Genik Lara M, McMurtry C Meghan, Barata Paula C, Barney Chantel C, Lewis Stephen P
Department of Psychology University of Guelph Guelph ON Canada.
Pediatric Chronic Pain Program McMaster Children's Hospital Hamilton ON Canada.
Paediatr Neonatal Pain. 2020 Apr 26;2(1):7-13. doi: 10.1002/pne2.12014. eCollection 2020 Mar.
Pain is common and complex for children with intellectual and developmental disabilities (I/DD). Secondary caregivers such as respite workers are lacking important pain-related information which can impact care. Here, we outline a randomized controlled trial (RCT) protocol testing the effectiveness of a pain training for respite workers supporting children with I/DD.
METHODS/DESIGN: Organizations enrolled in the RCT were randomly assigned to receive a 3-3.5 hours pain or family-centered care training. Data were collected immediately before, after, and 4-6 weeks following completion of the training. Outcomes are as follows: pain knowledge (primary), pain assessment and management perceptions (secondary), training evaluations (secondary), and use of pain assessment and management skills (tertiary). Both quantitative and qualitative methodologies are being used including questionnaires, rating scales, a standardized vignette, and focus groups.
Results from this trial will be used to further understand the impact of the pain training and inform next steps related to implementation. TRIAL REGISTRATION: ClinicalTrials.gov identifier: NCT03421795.
对于患有智力和发育障碍（I/DD）的儿童来说，疼痛很常见且情况复杂。临时护理人员等二级护理人员缺乏重要的疼痛相关信息，这可能会影响护理质量。在此，我们概述了一项随机对照试验（RCT）方案，以测试针对支持患有I/DD儿童的临时护理人员进行疼痛培训的效果。
方法/设计：参与RCT的组织被随机分配接受3 - 3.5小时的疼痛或家庭中心护理培训。在培训开始前、结束后以及结束后4 - 6周收集数据。结果如下：疼痛知识（主要指标）、疼痛评估和管理认知（次要指标）、培训评估（次要指标）以及疼痛评估和管理技能的使用情况（第三级指标）。同时使用定量和定性方法，包括问卷调查、评分量表、标准化案例以及焦点小组。
该试验的结果将用于进一步了解疼痛培训的影响，并为与实施相关的后续步骤提供信息。试验注册：ClinicalTrials.gov标识符：NCT03421795。
