label, randomised, non-inferiority study","volume":"113","author":"Lescop","year":"2021","journal-title":"International Journal of Nursing Studies"},{"key":"10.1016\/j.pedn.2025.10.011_bb0135","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1097\/AJP.0000000000000272","article-title":"Far from \u201cjust a poke\u201d: common painful needle procedures and the development of needle fear","volume":"31","author":"McMurtry","year":"2015","journal-title":"The Clinical Journal of Pain"},{"issue":"3","key":"10.1016\/j.pedn.2025.10.011_bb0140","doi-asserted-by":"crossref","DOI":"10.1097\/PR9.0000000000000953","article-title":"Targeting the stress response in pediatric pain: current evidence for psychosocial intervention and avenues for future investigation","volume":"6","author":"Nelson","year":"2021","journal-title":"Pain Reports"},{"issue":"9","key":"10.1016\/j.pedn.2025.10.011_bb0145","doi-asserted-by":"crossref","first-page":"1976","DOI":"10.1097\/j.pain.0000000000001939","article-title":"The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises","volume":"161","author":"Raja","year":"2020","journal-title":"Pain"},{"key":"10.1016\/j.pedn.2025.10.011_bb0150","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.pedn.2017.09.009","article-title":"Effects of thermomechanical stimulation during vaccination on anxiety, pain, and satisfaction in pediatric patients: a randomized controlled trial","volume":"38","author":"Redfern","year":"2018","journal-title":"Journal of Pediatric Nursing"},{"issue":"2","key":"10.1016\/j.pedn.2025.10.011_bb0155","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.pmn.2018.07.001","article-title":"Influencing vaccinations: A buzzy approach to ease the discomfort of a needle stick\u2014a prospective, randomized controlled trial","volume":"20","author":"Redfern","year":"2019","journal-title":"Pain Management Nursing"},{"issue":"3","key":"10.1016\/j.pedn.2025.10.011_bb0160","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.jopan.2014.05.011","article-title":"The effect of combined stimulation of external cold and vibration during immunization on pain and anxiety levels in children","volume":"30","author":"\u015eahiner","year":"2015","journal-title":"Journal of Perianesthesia Nursing"},{"issue":"2","key":"10.1016\/j.pedn.2025.10.011_bb0165","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/0301-0082(93)90006-E","article-title":"Physiological roles for adenosine and ATP in synaptic transmission in the spinal dorsal horn","volume":"41","author":"Salter","year":"1993","journal-title":"Progress in Neurobiology"},{"issue":"2","key":"10.1016\/j.pedn.2025.10.011_bb0170","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1016\/0306-4522(87)90359-9","article-title":"Evidence that adenosine mediates the depression of spinal dorsal horn neurons induced by peripheral vibration in the cat","volume":"22","author":"Salter","year":"1987","journal-title":"Neuroscience"},{"issue":"1","key":"10.1016\/j.pedn.2025.10.011_bb0175","doi-asserted-by":"crossref","first-page":"E9","DOI":"10.1097\/NCQ.0000000000000656","article-title":"The effect of buzzy application on pain level during vaccine injection in infants","volume":"38","author":"\u015e\u0131kta\u015f","year":"2023","journal-title":"Journal of Nursing Care Quality"},{"issue":"4","key":"10.1016\/j.pedn.2025.10.011_bb0180","doi-asserted-by":"crossref","first-page":"486","DOI":"10.4040\/jkan.2019.49.4.486","article-title":"The effect on pain of buzzy\u00ae and ShotBlocker\u00ae during the administration of intramuscular injections to children: a randomized controlled trial","volume":"49","author":"Sivri Bilgen","year":"2019","journal-title":"Journal of Korean Academy of Nursing"},{"issue":"1\u20132","key":"10.1016\/j.pedn.2025.10.011_bb0185","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.pain.2006.05.006","article-title":"Systematic review of the psychometric properties, interpretability and feasibility of self-report pain intensity measures for use in clinical trials in children and adolescents","volume":"125","author":"Stinson","year":"2006","journal-title":"Pain"},{"issue":"18","key":"10.1016\/j.pedn.2025.10.011_bb0190","doi-asserted-by":"crossref","first-page":"E843","DOI":"10.1503\/cmaj.101720","article-title":"Reducing the pain of childhood vaccination: an evidence-based clinical practice guideline","volume":"182","author":"Taddio","year":"2010","journal-title":"Cmaj"},{"issue":"52","key":"10.1016\/j.pedn.2025.10.011_bb0195","doi-asserted-by":"crossref","first-page":"7526","DOI":"10.1016\/j.vaccine.2022.10.026","article-title":"Prevalence of pain and fear as barriers to vaccination in children\u2013systematic review and meta-analysis","volume":"40","author":"Taddio","year":"2022","journal-title":"Vaccine"},{"issue":"13","key":"10.1016\/j.pedn.2025.10.011_bb0200","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1503\/cmaj.150391","article-title":"Reducing pain during vaccine injections: clinical practice guideline","volume":"187","author":"Taddio","year":"2015","journal-title":"Cmaj"},{"issue":"1","key":"10.1016\/j.pedn.2025.10.011_bb0205","article-title":"The effect of a combination of vibration and external cold on pain caused during vaccine injection in infants: A randomized clinical trial","volume":"2024","author":"Unesi","year":"2024","journal-title":"International Journal of Clinical Practice"},{"issue":"4","key":"10.1016\/j.pedn.2025.10.011_bb0210","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1001\/archneur.1960.03840100003002","article-title":"Pain, itch, and vibration","volume":"2","author":"Wall","year":"1960","journal-title":"AMA Archives of Neurology"},{"key":"10.1016\/j.pedn.2025.10.011_bb0215","doi-asserted-by":"crossref","DOI":"10.1016\/j.neuroimage.2020.116905","article-title":"Assessing the spatial distribution of cervical spinal cord activity during tactile stimulation of the upper extremity in humans with functional magnetic resonance imaging","volume":"217","author":"Weber","year":"2020","journal-title":"NeuroImage"},{"issue":"1","key":"10.1016\/j.pedn.2025.10.011_bb0220","first-page":"9","article-title":"Pain in children: comparison of assessment scales","volume":"14","author":"Wong","year":"1988","journal-title":"Pediatric Nursing"},{"issue":"5","key":"10.1016\/j.pedn.2025.10.011_bb0225","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/j.jen.2019.04.003","article-title":"Using buzzy, shotblocker, and bubble blowing in a pediatric emergency department to reduce the pain and fear caused by intramuscular injection: a randomized controlled trial","volume":"45","author":"Yilmaz","year":"2019","journal-title":"Journal of Emergency Nursing"}],"container-title":["Journal of Pediatric Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596325003562?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596325003562?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T21:45:06Z","timestamp":1767995106000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0882596325003562"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":45,"alternative-id":["S0882596325003562"],"URL":"https:\/\/doi.org\/10.1016\/j.pedn.2025.10.011","relation":{},"ISSN":["0882-5963"],"issn-type":[{"value":"0882-5963","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Reducing vaccination pain using a multidermatomal or deltoid region buzzy\u00ae applications versus control: A randomized controlled study","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pedn.2025.10.011","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}