A Tailored Internet-based Preparation Program for Perioperative Anxiety and Pain

针对围手术期焦虑和疼痛的量身定制的基于互联网的准备计划

• 批准号: 7896534
• 负责人: Zeev Kain
• 金额: $ 39.49万
• 依托单位: UNIVERSITY OF CALIFORNIA-IRVINE
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-07-20 至 2012-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7896534
• 关键词: 5 year old; Age; Ambulatory Surgical Procedures; Analgesics; Anesthesia procedures; Anxiety; Behavior Therapy; Behavioral; Caring; Characteristics; Child; Collaborations; Control Groups; Cost Control; Data; Day Surgery; Delirium; Development; Effectiveness; Evaluation; Evaluation Methodology; Evidence based treatment; Grant; Growth; Home environment; Hospitals; Impaired wound healing; Incidence; Interdisciplinary Study; Internet; Intervention; Laboratories; Lead; Location; Minor; Modality; Nurses; Online Systems; Operative Surgical Procedures; Outcome; Outcome Measure; Outpatients; Pain; Pain management; Parents; Pattern; Pediatric Surgical Procedures; Perioperative; Phase; Physiological; Population; Postoperative Pain; Postoperative Period; Preparation; Procedures; Program Development; Program Effectiveness; Program Evaluation; Public Health; Randomized Controlled Trials; Research; Research Personnel; Risk Factors; Services; Stress; Surgeon; Syndrome; Testing; Time; Training; United States; Work; abstracting; base; chronic pain; coping; cost effective; design; efficacy evaluation; evidence base; experience; follow-up; improved; innovation; primary outcome; programs; psychologic; sedative; software development; surgical pain; treatment effect

Abstract Pain and anxiety in children undergoing surgery continues to be a significant public health issue. Indeed, every year three million children who undergo surgery will suffer significant pain after surgery and high anxiety prior to surgery. Many more millions of children around the world will experience some level of surgical pain and anxiety. Although preoperative preparation for surgery has been shown to be effective in improving these outcomes in recent years most of these programs have been eliminated by hospitals; likely as a result of cost containment efforts. The surge in use of the Internet by all segments of the population has created an opportunity for a cost effective, tailored preparation program for children undergoing surgery as well as their parents. The purpose of this application is to develop, refine, and provide initial evidence for the efficacy of a data-driven web-based tailored intervention in preparation for surgery (WebTIPS). A program evaluation methodology with two consecutive phases will be employed. The first phase (Program development and refinement) will include collaboration between investigators and a well-established and acclaimed web-design company to construct the evidence-based tailored intervention. The second phase (Initial outcomes evaluation) will test the intervention on the predefined primary outcomes of anxiety and pain, providing preliminary evidence of efficacy. At the conclusion of this application, we will have preliminary data on which to base a follow-up full-scale evaluation of the efficacy and effectiveness of this program and potential moderators of its treatment effects.

抽象的 接受手术的儿童的疼痛和焦虑仍然是一个重大的公共卫生问题。确实，每一个 每年有 300 万接受手术的儿童将在手术后遭受严重疼痛和术前高度焦虑 进行手术。世界各地还有数以百万计的儿童将经历一定程度的手术疼痛和 焦虑。尽管术前准备已被证明可以有效改善这些 近年来，大多数此类项目已被医院取消；可能是成本的结果 遏制努力。各阶层人口使用互联网的激增创造了 为接受手术的儿童及其孩子提供具有成本效益、量身定制的准备计划的机会 父母。该应用程序的目的是开发、完善并提供初步证据来证明药物的功效 数据驱动的基于网络的定制手术准备干预（WebTIPS）。方案评估 将采用两个连续阶段的方法。第一阶段（程序开发及 细化）将包括研究人员与完善且广受好评的网页设计之间的合作 公司构建基于证据的定制干预措施。第二阶段（初步成果评估） 将测试对预先确定的焦虑和疼痛主要结果的干预措施，提供初步的结果 功效的证据。在本申请结束时，我们将获得初步数据，以此为基础 对该计划及其潜在调节者的功效和效果进行后续全面评估 治疗效果。

项目成果

Web-based tailored intervention for preparation of parents and children for outpatient surgery (WebTIPS): formative evaluation and randomized controlled trial.

• DOI: 10.1213/ane.0000000000000632
• 发表时间: 2015-04
• 期刊: Anesthesia and analgesia
• 影响因子: 5.7
• 作者: Fortier MA;Bunzli E;Walthall J;Olshansky E;Saadat H;Santistevan R;Mayes L;Kain ZN
• 通讯作者: Kain ZN