Effectiveness of a hospital-based postnatal parent education intervention about pain management during infant vaccination: a randomized controlled trial

Taddio, Anna; Shah, Vibhuti; Bucci, Lucie M.; MacDonald, Noni E.; Wong, Hannah J.; Stephens, Derek

doi:10.1503/cmaj.180175

Cited by 16 publications

(66 citation statements)

References 27 publications

(40 reference statements)

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“… 29 , 33 , 34 In the broader immunization literature, when individuals have more knowledge about vaccines and pain management, the information is more likely to be used to inform decisions and subsequent action. 3 , 36 , 46 , 47 Thus, perceived relevance potentially facilitated a more thorough level of cognitive processing, where individuals saw value in information use and thus were motivated to implement the KT tool. Taken together, relevance seems to be a pertinent variable to promote parents' use of pain management strategies during vaccination when the information is presented in a KT tool.…”

Section: Discussionmentioning

confidence: 99%

Understanding parents' use of a knowledge translation tool to manage children's vaccination pain

MacKenzie

Tutelman

Chambers

et al. 2021

PR9

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Introduction: Although several evidence-based strategies for managing children's vaccination pain exist, many parents report being unaware of them. Knowledge translation (KT) tools present evidence-based information in plain language. Objectives: This two-phase study assessed parents/caregivers' uptake of evidence-based pain management strategies via a KT tool and considered factors related to parents' planned, actual, and future use of these strategies. Methods: In phase 1, parents were exposed to an online KT tool on physical, psychological, and pharmacological vaccination pain management strategies, and their impressions were assessed by questionnaires including the Information Assessment Method for Parents. In phase 2, after vaccination, parents completed a follow-up survey on their uptake and experiences using the information. Results: A total of 312 participants reported their plans for KT tool use. Parents who found the KT tool relevant were more likely to plan to use it at their child's upcoming vaccination. A total of 128 parents (93% mothers) completed both surveys. Nearly all parents who planned to use the information did so during their child's subsequent vaccination (90%). When the KT tool was relevant to their needs, parents were more likely to use the information during their child's vaccination. Parents who felt confident using the tool were significantly more likely to report plans for future tool use. Discussion: This study demonstrates the effectiveness of a KT tool that was relevant to parents' needs and built confidence to increase parent-reported uptake of evidence-based strategies. Proper pain management could positively impact parents' uptake of vaccinations for children.

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Section: Discussionmentioning

confidence: 99%

Understanding parents' use of a knowledge translation tool to manage children's vaccination pain

MacKenzie

Tutelman

Chambers

et al. 2021

PR9

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“…In two additional RCTs conducted in Canada, the effectiveness of videos in complex and active interventions (eg, including a poster and a pamphlet, offering instructions, and answering questions) increased the use of any pain relief strategies during infant's vaccination by 10% 32 and 54%. 33 Both studies reported more frequent use of breastfeeding and holding, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…In regard to the positive impact of nurses encouraging parents in the use of analgesic strategies during NBS, our findings confirm that nurses have a key role in facilitating parental involvement in neonatal pain management 10 , 11 , 36 and that educational interventions targeted at parents also need to involve nursing staff to optimize their success. 23 , 32 Despite the importance of the collaboration between nurses and parents, nurses however do not always provide information, encouragement, and opportunities for parents to participate on newborns’ pain care. 9 , 36 , 37 , 38 According to the participating mothers, nurses suggested the use of analgesia in only half of the NBS performed in this study.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a parent‐targeted video on neonatal pain management: Nonrandomized pragmatic trial

Candido

Harrison

Veríssimo

et al. 2020

Paediatric and Neonatal Pain

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The “Be sweet to babies” video is a knowledge translation tool targeted at parents on the use of analgesic strategies during painful procedures performed in neonates. This study aimed to evaluate the effectiveness of the Portuguese version of this video on maternal involvement in neonatal pain management during the newborn screening blood test. Nonrandomized, pragmatic clinical trial. The study was conducted in a rooming‐in unit. All mothers received a pamphlet regarding neonatal pain management and were invited to participate in daily education sessions conducted by nurses, which included the video. The intervention group included mothers who voluntarily watched the video, while the control group was comprised of mothers who did not attend the education sessions or left the session before watching the video. Data were collected by interviews conducted by the research team. Descriptive and inferential analysis considered a confidence interval of 95%. A total of 73 mothers were included in the study. Analgesic strategies were used in 14 (40%) of the procedures in the intervention group and 9 (24%) in the control group, a clinically important difference of 16% points between groups, although no statistically significant difference was found (P = .13). Breastfeeding was the most commonly used strategy. Watching the video increased the chance of implementing analgesic strategies by 2.1 times (P = .19), while nurses suggesting the use of analgesia increased this chance by 5.5 times (P = .006). Although no statistical significance was found, the results suggest the clinical significance and feasibility of the “Be sweet to babies” video as a KT tool targeted at parents on neonatal pain management during nonurgent painful procedures. In addition, maternal involvement in pain care significantly increased when pain relief strategies were recommended by nurses, which suggests that nurses have a key role in facilitating parental participation.

