Do clowns attenuate pain and anxiety during botox injections in children?

> Although clown distraction was particularly appreciated by parents, it did not significantly reduce pain or anxiety in children as compared with usual distraction.

This conclusion is not surprising, but it was interesting to see a study on this.

Reminds me of Dan Ariely describing his experience in the burn ward, with two painful bandage removal options for nurses to choose from: https://www.youtube.com/watch?v=NIRjYBX_9ls