MacKenzie Nicole E, Tutelman Perri R, Chambers Christine T, Parker Jennifer A, MacDonald Noni E, McMurtry C Meghan, Pluye Pierre, Granikov Vera, Taddio Anna, Barwick Melanie, Birnie Kathryn A, Boerner Katelynn E
Department of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada.
Centre for Pediatric Pain Research, IWK Health Centre, Halifax, NS, Canada.
Pain Rep. 2021 Mar 11;6(1):e907. doi: 10.1097/PR9.0000000000000907. eCollection 2021 Jan-Feb.
Although several evidence-based strategies for managing children's vaccination pain exist, many parents report being unaware of them. Knowledge translation (KT) tools present evidence-based information in plain language.
This two-phase study assessed parents/caregivers' uptake of evidence-based pain management strategies via a KT tool and considered factors related to parents' planned, actual, and future use of these strategies.
In phase 1, parents were exposed to an online KT tool on physical, psychological, and pharmacological vaccination pain management strategies, and their impressions were assessed by questionnaires including the Information Assessment Method for Parents. In phase 2, after vaccination, parents completed a follow-up survey on their uptake and experiences using the information.
A total of 312 participants reported their plans for KT tool use. Parents who found the KT tool relevant were more likely to plan to use it at their child's upcoming vaccination. A total of 128 parents (93% mothers) completed both surveys. Nearly all parents who planned to use the information did so during their child's subsequent vaccination (90%). When the KT tool was relevant to their needs, parents were more likely to use the information during their child's vaccination. Parents who felt confident using the tool were significantly more likely to report plans for future tool use.
This study demonstrates the effectiveness of a KT tool that was relevant to parents' needs and built confidence to increase parent-reported uptake of evidence-based strategies. Proper pain management could positively impact parents' uptake of vaccinations for children.
尽管存在几种基于证据的儿童疫苗接种疼痛管理策略，但许多家长表示并不知晓这些策略。知识转化（KT）工具以通俗易懂的语言呈现基于证据的信息。
这项分两阶段的研究通过一种KT工具评估了家长/照料者对基于证据的疼痛管理策略的接受情况，并考虑了与家长计划、实际和未来使用这些策略相关的因素。
在第一阶段，让家长接触一个关于身体、心理和药物疫苗接种疼痛管理策略的在线KT工具，并通过包括家长信息评估方法在内的问卷来评估他们的印象。在第二阶段，疫苗接种后，家长完成一项关于他们对该信息的接受情况和使用体验的后续调查。
共有312名参与者报告了他们使用KT工具的计划。认为KT工具相关的家长更有可能计划在孩子即将到来的疫苗接种时使用它。共有128名家长（93%为母亲）完成了两项调查。几乎所有计划使用该信息的家长在孩子随后的疫苗接种时都这样做了（90%）。当KT工具与他们的需求相关时，家长在孩子疫苗接种期间更有可能使用该信息。对使用该工具感到有信心的家长报告未来使用该工具计划的可能性显著更高。
本研究证明了一种与家长需求相关并增强信心的KT工具在提高家长报告的基于证据策略接受度方面的有效性。适当的疼痛管理可能会对家长为孩子接种疫苗的接受度产生积极影响。
