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Graph legend | Category name | Definition | Examples |
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DT | Distraction (verbal, cognitive) | The child mentions thinking/talking about nonprocedural stimuli, and/or being attentive to nonprocedural stimuli during the procedure. This does not include humorous statements, statements about rewards after the procedure, or statements about eating food during the procedure. | (i) I would think about something else (ii) I would think about being done (iii) I would tell a story (iv) I would play a game |
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HU | Humor | The child mentions telling and/or hearing a funny story or joke. | (i) I would laugh at a joke (ii) I would tell a joke |
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DB | Deep breathing | The child mentions using a breathing strategy. | (i) I would take deep breaths (ii) Belly breathing |
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TB | Use teddy bear (physical distraction) | The child mentions bringing a stuffed animal/blanket to the procedure or holding a stuffed animal/blanket before, during, or after the needle procedure. | (i) I would hold my stuffie/blanket (ii) I would bring my stuffie/blanket |
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NP | Nonphysical parental involvement | The child mentions a parent’s involvement in a nonphysical way. | (i) I would bring my Mom/Dad (ii) I would talk to my Mom/Dad |
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PP | Physical parental involvement | The child mentions a parent’s physical involvement. | (i) I would hold my Mom/Dad’s hand (ii) I would cuddle my Mom/Dad |
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NI | Nonparental physical involvement | The child mentions physical involvement from a living thing other than a parent (e.g., a doctor, sibling, or pet) | (i) I would hold my brother’s hand (ii) I would pet my dog |
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RW | Reward | The child mentions a reward he/she will receive after the procedure/as a direct result of the procedure. | (i) I would get a lollipop (ii) I would get a sticker |
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CS | Coping statement | The child mentions a coping statement that he/she would think about during the procedure. | (i) It’s not so bad (ii) Other people go through worse |
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EA | Eating | The child mentions that he/she would eat or drink something during the procedure. | (i) I would eat a snack (ii) I would drink a smoothie |
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CS | Close eyes | The child mentions that he/she would close his/her eyes during the procedure. | (i) I would close my eyes (ii) I would squeeze my eyes closed |
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EM | Emotions | The child mentions emotions or sensory experiences he/she would feel before, during, or after the needle procedure. | (i) I would feel scared (ii) I would scream in pain (iii) I would feel sad |
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DK | Do not know/nothing | The child reports that he/she does not know what he/she would do to make him/herself feel better or he/she would do nothing. | (i) I don’t know (ii) I wouldn’t do anything |
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OT | Other | The child gives any response that does not fit into previous categories. | (i) I would make my brother go first (ii) Sit there quietly |
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