Do we have to restrain children forcefully and make them suffer in health care?

Do we have to restrain children forcefully and make them suffer in health care? Evaluating an intervention for healthcare professionals to reduce anxiety and pain in children during needle-related medical procedures in healthcare

Registry ID
ISRCTN12280133
Source registry
ISRCTN
Status
Recruiting
Study type
INTERVENTIONAL
Sponsor
Akademiska Barnsjukhuset
Enrollment
300
Start date
2023-07-01
Completion date
2027-12-31
Last update
2026-08-17

Conditions

Summary

Anxiety and pain in children during needle-related medical procedures in healthcare

Detailed description

This project comprises three phases. The first phase forms the baseline, pre-intervention phase (Study 1) and is based on observations and self-reported pain- and anxiety-preventing strategies used in connection with needle-related medical procedures to which children are exposed. Thereafter, an educational intervention for healthcare professionals (HCPs) will be developed together with key stakeholders (co-creation) to provide knowledge and promote behavioural change in HCPs to increase the use of pain and anxiety-preventing strategies. The development and acceptability/feasibility testing of the educational intervention form Study 2. Finally, the researchers will assess the effectiveness of the educational intervention (Study 3). Using a co-creational approach with children, parents, and HCPs, the intervention will be built on quality audits to ensure pain management is optimal. The theoretical underpinning of the intervention is the Capability, Opportunity, and Motivation Model (COM-B model) and Behaviour Change Wheel framework (BCW). The COM-B model will be used to identify barriers and drivers for using different strategies, which can help the researchers to find what conditions are needed for a successful change in practice. The analysis will be carried out together with key stakeholders’ children, parents, and HCPs who are targeted by the intervention. The educational intervention is structured on an educational model from the Institute of Medicine, including knowledge, skills, and attitudes through web-based lectures, process-based discussions, and reflection seminars. Such educational interventions have been proven to be effective in decreasing children’s anxiety and pain during medical procedures There are 6 months of intervention and 12 months of follow-up.

Interventions

Inclusion criteria

1. Children, parents, and HCPs from study 1 in the developmental phase 2. In the intervention phase, HCPs from the same functions as in Study 1

Exclusion criteria

Does not meet the inclusion criteria

Locations

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