Article

Reminder: How With Little Effort the Vaccination of Children Can Be Made Less Painful.

Clinical Pediatrics (Impact Factor: 1.27). 04/2012; DOI: 10.1177/0009922812441673
Source: PubMed
0 Bookmarks
 · 
44 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Information provision is an important aspect of preparing children for medical procedures. Parents and health professionals are often unsure of what to tell a child about a forthcoming medical procedure, how this information should be conveyed, and when information should be provided. The current article overviews the key theories underpinning information provision, such as self-regulation theory and schema/script theories. A theoretically derived Information Provision Model is presented, which is designed to integrate the various processes involved in information provision. The literature on the content, format, and timing of information provision is reviewed. The role that individual difference factors may play in how children respond to information is described. Recommendations for clinical practice are outlined, together with an indication of the level of empirical support for each recommendation.
    Clinical Psychology Science and Practice 05/2007; 14(2):124 - 143. · 2.92 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Evaluated a low cost and practical intervention designed to decrease children's, parents', and nurses' distress during children's immunizations. The intervention consisted of children viewing a popular cartoon movie and being coached by nurses and parents to attend to the movie. Ninety-two children, 4-6 years of age, and their parents were alternatively assigned to either a nurse coach intervention, a nurse coach plus train parent and child intervention, or a standard medical care condition. Based on previous findings of generalization of adult behaviors during medical procedures, it was hypothesized that training only the nurses to coach the children would cost-effectively reduce all participants levels of distress. Observational measures and subjective ratings were used to assess the following dependent variables: children's coping, distress, pain, and need for restraint; nurses' and parents' coaching behavior; and parents' and nurses' distress. Results indicate that, in the two intervention conditions, children coped more and were less distressed, nurses and parents exhibited more coping promoting behavior and less distress promoting behavior, and parents and nurses were less distressed than in the control condition. Although neither intervention was superior on any of the variables assessed in the study, nurse coach was markedly more practical and cost-effective. Therefore, nurses' coaching of children to watch cartoon movies has great potential for dissemination in pediatric settings.
    Journal of Pediatric Psychology 07/1997; 22(3):355-70. · 2.91 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: This research compared the effect of two forms of distraction on injection pain in a convenience sample of preschool children. A quasi-experimental study of 105 children (53 girls and 52 boys) ages 4 to 6 years needing DPT immunizations. Data were collected at three sites: two school-based immunization clinics and one public health center with a walk-in immunization program. Study children were randomly assigned to receive one of three treatments with their DTP injection: touch, bubble-blowing, or standard care. Prior to injection, a measure of medical fear was obtained (Child Medical Fear Scale) and pain was measured through use of the Oucher Scale. Planned comparisons within analysis of variance (ANOVA) tested the differences in pain scores by treatment. Factorial ANOVA was used to determine the influence of age or gender on treatment, and the effect of medical fear on pain was analyzed using correlational statistics and factorial ANOVA. Both forms of distraction, touch and bubble-blowing, significantly reduced pain perception. There were no interaction effects of either age or gender. Fear was a significant covariate, but distraction was effective even when fear was not held constant. Distraction appears to be an effective method for decreasing injection pain in young children. It is an easy, practical nursing intervention to help children cope with this common, painful experience.
    MCN The American Journal of Maternal/Child Nursing 01/2001; 26(2):72-8. · 0.90 Impact Factor

Full-text

Download
0 Downloads