Interventions for Individuals With High Levels of Needle Fear

McMurtry, C. Meghan; Noel, Melanie; Taddio, Anna; Antony, Martin M.; Asmundson, Gordon J.G.; Riddell, Rebecca Pillai; Chambers, Christine T.; Shah, Vibhuti

doi:10.1097/ajp.0000000000000273

Cited by 71 publications

(40 citation statements)

References 133 publications

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“…In subsequent manuscripts in this series, the findings for the effects of each intervention included in the individual clinical questions are presented, including: details regarding study characteristics of included studies, GRADE evidence profiles and summary of findings tables, and interpretation of the results. 16 – 22 Finally, we include a manuscript that outlines overarching limitations in the included evidence base and provides recommendations about areas worthy of additional investigation. 23 Separately, we present the 2015 HELPinKids&Adults clinical practice guideline developed from this knowledge synthesis.…”

Section: Discussionmentioning

confidence: 99%

Methodology for Knowledge Synthesis of the Management of Vaccination Pain and Needle Fear

Taddio¹,

McMurtry²,

Shah³

et al. 2015

The Clinical Journal of Pain

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Section: Discussionmentioning

confidence: 99%

Methodology for Knowledge Synthesis of the Management of Vaccination Pain and Needle Fear

Taddio¹,

McMurtry²,

Shah³

et al. 2015

The Clinical Journal of Pain

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“…The Cochrane Collaboration methodology ( www.handbook.cochrane.org ) was used for meta-analysis and the Risk of Bias tool for individual study quality assessment (Hartling et al, 2012 ). Across studies, the GRADE framework was used to assess methodologic quality (McMurtry, Noel et al, 2015 ).…”

Section: Methodsmentioning

confidence: 99%

“…The lack of data from randomized controlled trials on exposure-based interventions for needle fear (particularly for children) may be surprising to clinicians, particularly when clearly presented within each clinical question. The companion review (McMurtry, Noel et al, 2015 ) which informed the current guideline was the first to systematically review the literature on exposure-based treatments for high levels of needle fear across the lifespan, perform complete meta-analyses, and consider quality of the original studies. Much of the existing literature consists of case studies (i.e.…”

Section: Limitations and Future Researchmentioning

confidence: 99%

Exposure-based Interventions for the management of individuals with high levels of needle fear across the lifespan: a clinical practice guideline and call for further research

McMurtry

Taddio

Noel

et al. 2016

Cognitive Behaviour Therapy

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Needle fear typically begins in childhood and represents an important health-related issue across the lifespan. Individuals who are highly fearful of needles frequently avoid health care. Although guidance exists for managing needle pain and fear during procedures, the most highly fearful may refuse or abstain from such procedures. The purpose of a clinical practice guideline (CPG) is to provide actionable instruction on the management of a particular health concern; this guidance emerges from a systematic process. Using evidence from a rigorous systematic review interpreted by an expert panel, this CPG provides recommendations on exposure-based interventions for high levels of needle fear in children and adults. The AGREE-II, GRADE, and Cochrane methodologies were used. Exposure-based interventions were included. The included evidence was very low quality on average. Strong recommendations include the following. In vivo (live/in person) exposure-based therapy is recommended (vs. no treatment) for children seven years and older and adults with high levels of needle fear. Non- in vivo (imaginal, computer-based) exposure (vs. no treatment) is recommended for individuals (over seven years of age) who are unwilling to undergo in vivo exposure. Although there were no included trials which examined children < 7 years, exposure-based interventions are discussed as good clinical practice. Implementation considerations are discussed and clinical tools are provided. Utilization of these recommended practices may lead to improved health outcomes due to better health care compliance. Research on the understanding and treatment of high levels of needle fear is urgently needed; specific recommendations are provided.

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“…However, the nurses were aware of the children's experience of pain (ibid). Hospitalised children often undergo not only painful procedures related to treatment, but they also experience pain related to their symptom which can result in distressing or negatively estimated memory [17]. The uncontrolled pain may cause lower patient and family satisfaction which may relate to longer hospital stays, frequent post discharge emergency room visits and early hospital readmissions [18].…”

Section: Introductionmentioning

confidence: 99%

Children still experience pain during hospital stay: a cross-sectional study from four countries in Europe

et al. 2020

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Background: Little is known whether children experience pain during hospital stay from the child's own perspective or not. The existing studies tend to be based on a small number of children and therefore have limitations concerning the generalisability of the results. Aim: The aim of this study was to describe children's self-reported pain and experience concerning pain management during hospital stay. Methods: This study has a quantitative cross-sectional design with descriptive statistics as data analysis. Results: A total of 786 questionnaires, Pain in Children in Hospital, were distributed in four countries with the response rate of 75% which was almost equal between countries. Our result showed that 87% (503/579) children at hospital selfreported pain during the past 24 h. Nearly 63% of the children reported a pain score of > 5 the last 24 h. Most of children reported that they had received a question about pain from the hospital staff, and that the staff observed and assessed their pain. Totally 95% reported that they were satisfied with their pain relief during the last 24 h. Conclusion: Our study showed that when children were given the possibility to self-report pain, nearly 2/3 expressed that they had experienced pain during hospital stay. However, most of them reported satisfaction with pain management and their pain relief.

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Interventions for Individuals With High Levels of Needle Fear

Abstract: Supplemental Digital Content is available in the text.

Cited by 71 publications

References 133 publications

Methodology for Knowledge Synthesis of the Management of Vaccination Pain and Needle Fear

Methodology for Knowledge Synthesis of the Management of Vaccination Pain and Needle Fear

Exposure-based Interventions for the management of individuals with high levels of needle fear across the lifespan: a clinical practice guideline and call for further research

Children still experience pain during hospital stay: a cross-sectional study from four countries in Europe

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