An examination of factors was conducted to determine the effectiveness
of the distraction component of a behavioral intervention (use of a p
arty blower). In one condition, parents were instructed to coach child
ren in the use of a party blower and to praise child cooperation. In a
second condition, nurses were instructed to assist parents in coachin
g the child. Parents used the coaching skills they learned and got the
ir children to use the distraction technique. Use of the distraction t
echnique was associated with less crying. Encouragement from a health
care professional and intervention early in the procedure did not enha
nce the intervention's effectiveness. Older children and children who
were less distressed during the initial phase of the procedure were le
ss likely to reject the intervention.