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Featured Article: The ABCDs of Pain Management: A Double-Blind Randomized Controlled Trial Examining the Impact of a Brief Educational Video on Infants' and Toddlers' Pain Scores and Parent Soothing Behavior.
Riddell, Rebecca Pillai; O'Neill, Monica C; Campbell, Lauren; Taddio, Anna; Greenberg, Saul; Garfield, Hartley.
Afiliación
  • Riddell RP; York University.
  • O'Neill MC; Hospital for Sick Children.
  • Campbell L; University of Toronto.
  • Taddio A; York University.
  • Greenberg S; York University.
  • Garfield H; Hospital for Sick Children.
J Pediatr Psychol ; 43(3): 224-233, 2018 04 01.
Article en En | MEDLINE | ID: mdl-29145589
Objectives: To test the efficacy of a brief behavioral pain management strategy (The ABCDs of Needle Pain Management), delivered via video, on infants' and toddlers' pain scores and on parental soothing behavior. Methods: This was a double-blind, parallel trial design. Parent-child dyads (N = 128) were recruited before their child's 6-month (infant) or 18-month (toddler) vaccination in a pediatric clinic and randomly assigned to watch a 5-min treatment video or a placebo video. The primary outcome was the Modified Behavior Pain Scale (Taddio et al., Journal of Pain and Symptom Management, 10, pp. 456-463, 1995), coded during four epochs (Pain Reactivity, Pain Regulation 1 min, Pain Regulation 2 min, and Pain Regulation 3 min) after the last vaccination needle. Secondary analyses examined parental use of distraction, rocking, and physical comforting over this same time period. Results: Results demonstrated a treatment effect for toddlers (18-month-olds) for the Pain Regulation 1 (d = 0.84) and Pain Regulation 2 (d = 0.76) postvaccination scores. Secondary analyses found differences in parental rocking and physical comforting between treatment conditions and between age-groups (d's = 0.37-0.54). Conclusions: The ABCD pain management strategy delivered via video was an effective way to reduce toddler pain after vaccination and increase parental use of rocking and physical comforting. The treatment effect was not demonstrated with infants.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Padres / Terapia Conductista / Vacunación / Evaluación de Resultado en la Atención de Salud / Manejo del Dolor / Inyecciones Tipo de estudio: Clinical_trials Límite: Female / Humans / Infant / Male Idioma: En Revista: J Pediatr Psychol Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Padres / Terapia Conductista / Vacunación / Evaluación de Resultado en la Atención de Salud / Manejo del Dolor / Inyecciones Tipo de estudio: Clinical_trials Límite: Female / Humans / Infant / Male Idioma: En Revista: J Pediatr Psychol Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos