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Cognitive behavioral interventions for children during painful procedures: research challenges and program
A M McCarthy1, V A Cool, K Hanrahan
1College of Nursing, Pediatric Psychology, Division of Pediatric-Ob/Gyn Nursing, University of Iowa Hospitals and Clinics, Iowa City 52242, USA.
Insights
This pilot program successfully introduced cognitive behavioral interventions for pediatric cancer pain, showing strong acceptance among children, parents, and staff. Future development will address implementation challenges.
Area of Science:
- Pediatric Oncology
- Behavioral Medicine
- Psychological Interventions
Background:
- Painful procedures are common in pediatric cancer treatment.
- Effective pain management is crucial for improving patient outcomes and quality of life.
- Cognitive behavioral interventions (CBIs) show promise in managing pediatric procedural pain.
Purpose of the Study:
- To describe a pilot program introducing CBIs for painful pediatric procedures.
- To evaluate the feasibility and acceptance of CBIs in a university hospital setting.
- To identify challenges encountered during the implementation of CBIs.
Main Methods:
- A pilot program involving ten pediatric leukemia patients, their parents, and healthcare staff.
- Data collection through direct videotaped observations, child/parent/staff pain and anxiety ratings, and satisfaction surveys.
- Utilized validated scales for pain, anxiety, and satisfaction assessment.
Main Results:
- The cognitive behavioral interventions demonstrated strong acceptance by children, parents, and staff.
- Feasibility of integrating CBIs into routine clinical practice was supported.
- Identified key challenges in program implementation and staff training.
Conclusions:
- Pilot program indicates feasibility and acceptance of CBIs for pediatric procedural pain.
- Addressing implementation challenges is essential for wider adoption.
- Further research and program refinement are planned for sustained integration.
Abstract:
The purpose of this report is to describe a pilot program designed to introduce the use of cognitive behavioral interventions for painful pediatric procedures at a university hospital, and to discuss the challenges that occurred during this process. Participants in the program included ten parents and their children who were newly diagnosed with leukemia, and staff who provided treatment for these children. Measures included direct videotaped observations of the children, perceptions of pain and anxiety completed by children, parents, and staff, and parent and staff ratings of satisfaction with the program. Results indicated strong acceptance of the interventions. This report discusses the challenges encountered, implications of the findings, and plans for future program development.