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 接受手术的儿童疼痛和焦虑仍然是一个重大的公共卫生问题。确实，每个人 三百万接受手术的儿童在手术后会严重疼痛和高焦虑 进行手术。世界各地数百万儿童将经历一定程度的手术疼痛和 焦虑。尽管术前准备手术准备有效改善这些 近年来，大多数这些计划的结果已被医院取消。可能是由于成本的结果 遏制工作。人口各个群体对互联网的使用激增，创造了一个 为接受手术的儿童及其他们的经济有效，量身定制的准备计划的机会 父母。本应用的目的是开发，完善和提供有关A的功效的初步证据 基于数据驱动的基于Web的量身定制干预措施（WebTips）。计划评估 将采用具有两个连续阶段的方法。第一阶段（计划开发和 改进）将包括调查人员与已建立良好和著名的Web设计之间的合作 公司构建基于证据的量身定制干预措施。第二阶段（初始结果评估） 将测试针对预定义的焦虑和疼痛的主要结果的干预措施，提供初步 功效的证据。在本应用程序的结论结束时，我们将拥有以下初步数据 后续对该计划的功效和有效性的全面评估以及其潜在的主持人 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