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“…It is important to note that trust in such tools to share health information may differ across socio-cultural groups, including trust of the source of the information [ 44 ]. Ultimately, parents’ trust in the tool related to their confidence in strategy use, a common theme for uptake of KT tools [ 9 ], as many discussed trusting they were doing the right thing for their child. This was empowering for parents as they could make informed choices to manage their children’s vaccination pain, use evidence, and be an active participant in their child’s healthcare as opposed to simply being a passive observer.…”

Section: Discussionmentioning

confidence: 99%

“…Knowledge translation (KT) is an iterative process that involves summarizing scientific literature and sharing it with knowledge users in a way that is easy to understand and apply [8]. KT has been used in the field of children's pain to present evidence to parents and children on vaccination pain management strategies in an effort to close the knowledge-to-action gap [9][10][11][12]. KT activities, such as organizational evaluations (e.g., outcome evaluation, quality improvement) [13] and creation of resources and tools for HCPs (e.g., clinical practice guidelines) and parents (e.g., KT tools and other formats for evidence dissemination geared toward parents) [8] play an integral role in the uptake and use of evidence in practice and have been shown to have significant positive impacts on health care and related service provision [14].…”

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confidence: 99%

Factors associated with parents’ experiences using a knowledge translation tool for vaccination pain management: a qualitative study

MacKenzie

Tutelman

Chambers

et al. 2021

BMC Health Serv Res

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Background Vaccination is a common painful procedure for children. Parents’ concern regarding vaccination pain is a significant driver of vaccine hesitancy. Despite the wealth of evidence-based practices available for managing vaccination pain, parents lack knowledge of, and access to, these strategies. Knowledge translation (KT) tools can communicate evidence-based information to parents, however little is known about what factors influence parents’ use of these tools. A two-page, electronic KT tool on psychological, physical, and pharmacological vaccination pain management strategies for children, was shared with parents as part of a larger mixed methods study, using explanatory sequential design, exploring factors related to uptake of this KT tool. The aim of this qualitative study was to understand what influenced parents’ perceptions of the relevance of the KT tool, as well as their decision as to whether to use the tool. Methods A qualitative descriptive design was used. A total of 20 parents of children aged 0–17 years (n = 19 mothers) reviewed the KT tool ahead of their child’s upcoming vaccination and participated in a semi-structured interview at follow-up. Interviews were recorded, transcribed verbatim, and analyzed with reflexive thematic analysis using an inductive approach. Results The analysis generated three interrelated themes which described factors related to parents’ use of the KT tool: (1) Relevance to parents’ needs and circumstances surrounding their child’s vaccination; (2) Alignment with parents’ personal values around, and experiences with, vaccination pain management (e.g., the importance of managing pain); and (3) Support from the clinical environment for implementing evidence-based strategies (e.g., physical clinical environment and quality of interactions with the health care provider). Conclusions Several factors were identified as central to parents’ use of the KT tool, including the information itself and the clinical environment. When the tool was perceived as relevant, aligned with parents’ values, and was supported by health care providers, parents were more inclined to use the KT tool to manage their children’s vaccination pain. Future research could explore other factors related to promoting engagement and uptake when creating parent-directed KT tools for a range of health-related contexts.

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Effectiveness of a hospital-based postnatal parent education intervention about pain management during infant vaccination: a randomized controlled trial

Cited by 16 publications

References 27 publications

Understanding parents' use of a knowledge translation tool to manage children's vaccination pain

Understanding parents' use of a knowledge translation tool to manage children's vaccination pain

Effectiveness of a parent‐targeted video on neonatal pain management: Nonrandomized pragmatic trial

Factors associated with parents’ experiences using a knowledge translation tool for vaccination pain management: a qualitative study

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