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

dc.contributor.authorPillai Riddell, Rebecca
dc.contributor.authorO'Neill, Monica C
dc.contributor.authorCampbell, Lauren
dc.contributor.authorTaddio, Anna
dc.contributor.authorGreenberg, Saul
dc.contributor.authorGarfield, Hartley
dc.date.accessioned2020-07-01T20:28:57Z
dc.date.available2020-07-01T20:28:57Z
dc.date.issued2017-11
dc.description.abstractObjectives To test the efficacy of a brief behavioral pain management strategy (The ABCDs of Needle Pain Management), delivered via video, on infants’ and toddlers’ pain scores and on parental soothing behavior. Methods This was a double-blind, parallel trial design. Parent–child dyads (N = 128) were recruited before their child’s 6-month (infant) or 18-month (toddler) vaccination in a pediatric clinic and randomly assigned to watch a 5-min treatment video or a placebo video. The primary outcome was the Modified Behavior Pain Scale (Taddio et al., Journal of Pain and Symptom Management, 10, pp. 456–463, 1995), coded during four epochs (Pain Reactivity, Pain Regulation 1 min, Pain Regulation 2 min, and Pain Regulation 3 min) after the last vaccination needle. Secondary analyses examined parental use of distraction, rocking, and physical comforting over this same time period. Results Results demonstrated a treatment effect for toddlers (18-month-olds) for the Pain Regulation 1 (d = 0.84) and Pain Regulation 2 (d = 0.76) postvaccination scores. Secondary analyses found differences in parental rocking and physical comforting between treatment conditions and between age-groups (d’s = 0.37–0.54). Conclusions 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.en_US
dc.identifier.citationPillai Riddell, R., O’Neill, M., Campbell, L., Taddio, A., Greenberg, S., & Garfield, H. (2018). The ABCD's of pain management: A double-blind randomized controlled trial for a brief educational video for parents of young children undergoing vaccination. Journal of Pediatric Psychology, 43(3), 224–233, doi:10.1093/jpepsy/jsx122en_US
dc.identifier.uri10.1093/jpepsy/jsx122en_US
dc.identifier.urihttps://hdl.handle.net/10315/37593
dc.language.isoenen_US
dc.publisherJournal of Pediatric Psychologyen_US
dc.titleThe 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 Behavioren_US

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