Moline Rachel L, Chambers Christine, McMurtry C Meghan
Department of Psychology University of Guelph Guelph ON Canada.
Department of Psychology and Neuroscience Dalhousie University Halifax NS Canada.
Paediatr Neonatal Pain. 2020 Aug 18;3(1):20-28. doi: 10.1002/pne2.12038. eCollection 2021 Mar.
Children commonly undergo painful needle procedures. Unmanaged procedural pain can have short- and long-term consequences, including longer procedure times, greater distress at future procedures, and vaccine hesitancy. While parent behaviors are one of the strongest predictors of children's response to acute pain, pediatric procedural pain management interventions focus almost exclusively on the child. Further, existing parent-involved pediatric pain management interventions typically fail to improve child self-reported pain during painful procedures. The current protocol offers the first randomized controlled trial involving a mindfulness intervention for pediatric acute pain that includes children and their parents. This study aims to conduct a single-site, two-arm, parallel-group RCT to examine the effects of a mindfulness intervention for parents and children before child venipuncture compared to a control group on primary (child self-report of pain and fear), secondary (parent self-report and child report of parent distress), and tertiary outcomes (parent report of child pain and fear). Parent-child dyads (n = 150) will be recruited from the McMaster Children's Hospital outpatient blood laboratory. Dyads will be randomly assigned to either a mindfulness group guided through a mindfulness intervention or control group guided through an unfocused attention task. Parents will accompany their child for their venipuncture. Postvenipuncture measures will be collected (eg, child pain-related outcomes as reported by parents and children). The first enrollment occurred in October 2019. We offer a novel intervention that aims to facilitate both parent and child coping during child venipuncture.
儿童经常要接受痛苦的针刺操作。未得到有效管理的操作疼痛会产生短期和长期后果，包括操作时间延长、未来操作时更大的痛苦以及疫苗犹豫。虽然父母的行为是儿童对急性疼痛反应的最强预测因素之一，但儿科操作疼痛管理干预几乎完全集中在儿童身上。此外，现有的涉及父母的儿科疼痛管理干预通常无法改善儿童在痛苦操作过程中自我报告的疼痛。当前的方案提供了第一项随机对照试验，该试验涉及一项针对儿科急性疼痛的正念干预，其中包括儿童及其父母。本研究旨在进行一项单中心、双臂、平行组随机对照试验，以检验与对照组相比，在儿童静脉穿刺前对父母和儿童进行正念干预对主要结局（儿童对疼痛和恐惧的自我报告）、次要结局（父母的自我报告以及儿童对父母痛苦的报告）和三级结局（父母对儿童疼痛和恐惧的报告）的影响。亲子二元组（n = 150）将从麦克马斯特儿童医院门诊血液实验室招募。二元组将被随机分配到通过正念干预引导的正念组或通过非专注注意力任务引导的对照组。父母将陪同孩子进行静脉穿刺。穿刺后将收集相关测量数据（例如，父母和孩子报告的与儿童疼痛相关的结局）。首次招募于2019年10月进行。我们提供了一种新颖的干预措施，旨在促进亲子在儿童静脉穿刺过程中的应对。
