Addressing Parental Concerns About Pain During Childhood Vaccination

Taddio, Anna; Hogan, Mary‐Ellen; Gerges, Sandra; Girgis, Angela; Moyer, Paul; Wang, Linda; Murphy, Claire; Ho, Tommy; Greenberg, Saul; Ipp, Moshe

doi:10.1097/ajp.0b013e31822af81c

Cited by 16 publications

(3 citation statements)

References 12 publications

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“… 96 , 97 Two studies reported on the mean waiting time before vaccine injection in the clinics demonstrating feasibility of application of topical anesthetics onsite. In the study by Abuelkheir et al 36 (Saudi Arabia), the mean waiting time before the vaccine injection was 57 minutes (SD=16.7), whereas in the study by Taddio et al 98 (Canada), the mean waiting time reported was 41.6 minutes (SD=28.6). Application of the topical anesthetics while awaiting the appointment is possible if there is sufficient time.…”

Section: Discussionmentioning

confidence: 91%

Pharmacological and Combined Interventions to Reduce Vaccine Injection Pain in Children and Adults

Shah

Taddio

McMurtry

et al. 2015

The Clinical Journal of Pain

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Section: Discussionmentioning

confidence: 91%

Pharmacological and Combined Interventions to Reduce Vaccine Injection Pain in Children and Adults

Shah

Taddio

McMurtry

et al. 2015

The Clinical Journal of Pain

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“…The reasons for vaccine hesitancy are complex and context specific 55 ; however, concerns about pain and fear are well-documented contributors to vaccination noncompliance. 56 , 57 Effective management of vaccine-related pain and needle fear hold promise for improving compliance and health across the lifespan. The HELPinKids&Adults knowledge synthesis is an important step in that direction.…”

Section: Discussionmentioning

confidence: 99%

HELPinKids&Adults Knowledge Synthesis of the Management of Vaccination Pain and High Levels of Needle Fear

Noel

Taddio

McMurtry

et al. 2015

The Clinical Journal of Pain

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The HELPinKids&Adults knowledge synthesis for the management of vaccination-related pain and high levels of needle fear updated and expanded upon the 2010 HELPinKIDS knowledge synthesis and clinical practice guideline for pain mitigation during vaccine injections in childhood. Interventions for vaccine pain management in adults and treatment of individuals with high levels of needle fear, phobias, or both were included, thereby broadening the reach of this work. The present paper outlines the overarching limitations of this diverse evidence base and provides recommendations for future research. Consistent with the framing of clinical questions in the systematic reviews, the Participants, Intervention, Comparison, Outcome, Study design (PICOAS) framework was used to organize these predominant issues and research directions. The major limitations we identified across systematic reviews were an overall dearth of trials on vaccination, lack of methodological rigor, failure to incorporate important outcomes, poor study reporting, and various sources of heterogeneity. Future research directions in terms of conducting additional trials in the vaccination context, improving methodological quality and rigor, assessment of global acceptability and feasibility of interventions, and inclusion of outcomes that stakeholders consider to be important (eg, compliance) are recommended. Given concerns about pain and fear are known contributors to vaccine hesitancy, improving and expanding this evidence base will be integral to broader efforts to improve vaccine compliance and public health worldwide.

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“…Pain and fear are unfortunate sequelae of vaccine injections. Evidence across varied participants in the process of vaccination, from clinicians 1 to parents of children being vaccinated 2 to the individual undergoing vaccination themselves 3 – 5 unequivocally demonstrates that these adverse events are major challenges to current vaccination practices. Addressing the mandate of the Help ELiminate Pain in Kids & Adults (HELPinKids&Adults) Team to provide a comprehensive update to the 2010 clinical practice guideline on reducing childhood vaccination pain, 6 this meta-analysis served to evaluate process interventions.…”

mentioning

confidence: 99%