Process interventions for vaccine injections: systematic review of randomized controlled trials and quasi-randomized controlled trials

dc.contributor.authorPillai Riddell, R.
dc.contributor.authorTaddio, A.
dc.contributor.authorMcMurtry, C.M.
dc.contributor.authorShah, V.
dc.contributor.authorNoel, M.
dc.contributor.authorChambers, C.T.
dc.contributor.authorHELPinKids&Adults Team
dc.date.accessioned2020-11-30T20:11:48Z
dc.date.available2020-11-30T20:11:48Z
dc.date.copyright2015
dc.degree.departmentDepartment of Psychologyen
dc.description.abstractBackground: This systematic review evaluated the effectiveness of process interventions (education for clinicians, parent presence, education of parents [before and on day of vaccination], and education of patients on day of vaccination) on reducing vaccination pain, fear, and distress and increasing the use of interventions during vaccination. Design/Methods: Databases were searched using a broad search strategy to identify relevant randomized and quasi-randomized controlled trials. Critical outcomes were pain, fear, distress (when applicable), and use of pain management interventions. Data were extracted according to procedure phase (preprocedure, acute, recovery, combinations of these) and pooled using established methods. Analyses were conducted using standardized mean differences (SMD) and risk ratios (RR). Results: Thirteen studies were included. Results were generally mixed. On the basis of low to very low-quality evidence, the following specific critical outcomes showed significant effects suggesting: (1) clinicians should be educated about vaccine injection pain management (use of interventions: SMD 0.66; 95% confidence interval [CI]: 0.47, 0.85); (2) parents should be present (distress preprocedure: SMD -0.85; 95% CI: -1.35, -0.35); (3) parents should be educated before the vaccination day (use of intervention preprocedure: SMD 0.83; 95% CI: 0.25, 1.41 and RR, 2.08; 95% CI: 1.51, 2.86; distress acute: SMD, -0.35; 95% CI: -0.57, -0.13); (4) parents should be educated on the vaccination day (use of interventions: SMD 1.02; 95% CI: 0.22, 1.83 and RR, 2.42; 95% CI: 1.47, 3.99; distress preprocedure+acute+recovery: SMD -0.48; 95% CI: -0.82, -0.15); and (5) individuals 3 years of age and above should be educated on the day of vaccination (fear preprocedure: SMD -0.67; 95% CI: -1.28, -0.07). Conclusions: Educating individuals involved in the vaccination procedure (clinicians, parents of children being vaccinated; individuals above 3 y of age) is beneficial to increase use of pain management strategies, reduce distress surrounding with vaccination, and to reduce fear. When possible, parent presence is also recommended for children undergoing vaccination.
dc.formatpdf
dc.identifier.citationPillai Riddell, R., Taddio, A., McMurtry, C.M., Shah, V., Noel, M., Chambers, C.T., and HELPinKids&Adults Team (2015). Process interventions for vaccine injections: systematic review of randomized controlled trials and quasi-randomized controlled trials. The Clinical Journal of Pain. October 2015 - Volume 31 - Issue - p S99-S108. https://doi.org/10.1097/AJP.0000000000000280
dc.identifier.urihttps://hdl.handle.net/10214/21405
dc.language.isoen
dc.publisherWolters Kluwer Health Inc.
dc.rightsAttribution - NonCommercial - NoDerivatives 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectpain management
dc.subjectrandomized controlled trial
dc.subjectsystematic review
dc.subjectvaccination
dc.subjectparent presence
dc.subjecteducation
dc.subjectimplementation science
dc.titleProcess interventions for vaccine injections: systematic review of randomized controlled trials and quasi-randomized controlled trials
dc.typeArticleen

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