Automated Training for Pediatric Pain Management

小儿疼痛管理自动化培训

• 批准号: 7140403
• 负责人: Lindsey L Cohen
• 金额: $ 15.27万
• 依托单位: GEORGIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-07-15 至 2009-07-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7140403
• 关键词: active immunization; anxiety; behavioral /social science research tag; clinical research; computer assisted instruction; coping; education evaluation /planning; heart rate; human subject; interactive multimedia; pain; patient oriented research; pediatrics; preschool child (1-5); satisfaction; training

DESCRIPTION (provided by applicant): Children undergo numerous painful medical procedures, which can result in a host of short- and long-term negative repercussions. In addition, the patients' parents and the medical staff experience undue collateral distress. It is heartening that a number of interventions have been shown to reduce the procedural distress experienced by the child, parent, and staff. However, these interventions have not been well disseminated into pediatric practice, which is likely due to their high costs and low feasibility. The purpose of the proposal is to evaluate a pediatric pain management package, which has a high potential for widespread use in health care facilities. Participants will include 150 4- to 6-year-olds receiving preschool vaccinations and their parents. Families will be randomly assigned to one of three conditions: Training and Distraction, Distraction Alone, or Typical Care. Via an interactive computer training program, families assigned to the Training and Distraction condition will learn parent coaching and child coping skills to use during the noxious event. These children will also be shown a distracting movie during the immunization. Children in the Distraction Alone condition will not receive the pre-procedure training but will be shown the movie. Typical Care participants will neither receive training nor the movie. Parent and nurse coaching behavior will be quantified with a behavior observation scale. Child anxiety and pain will be assessed with self-report, parent-report, nurse report, a behavior observation scare, and heart rate. Parent-report, nurse-report, and heart rate will estimate parent anxiety; and nurses will rate their own distress. Parents and nurses will provide satisfaction ratings for the three conditions. A knowledge test, used at the time of the procedure and 3-months later, will evaluate parents' understanding and retention of coaching behaviors shown in research to be helpful and not helpful to children during painful events. Results might support an innovative intervention that can be used to train parents and children in proven pain management skills to use during an invasive medical procedure.

描述（由申请人提供）：儿童经历了许多痛苦的医疗程序，这可能会导致一系列短期和长期的负面影响。此外，病人的父母和医务人员会受到不必要的附带痛苦。令人振奋的是，一些干预措施已被证明可以减少儿童、父母和工作人员所经历的程序性痛苦。然而，这些干预措施并没有很好地传播到儿科实践中，这可能是由于其成本高，可行性低。该提案的目的是评估儿科疼痛管理包，这在医疗机构中具有广泛使用的高潜力。参与者将包括150名接受学前疫苗接种的4至6岁儿童及其父母。家庭将被随机分配到三个条件之一：培训和分心，单独分心，或典型的照顾。通过一个互动的计算机培训计划，分配到培训和分心条件的家庭将学习家长辅导和儿童应对技能，在有害事件中使用。在免疫接种期间，这些儿童还将观看一部分散注意力的电影。处于单独分心状态的儿童将不会接受术前培训，但会观看电影。典型的护理参与者既不接受培训，也不看电影。将使用行为观察量表对父母和护士的辅导行为进行量化。儿童焦虑和疼痛将通过自我报告、父母报告、护士报告、行为观察和心率进行评估。父母报告、护士报告和心率将估计父母的焦虑;护士将评估自己的痛苦。家长和护士将提供三个条件的满意度评级。在手术时和3个月后使用的知识测试将评估父母对研究中显示的辅导行为的理解和保留，这些行为在痛苦事件中对儿童有帮助和没有帮助。结果可能支持一种创新的干预措施，可用于培训父母和儿童在侵入性医疗程序中使用的已证实的疼痛管理技能。

项目成果

Automated parent-training for preschooler immunization pain relief: a randomized controlled trial.

用于缓解学龄前儿童免疫疼痛的自动家长培训：一项随机对照试验。

• DOI: 10.1093/jpepsy/jsu162
• 发表时间: 2015
• 期刊: Journal of pediatric psychology
• 影响因子: 3.6
• 作者: Cohen,LindseyL;Rodrigues,NikitaP;Lim,CrystalS;Bearden,DonaldJ;Welkom,JosieS;Joffe,NaomiE;McGrath,PatrickJ;Cousins,LauraA
• 通讯作者: Cousins,LauraA

Parent-Child Behavioral Interactions during Pediatric Immunizations in a Latino Sample.

• DOI: 10.1037/cpp0000190
• 发表时间: 2017-01-01
• 期刊: Clinical practice in pediatric psychology
• 影响因子: 1.1
• 作者: Mougianis, Ifigenia D;Cohen, Lindsey L;Shih, Sharon W
• 通讯作者: Shih, Sharon W