Core Outcome Domains and Measures for Pediatric Acute and Chronic/Recurrent Pain Clinical Trials: PedIMMPACT Recommendations

McGrath, Patrick J.; Walco, Gary A.; Turk, Dennis C.; Dworkin, Robert H.; Brown, Mark T.; Davidson, Karina W.; Eccleston, Christopher; Finley, G. Allen; Goldschneider, Kenneth R.; Haverkos, Lynne; Hertz, Sharon; Ljungman, Gustaf; Palermo, Tonya M.; Rappaport, Bob A.; Rhodes, Thomas; Schechter, Neil L.; Scott, Jane; Sethna, Navil F.; Svensson, Ola; Stinson, Jennifer; Baeyer, Carl L. von; Walker, Lynn S.; Weisman, Steven J.; White, Richard E.; Zajicek, Anne; Zeltzer, Lonnie K.

doi:10.1016/j.jpain.2008.04.007

Cited by 735 publications

(702 citation statements)

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“…Heart Rate is a continuous physiological signal, which allows us to record physiological changes and correlations between exercise intensity. It is an objective measurement, recommended to ensure an inclusive approach whilst conducting clinical pain experiments [24,25].  Time to Exhaustion (TTE), was measured based on the amount of time the participants spent holding the weight.…”

Section: Fig 2 Human 3d Model -User's Perceptionmentioning

confidence: 99%

How Real Is Unreal?

Matsangidou

Ang

Mauger

et al. 2017

Human-Computer Interaction – INTERACT 2017

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Abstract. As a consequence of prolonged muscle contraction, acute pain arises during exercise due to a build-up of noxious biochemicals in and around the muscle. Specific visual cues, e.g., the size of the object in weight lifting exercises, may reduce acute pain experienced during exercise. In this study, we examined how Virtual Reality (VR) can facilitate this "material-weight illusion", influencing perception of task difficulty, which may reduce perceived pain. We found that when vision understated the real weight, the time to exhaustion was 2 minutes longer. Furthermore, participants' heart rate was significantly lower by 5-7 bpm in the understated session. We concluded that visual-proprioceptive information modulated the individual's willingness to continue to exercise for longer, primarily by reducing the intensity of negative perceptions of pain and effort associated with exercise. This result could inform the design of VR aimed at increasing the level of physical activity and thus a healthier lifestyle.

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Section: Fig 2 Human 3d Model -User's Perceptionmentioning

confidence: 99%

How Real Is Unreal?

Matsangidou

Ang

Mauger

et al. 2017

Human-Computer Interaction – INTERACT 2017

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“…16,17 This reliance on caregiver feedback persists, even when children are able to speak for themselves. [18][19][20] As their child's primary advocate across all health care settings, caregivers' perspective need to be considered and more clearly understood. [21][22][23][24] Recent studies have suggested that the type of ED setting, specifically general (GED) versus pediatric (PED) ED, is associated with how health care providers assess and manage children's pain.…”

Section: Introductionmentioning

confidence: 99%

A Survey of Caregiver Perspectives on Children’s Pain Management in the Emergency Department

Ali

Weingarten

Kircher

et al. 2015

CJEM

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Objectives: We explored caregiver perspectives on their children's pain management in both a pediatric (PED) and general emergency department (GED). Study objectives were to: (1) measure caregiver estimates of children's pain scores and treatment; (2) determine caregiver level of satisfaction; and (3) determine factors associated with caregiver satisfaction. Methods: This prospective survey examined a convenience sample of 97 caregivers (n = 51 PED, n = 46 GED) with children aged <17 years. A paper-based survey was distributed by research assistants, from 2009-2011. Results: Most caregivers were female (n = 77, 79%) and were the child's mother (n = 69, 71%). Children were treated primarily for musculoskeletal pain (n = 41, 42%), headache (n = 16, 16%) and abdominal pain (n = 7, 7%). Using a 100 mm Visual Analog Scale, the maximum mean reported pain score was 75 mm (95% CI: 70-80) and mean score at discharge was 39 mm (95% CI: 32-46). Ninety percent of caregiver respondents were satisfied (80/89, 90%); three (3/50, 6%) were dissatisfied in the PED and six (6/39, 15%) in the GED. Caregivers who rated their child's pain at ED discharge as severe were less likely to be satisfied than those who rated their child's pain as mild or moderate (p = 0.034). Conclusions: Despite continued pain upon discharge, most caregivers report being satisfied with their child's pain management. Caregiver satisfaction is likely multifactorial, and physicians should be careful not to interpret satisfaction as equivalent to adequate provision of analgesia. The relationship between satisfaction and pain merits further exploration. RÉSUMÉObjectifs: L'étude a porté sur le point de vue des aidants quant à la prise en charge de la douleur chez les enfants dans un service des urgences pédiatriques (SUP) et dans un service des urgences générales (SUG). L'étude visait à: 1) mesurer l'intensité de la douleur chez les enfants, estimée par les aidants ainsi que le traitement appliqué; 2) déterminer le degré de satisfaction des aidants; et 3) déterminer les facteurs associés à la satisfaction des aidants. Méthode: Il s'agit d'une enquête prospective, menée dans un échantillon de commodité de 97 aidants (SUP: n = 51; SUG: n = 46) qui accompagnaient des enfants de moins de 17 ans. Des questionnaires d'enquête sur papier ont été distribués par des assistants de recherche, de 2009 à 2011. Résultats: La plupart des aidants étaient des femmes (n = 77; 79 %) et, bien souvent, la mère des enfants (n = 69; 71 %). Les enfants étaient traités surtout pour des douleurs musculosquelettiques (n = 41; 42 %), des céphalées (n = 16; 16 %) et des douleurs abdominales (n = 7; 7 %). Le score maximal moyen, indiqué sur une échelle visuelle analogue de 100 mm s'élevait à 75 mm (IC à 95 %: 70-80) et le score moyen au moment du congé était de 39 mm (IC à 95 %: 32-46). Quatrevingt-dix pour cent des aidants qui ont répondu à l'enquête se sont dits satisfaits (n = 80/89; 90 %); 3 (n = 3/50; 6 %) au SUP et 6 (n = 6/39; 15 %) au SUG ne l'étaient pas. Les aidants qui ont ...

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“…Enhancing physical functioning (i.e., participation in physical activities, ability to perform physical tasks) is an important treatment goal 1 for adolescents with chronic pain, who as a group, demonstrate decreased physical function compared to healthy youth 2,3 . Physical function has been fairly extensively studied in youth with various pain conditions wherein youth or their parents have reported on perception of difficulty in the child's participation in developmentally appropriate activities due to pain 4,5 .…”

Section: Introductionmentioning

confidence: 99%