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

Candido, Ligyana Korki de; Harrison, Denise; Veríssimo, Maria De Lá Ó Ramallo; Bueno, Mariana

doi:10.1002/pne2.12023

Cited by 19 publications

(44 citation statements)

References 45 publications

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“…Parents who are present during painful procedures report lower distress and more satisfaction with care (9) and feel empowered in their caregiving role (14). Parents need and want to participate actively in their infant's pain management, and they should be educated and guided through various means, not just verbal information, to mitigate their infant's pain (15)(16)(17)(18)(19)(20)(21)(22). Coaching parents to better meet their infant's attachment needs during times of pain may lead to more efficacious interventions (23).…”

Section: Introductionmentioning

confidence: 99%

State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping Review

2021

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Introduction: Parents' active involvement during painful procedures is considered a critical first step in improving neonatal pain practices. Of the non-pharmacological approaches in use, the biopsychosocial perspective supports parent-delivered interventions, in which parents themselves mediate pain relief, consistent with modern family-integrated care. This scoping review synthesizes the available research to provide an overview of the state of the art in parent-delivered pain-relieving interventions.Methods: A scoping review was performed to achieve a broad understanding of the current level of evidence and uptake of parent-driven pain- and stress-relieving interventions in neonatal care.Results: There is a strong evidence for the efficacy of skin-to-skin contact and breastfeeding, preferably in combination. These parent-delivered interventions are safe, valid, and ready for prompt introduction in infants' pain care globally. Research into parents' motivations for, and experiences of, alleviating infant pain is scarce. More research on combined parent-delivered pain alleviation, including relationship-based interventions such as the parent's musical presence, is needed to advance infant pain care. Guidelines need to be updated to include infant pain management, parent-delivered interventions, and the synergistic effects of combining these interventions and to address parent involvement in low-income and low-tech settings.Conclusions: A knowledge-to-practice gap currently remains in parent-delivered pain management for infants' procedure-related pain. This scoping review highlights the many advantages of involving parents in pain management for the benefit not only of the infant and parent but also of health care.

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Section: Introductionmentioning

confidence: 99%

State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping Review

2021

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“…Interventions to improve parents' knowledge and involvement in infants' pain management are essential to implement in the care of the newborn infant [26]. Parents need to and want to participate actively in their infant's pain management, and parents should receive education and guidance in various format, not just verbal information, on how to mitigate their infant's pain [23,24,[27][28][29][30][31].…”

Section: Introductionmentioning

confidence: 99%

Study protocol: parents as pain management in Swedish neonatal care – SWEpap, a multi-center randomized controlled trial

et al. 2020

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Background During the first period of life, critically ill as well as healthy newborn infants experience recurrent painful procedures. Parents are a valuable but often overlooked resource in procedural pain management in newborns. Interventions to improve parents’ knowledge and involvement in infants’ pain management are essential to implement in the care of the newborn infant. Neonatal pain research has studied a range of non-pharmacological pain alleviating strategies during painful procedures, yet, regarding combined multisensorial parent-driven non-pharmacological pain management, research is still lacking. Methods/design A multi-center randomized controlled trial (RCT) with three parallel groups with the allocation ratio 1:1:1 is planned. The RCT “Parents as pain management in Swedish neonatal care – SWEpap”, will investigate the efficacy of combined pain management with skin-to-skin contact, breastfeeding and live parental lullaby singing compared with standard pain care initiated by health care professionals, during routine metabolic screening of newborn infants (PKU-test). Discussion Parental involvement in neonatal pain management enables a range of comforting parental interventions such as skin-to-skin contact, breastfeeding, rocking and soothing vocalizations. To date, few studies have been published examining the efficacy of combined multisensorial parent-driven interventions. So far, research shows that the use of combined parent-driven pain management such as skin-to-skin contact and breastfeeding, is more effective in reducing behavioral responses to pain in infants, than using the pain-relieving interventions alone. Combined parental soothing behaviors that provide rhythmic (holding/rocking/vocalizing) or orogustatory/orotactile (feeding/pacifying) stimulation that keep the parent close to the infant, are more effective in a painful context. In the SWEpap study we also include parental live lullaby singing, which is an unexplored but promising biopsychosocial, multimodal and multisensory pain alleviating adjuvant, especially in combination with skin-to-skin contact and breastfeeding. Trial registration ClinicalTrials.gov (NCT04341194) 10 April 2020.

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“…Through a review of social media initiatives (n=5), theories (n=5), and empirical studies (n=58), including papers (15/58, 26%) relevant to the 5 social media initiatives [7,8,10,24,26,27,[35][36][37][38][39][40][41][42][43] and papers (43/58, 74%) [9,13,15, from citation tracking, snowballing, or consultation, we developed the SMILE framework (Figure 1). Table 1.…”

Section: Overviewmentioning

confidence: 99%

“…Developers made full use of the visualization function of a YouTube video in the Be Sweet to Babies initiative to demonstrate pain management techniques and help the recipients build skills [27]. Watching this video doubled the chance of using an analgesic strategy and increased breastfeeding 1.5 times and skin-to-skin care 4.6 times by parents in a nonrandomized pragmatic trial in Brazil [42].…”

Section: Facilitator For Capabilitymentioning

confidence: 99%

Social Media for ImpLementing Evidence (SMILE): Conceptual Framework

Zhao¹,

Harvey²,

Vandyk³

et al. 2022

JMIR Form Res

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Background Social media has become widely used by individual researchers and professional organizations to translate research evidence into health care practice. Despite its increasing popularity, few social media initiatives consider the theoretical perspectives of how social media works as a knowledge translation strategy to affect research use. Objective The purpose of this paper is to propose a conceptual framework to understand how social media works as a knowledge translation strategy for health care providers, policy makers, and patients to inform their health care decision-making. Methods We developed this framework using an integrative approach that first involved reviewing 5 long-standing social media initiatives. We then drafted the initial framework using a deductive approach by referring to 5 theories on social media studies and knowledge translation. A total of 58 empirical studies on factors that influenced the use of social media and its messages and strategies for promoting the use of research evidence via social media were further integrated to substantiate and fine-tune our initial framework. Through an iterative process, we developed the Social Media for ImpLementing Evidence (SMILE) framework. Results The SMILE framework has six key constructs: developers, messages and delivery strategies, recipients, context, triggers, and outcomes. For social media to effectively enable recipients to use research evidence in their decision-making, the framework proposes that social media content developers respond to target recipients’ needs and context and develop relevant messages and appropriate delivery strategies. The recipients’ use of social media messages is influenced by the virtual–technical, individual, organizational, and system contexts and can be activated by three types of triggers: sparks, facilitators, and signals. Conclusions The SMILE framework maps the factors that are hypothesized to influence the use of social media messages by recipients and offers a heuristic device for social media content developers to create interventions for promoting the use of evidence in health care decision-making. Empirical studies are now needed to test the propositions of this framework.

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

Cited by 19 publications

References 45 publications

State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping Review

State of the Art in Parent-Delivered Pain-Relieving Interventions in Neonatal Care: A Scoping Review

Study protocol: parents as pain management in Swedish neonatal care – SWEpap, a multi-center randomized controlled trial

Social Media for ImpLementing Evidence (SMILE): Conceptual Framework

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