Automated Parent-Training for Preschooler Immunization Pain Relief: A Randomized Controlled Trial

Cohen, Lindsey L.; Rodrigues, Nikita; Lim, Crystal S.; Bearden, Donald J.; Welkom, Josie S.; Joffe, Naomi E.; McGrath, Patrick J.; Cousins, Laura A.

doi:10.1093/jpepsy/jsu162

Cited by 22 publications

(31 citation statements)

References 41 publications

(56 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For example, our parents reassured roughly 17% of the time, which is higher than has been found in prior studies (e.g., Cohen et al, 2015 – 12%, Cohen et al, 2000 – 10%, Manimala et al, 2000 – 8%) using identical methodology (i.e., target behavior divided by time). A possible explanation for the high rate of reassurance and physical comfort in this population may be attributed to the Latino cultural construct of affectionate nurturing (Cardona, Nicholson, & Fox, 2000; Solís-Cámara & Fox, 1995); however, without the direct assessment of cultural constructs, this connection is speculative, and future research is needed to better understand how underlying cultural constructs are related to behaviors.…”

Section: Discussioncontrasting

confidence: 57%

“…In our sample, only 16% of caregivers used distraction 1.6% of the time. In comparison, in predominately non-Latino samples, Manne et al (1992) reported that 80% of the caregivers used distraction in their study, and in Cohen et al (2015), caregivers used distraction 5% of the time. There are a number of explanations for this difference, but it is possible that the lack of distraction in our parents resulted in heightened child distress.…”

Section: Discussionmentioning

confidence: 89%

See 1 more Smart Citation

Parent–child behavioral interactions during pediatric immunizations in a Latino sample.

Mougianis¹,

Cohen²,

Shih³

2017

Clinical Practice in Pediatric Psychology

View full text Add to dashboard Cite

A number of studies have found that specific parent behaviors are strong predictors of child medical procedural distress or coping. These findings have informed treatment protocols to lower children’s distress during invasive medical events. However, the vast majority of this research has been conducted on predominately North American, English-speaking, Caucasian samples. One growing population that faces healthcare disparities is Latinos living in the U.S. The purpose of this study was to explore the types and frequencies of parent and child behavior, as well as the association between parent behavior and child distress and coping in a sample of Spanish-speaking Latino-American parent-child dyads. Nineteen 4- to 6-year-old Latino children receiving routine immunizations and their parents were video recorded, and behaviors were coded with commonly used schemes. The findings suggest that there may be differences in Latino parent and child behavior when compared to the extant – predominately English-speaking, Caucasian North American – literature. This study provides an initial examination of how cultural constructs may relate to parent-child behavior in Spanish-speaking Latino families in the U.S. Future research is warranted as findings can inform culturally sensitive clinical practice.

show abstract

Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 89%

Parent–child behavioral interactions during pediatric immunizations in a Latino sample.

Mougianis¹,

Cohen²,

Shih³

2017

Clinical Practice in Pediatric Psychology

View full text Add to dashboard Cite

show abstract

“…A total of 27 studies met the criteria, which include a total of 31 interventions, with four studies reporting results from multiple intervention groups. Summary of all the studies can be found in Table 1 -3. Participants were between four to 15 years old; 19 studies had participants between 4-7 years old, 11,[30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47] three studies had participants between 8-12 years, [48][49][50] and one study had participants between 13-15 years old. 51 Three studies included participants ranging from 4-12, 52-54 one study had 4-5 and 11-13 year-olds.…”

Section: Resultsmentioning

confidence: 99%

“…51 Three studies included participants ranging from 4-12, 52-54 one study had 4-5 and 11-13 year-olds. 55 Sample size ranged from 22 to 239 participants, eight studies had fewer than 50 participants, 11,30,32,40,46,48,49,54 10 had between 51 to 100 participants, [33][34][35][36]38,42,44,45,52,55 and nine studies had more than 100 participants. 31,37,39,41,43,47,50,51,53 Twelve studies used single vaccinations, 11,31,35,[37][38][39]41,[47][48][49][50][51] ten studies used more than one vaccination, 30,[32][33][34]40,42,43,45,53,…”

Section: Resultsmentioning

confidence: 99%

Improving vaccine-related pain, distress or fear in healthy children and adolescents–a systematic search of patient-focused interventions

Lee

Caillaud

Fong

et al. 2018

Human Vaccines & Immunotherapeutics

View full text Add to dashboard Cite

show abstract

“…One study found distraction caused children undergoing venipuncture to perceive the experience as “better than previous” venipuncture procedures. 31 Distraction is inexpensive; following up distraction immunization studies 32 could demonstrate whether using coping skills impact long term needle anxiety.…”

Section: Discussionmentioning

confidence: 99%

The number of injected same-day preschool vaccines relates to preadolescent needle fear and HPV uptake

Baxter

Cohen

Burton

et al. 2017

Vaccine

View full text Add to dashboard Cite

Purpose Fear of needles develops at approximately five years of age, and decreases compliance with healthcare. We sought to examine the relationship of preschool vaccine history, parent and preadolescent needle fear, and subsequent compliance with optional vaccines. Methods As part of a private practice randomized controlled trial, parents and 10–12 year olds rated needle anxiety on a 100mm visual analog scale. This follow-up cohort study compared their needle anxiety to previous vaccination records, including number of vaccinations between ages four and six years (total and same-day maximum), and subsequent initiation of the HPV vaccine through age 13. Results Of the 120 preadolescents enrolled between 4.28.09 and 1.19.2010, 117 received preschool vaccinations between ages four and six years. The likelihood of being in the upper quartile of fear (VAS ≥ 83) five years later increased with each additional same-day injection (OR=3.108 p= 0.0100 95%CI=1.311,7.367), but was not related to total lifetime or total four-to-six year injections. Only 12.5% (15) of parents reported anxiety about their preadolescents’ vaccines (VAS>50). Parent and child anxiety was weakly correlated (r=0.15). Eight children in the upper fear quartile began their HPV series (26.67%) compared to 14 in the lower quartile (48.28% VAS<32) (OR 2.57, p=0.0889, 95%CI 0·864–7·621); there was no difference in HPV uptake between upper and lower quartile of parent anxiety. Conclusions The more same-day preschool injections between 4–6 years of age, the more likely a child was to fear needles five years later. Preadolescent needle fear was a stronger predictor than parent vaccine anxiety of subsequent HPV vaccine uptake.

show abstract

Automated Parent-Training for Preschooler Immunization Pain Relief: A Randomized Controlled Trial

Abstract: Results suggest that the interactive computer training program impacted parent knowledge, parent behavior, and child behavior as hypothesized, but modifications will be necessary to have more robust outcomes on child procedural distress.

Cited by 22 publications

References 41 publications

Parent–child behavioral interactions during pediatric immunizations in a Latino sample.

Parent–child behavioral interactions during pediatric immunizations in a Latino sample.

Improving vaccine-related pain, distress or fear in healthy children and adolescents–a systematic search of patient-focused interventions

The number of injected same-day preschool vaccines relates to preadolescent needle fear and HPV uptake

Contact Info

Product

Resources

About