Research Article

Teddy and I Get a Check-Up: A Pilot Educational Intervention Teaching Children Coping Strategies for Managing Procedure-Related Pain and Fear

Table 2

Coding categories for participants’ self-reported coping strategies.

Graph legendCategory
name
DefinitionExamples

DTDistraction (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

HUHumorThe child mentions telling and/or hearing a funny story or joke.(i) I would laugh at a joke
(ii) I would tell a joke

DBDeep breathingThe child mentions using a breathing strategy.(i) I would take deep breaths
(ii) Belly breathing

TBUse 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

NPNonphysical parental involvementThe 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

PPPhysical parental involvementThe child mentions a parent’s physical involvement.(i) I would hold my Mom/Dad’s hand
(ii) I would cuddle my Mom/Dad

NINonparental physical involvementThe 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

RWRewardThe 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

CSCoping statementThe 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

EAEatingThe 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

CSClose eyesThe 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

EMEmotionsThe 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

DKDo not know/nothingThe 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

OTOtherThe child gives any response that does not fit into previous categories. (i) I would make my brother go first
(ii) Sit there quietly