Developing a medical picture book for reducing venipuncture distress in preschool‐aged children

Tsao, Ying; Kuo, Hui‐Chen; Lee, Hsui-Chuan; Yiin, Shuenn-Jiun

doi:10.1111/ijn.12569

Cited by 24 publications

(29 citation statements)

References 18 publications

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“…According to Langford, 6 to 12 year-old children acquire logical thinking and their distress could be reduced realistically through explanation and brie ng before the procedure (22). A similar study in preschool age children did not nd clear bene t of a picture book on reducing distress levels during IV catheterization (12). We hypothesized that school aged children 6-12 would bene t from the picture book orientation given this advanced development.…”

Section: Discussionmentioning

confidence: 85%

“…Distress was measured by Observation Scale of Behavior Distress_ Revised (OSBD_R), a standard scale to measure distress validated by Elliot et al (18) and utilized in in similar studies (12,16). Speci cally for an Iranian population, Ghazavi et al con rmed the reliability of this scale (r=0.70) (17).…”

Section: Evaluation Methodsmentioning

confidence: 99%

“…Focusing on orientation, interventions can include providing instructions on future procedures , studying picture books on similar experiences, and introducing videos (11). Children's illustrated books provide instructions using brief, fun, colorful, and readable material (12). Picture books can help children identify the context of the medical procedure and build their own version of the story.…”

Section: Introductionmentioning

confidence: 99%

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Investigating the Effects of picture book on Reducing Distress Caused by Intravenous Catheterization among School-aged Children (randomized clinical trial)

Kanikzadeh¹,

Tahmasebi²,

bahreini³

et al. 2020

Preprint

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Background: Hospitalized pediatric patients experience pain, fear, and distress during intravenous catheterization. This study investigates the effects of a picture book on reducing distress caused by intravenous (IV) catheterization among school-aged children.Methods: seventy four Pediatric emergency room patients age 6-12 years old requiring Iv Infusion were enrolled in this randomized clinical trial. The intervention, providing a description of the IV catheterization procedure using a picture book, was compared to the same description of the procedure without a picture book (standard of care). Subject distress was measured using the Observation Scale of Behavior Distress Revised (OSBD_R) which assigns a score to eight observable behaviors. Before, during, and after the procedure at 15-second intervals (measured using a timer), a trained observer assigned an OSBD_R score of distress. A total score of 22 is considered maximum distress. The primary endpoint for the study was OBSD_R score difference in Phase 3 (Performing catheterization procedure, attaching and infusion therapy). Chi-square, Mann-Whitney and Wilcoxon tests were used for data analysis. Results: The mean distress score in third phases for the intervention group (0.667 ± 0.610) was significantly less than that of the control group (3.218 ± 1.799). A significant difference in distress score was observed before and after the intervention (p< 0.001).Conclusions: Children’s distress due to IV catheterization can be reduced with a simple, nonpharmacological picture book intervention. The children’s orientation on the IV catheterization plays a significant role in controlling and reducing their distress during and after the intervention. We suggested using the picture book to reduce the children distress before Intravenous Catheterization.

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Section: Discussionmentioning

confidence: 85%

Section: Evaluation Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Investigating the Effects of picture book on Reducing Distress Caused by Intravenous Catheterization among School-aged Children (randomized clinical trial)

Kanikzadeh¹,

Tahmasebi²,

bahreini³

et al. 2020

Preprint

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“…Likewise, early palliative care, including communication with the patients about the illness and its prognosis, symptom assessment and management, support for coping, and regular follow-ups have been found to improve the quality of life [47]. Some studies suggest that reading and using picture books before procedures promote children's understanding and reduce stress [48] and anxiety [49]. Picture books about cancer could be used to communicate about cancer with children.…”

Section: Advantages Of Picture Booksmentioning

confidence: 99%

Talking with Children About Cancer: A Content Analysis of Text in Children's Picture Books

