Training children to cope and parents to coach themduring routine immunizations: Effects on child, parent, and staff behaviors

Blount, Ronald L.; Bachanas, Pamela; Powers, Scott W.; Cotter, Melanie C.; Franklin, Amy; Chaplin, William F.; Mayfield, Jan; Henderson, Mary; Blount, Sandra D.

doi:10.1016/s0005-7894(05)80229-1

Cited by 145 publications

(104 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Children's perceptions of the effects of parental attention and distraction were consistent with empirical studies suggesting that distraction is a useful strategy to help children cope with pain (e.g., Blount et al, 1992). Both pain patients and well children rated parents in the Distraction condition as making them feel better compared to ratings by children whose parents were in the Attention condition.…”

Section: Discussionsupporting

confidence: 71%

Parent attention versus distraction: Impact on symptom complaints by children with and without chronic functional abdominal pain

Walker

Williams

Smith

et al. 2006

Pain

298

208

View full text Add to dashboard Cite

The objective of this study was to assess the impact of parent attention and distraction on symptom complaints by children with and without chronic functional abdominal pain. The water load symptom provocation task was used to induce visceral discomfort in pediatric patients with abdominal pain (N = 104) and well children (N = 119), ages 8-16 years. Parents were randomly assigned and trained to interact with their children according to one of three conditions: Attention, Distraction, or No Instruction. Children's symptom complaints and parents' responses were audiotaped and coded. Children completed a self-report measure of gastrointestinal (GI) symptoms before and after interacting with their parents. Parents' and children's perceptions of their interaction were assessed. Compared to the No Instruction condition, symptom complaints by pain patients and well children nearly doubled in the Attention condition and were reduced by half in the Distraction condition. The effect of attention on symptom complaints was greater for female pain patients than for male patients or well children. Findings for self-report GI symptoms were similar to those for audiotaped symptom complaints. Both pain patients and well children in the Distraction condition rated parents as making them feel better compared to ratings for the Attention condition. Parents of pain patients rated distraction as having greater potential negative impact on their children than attention. Parents' responses to children's symptom complaints can significantly increase or decrease those complaints. Girls with functional abdominal pain are particularly vulnerable to the symptom-reinforcing effects of parental attention. KeywordsFunctional abdominal pain; Attention; Distraction; Social learning; Parent-child interaction While sympathy with joy intensifies the sum of joy in the world, sympathy with pain does not really diminish the amount of pain.-Oscar Wilde, The Soul of Man under Socialism

show abstract

Section: Discussionsupporting

confidence: 71%

Parent attention versus distraction: Impact on symptom complaints by children with and without chronic functional abdominal pain

Walker

Williams

Smith

et al. 2006

Pain

298

208

View full text Add to dashboard Cite

show abstract

“…Two RCTs 75,80 and two studies with quasi-experimental design 72,81 included in the systematic review 11 examined the effects of combined psychological interventions in 302 children aged three to six years. The systematic review 11 concluded that these interventions were effective in reducing pain.…”

Section: Combined Psychological Interventionsmentioning

confidence: 99%

Reducing the pain of childhood vaccination: an evidence-based clinical practice guideline

Taddio¹,

Appleton²,

Bortolussi³

et al. 2010

Canadian Medical Association Journal

193

199

View full text Add to dashboard Cite

“…French et al taught children to blow out during immunizations as if blowing bubbles, resulting in significantly reduced levels of pain behaviors [15]. In another study using party blowers, Blount et al found that the use of the breath based distraction was helpful for children coping with the pain of immunization [8]. In their study, a 10-12 minute training session with parents and children was required to prepare the children for exhaling during the needle insertion.…”

Section: Distraction Strategies Used In Pediatric Health Carementioning

confidence: 99%

Calming Children When Drawing Blood Using Breath-based Biofeedback

Sonne¹,

Merritt

Marshall

et al. 2017

Proceedings of the 2017 Conference on Designing Interactive Systems

View full text Add to dashboard Cite

Blood sampling is a common and necessary procedure in the treatment and diagnosis of a variety of diseases. However, it often results in painful and stressful experiences for children. Designed together with domain experts, Pufferfish is a breath-controlled biofeedback game technology with bespoke airflow sensor that aims to calm children during blood sampling procedures. An initial randomized controlled trial was conducted in which 20 children aged 6-11 were assigned to one of two conditions involving either passive distraction (watching a video) or active distraction using the Pufferfish prototype. Medical staff rated Pufferfish significantly more useful in facilitating the blood sampling procedure compared to passive distraction. Qualitative feedback from patients, parents, and medical staff identified aspects that impact the acceptance of breath-based active distraction. Our study highlights the potential of non-pharmacological assistive technology tools to reduce fear and pain for children undergoing painful or stressful medical treatment.

show abstract

Training children to cope and parents to coach themduring routine immunizations: Effects on child, parent, and staff behaviors

Cited by 145 publications

References 21 publications

Parent attention versus distraction: Impact on symptom complaints by children with and without chronic functional abdominal pain

Parent attention versus distraction: Impact on symptom complaints by children with and without chronic functional abdominal pain

Reducing the pain of childhood vaccination: an evidence-based clinical practice guideline

Calming Children When Drawing Blood Using Breath-based Biofeedback

Contact Info

Product

Resources

About