Implementing a pediatric leukemia intervention for procedural pain:  The impact on staff.

Kazak, Anne E.; Blackall, George F.; Boyer, Bret A.; Brophy, Patricia; Buzaglo, Joanne S.; Penati, Biancamaria; Himelstein, Bruce P.

doi:10.1037/h0089821

Cited by 17 publications

(8 citation statements)

References 13 publications

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“…In the area of pain associated with invasive procedures such as bone marrow aspirations, parent-directed interventions can be added to pharmacologic intervention to reduce child discomfort (Kazak, Penati, Brophy, & Himelstein, 1998). In the interventions described, an associated change in practice was also described, as multidisciplinary staff changed their overall approach to children's pain as part of a research study of the intervention protocol (Kazak et al, 1996; Kazak, Blackall, Himelstein, Brophy, & Daller, 1995).…”

Section: Examples Of Clinical Intervention Based On the Ppphmmentioning

confidence: 99%

Pediatric Psychosocial Preventative Health Model (PPPHM): Research, practice, and collaboration in pediatric family systems medicine.

Kazak

2006

Families, Systems, & Health

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A biopsychosocial framework for assessing and treating families of children in pediatric health care settings is presented. Guided by a social ecological perspective on child health, the Pediatric Psychosocial Preventative Health Model (PPPHM) is a 3-tier model based on a public health orientation. The goal of the PPPHM is to conceptualize how families of acutely and chronically ill children might be provided psychosocial support to match their level of need and risk. The largest group of families, Universal, consists of competent and adaptive families confronting health-related stressors. A smaller group of families, Targeted, is at some elevated risk for ongoing psychosocial difficulties. The smallest group of families, Clinical/Treatment, exhibits more evident symptomatology. Examples of family and systems interventions that integrate care among behavioral health care providers and within multidisciplinary treatment teams, across levels of the PPPHM, are presented and discussed.

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Section: Examples Of Clinical Intervention Based On the Ppphmmentioning

confidence: 99%

Pediatric Psychosocial Preventative Health Model (PPPHM): Research, practice, and collaboration in pediatric family systems medicine.

Kazak

2006

Families, Systems, & Health

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337

205

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“…As a naturalistic behavioral observation of the intervention process, this clinical model allows the professional community to discuss and critique these recommendations for clinical intervention, and exposes the model to path analytic evaluations regarding “goodness-of-fit” to empirical data. Whereas longitudinal data have evaluated the efficacy of one large-scale application using this model (Kazak, Penati, et al, 1996), large sample sizes would be necessary to compare empirically all the variations in this algorithm, and to assess for interactions between individual/family variables and intervention components. Due to the prevalence of childhood leukemia, such research would certainly require multisite collaboration.…”

Section: Discussionmentioning

confidence: 99%

“…By including the family members in each component of the intervention design and application, the model facilitates the use of these behavioral interventions in a more family-centered and biopsychosocial fashion. The model also demonstrates the usefulness of Practice Guidelines to provide more comprehensive rather than restricted services, articulating the pro cess of the intervention for staff training, and exposing the model for the intervention to empirical evaluation (Kazak, Penati, et al, 1996).…”

Section: Discussionmentioning

confidence: 99%

“…However, these patients undergo between 8 and 20 bone marrow aspirations (BMA) and lumbar punctures (LP) within a one to 3-year treatment period. These procedures have been shown to be highly distressing to patients (Jay, Ozolins, Elliott, & Caldwell, 1983;Katz, Kellerman, & Seigel, 1980), and they affect patients' parents (see Boyer & Barakat, 1996;Jay & Elliott, 1990) and professional staff as well (Kazak, Blackall, Boyer, et al, 1996). Intrusive memories of BOYER / 105 their child's LPs and BMAs contribute to severe posttraumatic stress symptoms in 10.1% to 39.7% of mothers and 7% to 33.3% of fathers of childhood leukemia survivors (Barakat, Kazak, Meadows, et al, 1997;Stuber, Christakis, Houskamp, & Kazak, 1996).…”

Section: Procedural Pain In Pediatric Leukemia Amenability To Practic...mentioning

confidence: 99%

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A clinical model for procedural pain interventions: Practice guidelines for comprehensive and individualized application.

Boyer¹

1998

Families, Systems, & Health

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This article describes a clinical model for comprehensive and individualized interventions for procedural pain, and illustrates the utility of practice guidelines to educate clinicians and families as well as to contain cost and liability. The clinical model addresses several problems in the literature regarding procedural pain: 1) unclear definitions of interventions that impede communication and factor analytic research; 2) conflicting clinical objectives to standardize yet individualize these interventions to the needs of particular patients and families; and 3) little or no literature devoted to training interventionists. The model presents a topographical behavioral analysis of the intervention process, and outlines critical decision-points in the design and application of interventions. The utility for training practitioners and families is discussed.

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“…Parental interventions may have positive effects beyond the family, such as increasing medical staff wellbeing. Research for pediatric leukemia procedural pain (Kazak et al, 1996) has shown that a combined family-centered psychological-pharmacologic intervention decreased medical staff depersonalization over time. Kazak et al extrapolated that increased resources for pain management may lead to medical staff maintaining patient connectedness and empathy during painful procedures.…”

Section: Parenting Interventions For Procedural Distressmentioning

confidence: 99%

Psychological and procedural distress following a young child’s burn injury

Brown¹

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Aim. The aim of this thesis is to understand the parent's role in pediatric procedural distress and recovery following a burn injury. Understanding how parents influence their child can inform future work to reduce pediatric procedural distress and improve recovery outcomes. Literature Review. Following a pediatric burn injury, the associated wound care procedures can be potentially traumatic events that are often painful and distressing. Children under 6-years-old are particularly at risk of sustaining a burn injury, yet their pain-related procedural distress is also difficult to manage because of their young developmental level. Acute child and parental distress during the first weeks following a burn injury might impact the child's physical recovery, and the child and parent's ongoing psychological distress. There is some evidence to indicate that parents influence their child through their own psychological distress, and through parenting behavior. A review of the broader procedural distress empirical and theoretical literature led to the development of a new theoretical model for understanding the relationship between parent and child distress during medical procedures. The review also identified current gaps in the literature regarding current assessment tools and investigating the impact of procedural distress on long-term physical and psychological recovery. Therefore, the studies in this thesis aim to 1) develop and evaluate an appropriate observational assessment tool; 2) test the proposed theoretical model in a sample of parents and young children (1-6-years-old) during pediatric burn wound care; 3) investigate the

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Implementing a pediatric leukemia intervention for procedural pain: The impact on staff.

Cited by 17 publications

References 13 publications

Pediatric Psychosocial Preventative Health Model (PPPHM): Research, practice, and collaboration in pediatric family systems medicine.

Pediatric Psychosocial Preventative Health Model (PPPHM): Research, practice, and collaboration in pediatric family systems medicine.

A clinical model for procedural pain interventions: Practice guidelines for comprehensive and individualized application.

Psychological and procedural distress following a young child’s burn injury

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