Yamaji

Sawaguchi

Ota

2020

Preprint

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Background To tell children that they are diagnosed with cancer is challenging for any healthcare professional and family. Pictures books are one of the communication tools for talking with children about severe diseases. However, little research is available about the contents and appropriateness of picture books about cancer for children. Methods This study aimed to examine the contents of children's picture books about cancer and explore the advantages and disadvantages of using picture books to communicate with children about cancer. We searched the picture books about cancer written for children aged under ten years old on the Amazon.com Web site on 5 July 2019 and hand-searched on the cancer-related institutes' Web site. We extracted the texts of relevant picture books and conducted a contents analysis of them. Two researchers independently coded the patterns and contents and calculated the agreement between the codings of two researchers using Cohen's kappa coefficient. Results We identified 2,555 picture books and included 30 of them. We identified three main contents, (a) cancer-related knowledge, (b) impacts of cancer, and (c) dealing with cancer. Cancer-related knowledge refers to the information about what is going on and what children have to do. Impacts of cancer refer to the impact of having a child with cancer. Dealing with cancer relates to the actions to reduce or minimize stressful events that had been described. These contents were written with simple words and illustrations. Some of them included the essential contents, which might be misunderstood by children. Conclusions Picture books use plain language with illustrations and might be helpful for children to understand about cancer. However, as these books do not include all contents, it is necessary to select and use multiple books depending on the content which is wanted to tell the child. Moreover, there was no picture book which was developed based on children's information needs and validated. Further research should evaluate the impacts of these books as a communication tool when talking with children diagnosed with cancer.

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“…Children's illustrated books are unique sources for attractive instructions since these books aim to provide the reader with brief, fun, colorful, and readable material (20). Some studies reported that medical picture books are very instrumental to reduce anxiety among pre-school children during and after intravenous placement procedure.…”

Section: Introductionmentioning

confidence: 99%

Investigating the Effects of picture book on Reducing Anxiety Caused by Intravenous Catheterization among School-aged Children(Randomized Clinical Trial)

Kanikzadeh¹,

Tahmasebi²,

bahreini³

et al. 2020

Preprint

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Background: Injections are the main factors provoking pain, fear, and anxiety among hospitalized children. The purpose of this study is investigating the Effects of picture book on Reducing Anxiety Caused by Intravenous Catheterization among School-aged Children. Methods: In this randomized control trial study, seventy 6-12 year-old children were randomly assigned to either intervention or control group. Data was collected from 70 patients at Pediatric Emergency Room in the central Hospital in Bushehr- Iran during the summer and autumn, 2017. The subjects’ anxiety was evaluated before, during, and after the procedure by using Observation Scale of Behavior Distress instrument. Chi-square, Mann-Whitney and Wilcoxon tests were used for data analysis. Results: The mean anxiety scores of the intervention group was significantly less than those of control group after intervention. In addition, a significant difference was observed before and after the intervention in terms of anxiety levels. Conclusions: The school-aged children’s orientation on the intravenous catheterization and serum infusion play a significant role in controlling and reducing their anxiety during and after the intervention. Based on the result we suggested using the picture book to reduce the children anxiety before Intravenous Catheterization. Keywords: anxiety, pediatric, Intravenous Catheterization, education, picture book Trial registration: Current Controlled Trials: IRCT2017041712830N22). 2017-05-29

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Developing a medical picture book for reducing venipuncture distress in preschool‐aged children

Abstract: We recommend the picture book be routinely read and used during venipunctures to decrease procedural distress in preschool-aged children.

Cited by 24 publications

References 18 publications

Investigating the Effects of picture book on Reducing Distress Caused by Intravenous Catheterization among School-aged Children (randomized clinical trial)

Investigating the Effects of picture book on Reducing Distress Caused by Intravenous Catheterization among School-aged Children (randomized clinical trial)

Talking with Children About Cancer: A Content Analysis of Text in Children's Picture Books

Investigating the Effects of picture book on Reducing Anxiety Caused by Intravenous Catheterization among School-aged Children(Randomized Clinical Trial)

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