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，患者的父母和医务人员也承受着过度的附带痛苦。令人振奋的是，许多干预措施已被证明可以减少儿童、家长和工作人员所经历的程序性痛苦。然而，这些干预措施尚未在儿科实践中得到很好的传播，这可能是由于其成本高且可行性低。该提案的目的是评估儿科疼痛管理方案，该方案在医疗保健机构中具有广泛应用的巨大潜力。参与者将包括 150 名接受学前疫苗接种的 4 至 6 岁儿童及其家长。家庭将被随机分配到以下三种情况之一：培训和分心、单独分心或典型护理。通过交互式计算机培训计划，分配到培训和分心条件的家庭将学习在有害事件期间使用的家长指导和儿童应对技巧。在免疫接种期间，这些孩子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手术前培训，但会放映电影。典型护理参与者既不会接受培训，也不会观看电影。家长和护士的辅导行为将通过行为观察量表进行量化。将通过自我报告、家长报告、护士报告、行为观察恐慌和心率来评估儿童的焦虑和疼痛。家长报告、护士报告和心率将估计家长的焦虑程度；护士会对自己的痛苦程度进行评分。家长和护士将对这三种情况提供满意度评分。在手术时和 3 个月后进行的知识测试将评估父母对研究表明在痛苦事件中对孩子有帮助和无帮助的指导行为的理解和保留。结果可能支持一种创新的干预措施，该干预措施可用于培训父母和儿童在侵入性医疗过程中使用经过验证的疼痛管理技能。

项目成果

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

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