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Related Experiment Videos

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.

Journal of Pediatric Nursing
|March 21, 1998
PubMed
Summary

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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.

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  • 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.