Featured Article: The ABCDs of Pain Management: A Double-Blind Randomized Controlled Trial Examining the Impact of a Brief Educational Video on Infants’ and Toddlers’ Pain Scores and Parent Soothing Behavior

Abstract

The ABCD pain management strategy delivered via video was an effective way to reduce toddler pain after vaccination and increase parental use of rocking and physical comforting. The treatment effect was not demonstrated with infants.

<p>The challenge of developing pain medications for children: therapeutic needs and future perspectives</p>

“…The recommended approach for postsurgical management is multidisciplinary using various analgesic options including nonpharmacological interventions and local regional techniques combined with medications having different mechanisms of action 73,74. Nonpharmacological interventions may, for example, include distraction/comforting,82–84 whereas the application of topical liposomal lidocaine85 and the transversus abdominis plane block86 are examples of local regional techniques with demonstrated efficacy.…”

Parental Psychological Distress Moderates the Impact of a Video Intervention to Help Parents Manage Young Child Vaccination Pain

“…The current study conducts secondary post hoc analyses of a double-blind RCT evaluating the efficacy of a parent psychoeducational video for young child pain management (Treatment Video vs. Placebo Video), at two ages (Infant: 6 months; Toddler: 18 months), on young child pain and parent soothing behaviors immediately following, and in the minutes post-vaccination (Pillai Riddell et al, 2017). The original RCT found that the treatment video was associated with lower pain scores in toddlers (1-and 2-min post-needle) but not infants.…”

“…This article presents a post hoc analysis contextualizing data from the original double-blind randomized controlled study stratified by age (infants and toddlers; Pillai Riddell et al, 2017). The initial RCT was multisite (two separate clinics), with balanced randomization (1:1) and parallel groups.…”

“…The parent sample consisted primarily of mothers (88%), who were married (93%), and 95% of all recruited parents self-reported that they were the primary caregivers of the participating child. The sample was highly educated, reporting that they and their spouses had university degrees or higher (83% and 79%, respectively), and was ethnically diverse (see Pillai Riddell et al, 2017). Mean age of caregivers was 34.42 years (SD ¼ 4.19 years) in the treatment group and 34.69 years (SD ¼ 4.06) in the control group.…”

“…The list was not released to the lead author nor did unblinding occur, until the primary analyses were complete. For additional detail on these procedures, see Pillai Riddell et al (2017). Authors were not blinded for the current analyses, as these were post hoc analyses.…”