An assessment of early Child Life Therapy pain and anxiety management: A prospective randomised controlled trial

Hyland, Ela J.; D'Cruz, Rachel; Harvey, John G.; Moir, Jordyn; Parkinson, Christina; Holland, A.J.A.

doi:10.1016/j.burns.2015.05.017

Cited by 33 publications

(51 citation statements)

References 48 publications

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“…Hyland [49] Pain • CLT group received fewer additional analgesic medication during procedure than SC (n = 6, 12% vs n = 9, 18%).…”

Section: Therapeutic Approachesmentioning

confidence: 99%

“…Likewise, 'medical play' prior to COD commencement did not affect patients' self-reported pain; however, did reduce nursing staff observations of pain and distress behaviour at insignificant levels [55]. In contrast, the use of Child Life Therapy (CLT) reduced patients' pain as observed by caregivers and an independent assessor; and increased nursing staff's observations of pre-procedural pain [49]. Similarly, hypnotherapy reduced pain levels at the third COD as self-reported by patients <8 years of age, and caregivers [46].…”

Section: Pain and Anxietymentioning

confidence: 99%

“…Hypnotherapy lowered patients' pre-removal anxiety as reported by patients aged >8 years at second COD, and caregivers for patients aged <8 years at second and third CODs [46]. Child Life Therapy (CLT) reduced caregivers' observations of patients' procedural anxiety; however increased both caregiver anxiety before and during procedures, and nurse observations of anxiety at preprocedure [49]. The Ditto™ device lowered self-reported anxiety at pre-removal for patient's > 8 years [44].…”

Section: Anxietymentioning

confidence: 99%

“…[44,46]; and Kavanagh who did not present Nurse reports of patient pain [51]. Missing data was acknowledged by Foertsch et al [48] and Hyland et al [49] but was not adequately addressed.…”

Section: Risk Of Biasmentioning

confidence: 99%

“…Studies were classified as excellent [46,50,52,54], good [44,45,48,49,53,55,57,58], fair [43,56,59], or poor quality [47,51]. Three studies had small samples of six or less per group [47,51,59].…”

Section: Downs and Black Quality Assessmentmentioning

confidence: 99%

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Efficacy and cultural appropriateness of psychosocial interventions for paediatric burn patients and caregivers: a systematic review

et al. 2020

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Background: Paediatric burns are highly painful and traumatising injuries that are overrepresented among Aboriginal and Torres Strait Islander people. Paediatric burn patients' pain remains poorly managed by pharmacological interventions, leading to increased anxiety, distress, and trauma in patients and their caregivers. Non-pharmacological psychosocial interventions have been suggested as effective in reducing pain and psychological morbidities among paediatric burn patients and their caregivers; however, their degree of effectiveness and appropriateness for Aboriginal and Torres Strait Islander people is unclear.Methods: A non-date restricted systematic review was conducted through four databases. Studies published in English assessing psychosocial interventions on paediatric burn patients' physical pain along with theirs and/or their caregiver's anxiety, distress, or trauma symptoms were identified and included in this review. Included studies were assessed for their ability to reduce one of the outcomes of interests and for their reflection of Aboriginal and Torres Strait Islander peoples' perspectives of health.Results: Of the 3178 identified references, 17 were eligible. These include distraction based techniques (n = 8), hypnosis/familiar imagery (n = 2), therapeutic approaches (n = 4), and patient preparation/procedural control (n = 3). Distraction techniques incorporating procedural preparation reduced pain, while discharge preparation and increased 'patient control' reduced patient and caregiver anxiety; and internet based Cognitive Behaviour Therapy reduced short-term but not long-term post-traumatic stress symptoms. No interventions reflected Aboriginal and Torres Strait Islander peoples' perspectives of health; and few targeted caregivers or focused on reducing their symptoms. Conclusions:The development and assessment of psychosocial interventions to appropriately meet the needs of Aboriginal and Torres Strait Islander paediatric burn patients is required.

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“…Hyland [49] Pain • CLT group received fewer additional analgesic medication during procedure than SC (n = 6, 12% vs n = 9, 18%).…”

Section: Therapeutic Approachesmentioning

confidence: 99%

Section: Pain and Anxietymentioning

confidence: 99%

Section: Anxietymentioning

confidence: 99%

“…[44,46]; and Kavanagh who did not present Nurse reports of patient pain [51]. Missing data was acknowledged by Foertsch et al [48] and Hyland et al [49] but was not adequately addressed.…”

Section: Risk Of Biasmentioning

confidence: 99%