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Simple psychological interventions for reducing pain from common needle procedures in adults: systematic review of randomized and quasi-randomized controlled trials.

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dc.contributor.author Boerner, K.E.
dc.contributor.author Birnie, K.A.
dc.contributor.author Chambers, C.T.
dc.contributor.author Taddio, A.
dc.contributor.author McMurtry, C.M.
dc.contributor.author Noel, M.
dc.contributor.author Shah, V.
dc.contributor.author Pillai Riddell, R.
dc.contributor.author HELPinKids&Adults Team
dc.date.accessioned 2020-11-30T20:11:49Z
dc.date.available 2020-11-30T20:11:49Z
dc.date.copyright 2015
dc.identifier.uri https://hdl.handle.net/10214/21413
dc.description.abstract Background: This systematic review evaluated the effectiveness of simple psychological interventions for managing pain and fear in adults undergoing vaccination or related common needle procedures (ie, venipuncture/venous cannulation). Design/Methods: Databases were searched to identify relevant randomized and quasi-randomized controlled trials. Self-reported pain and fear were prioritized as critically important outcomes. Data were combined using standardized mean difference (SMD) or relative risk (RR) with 95% confidence intervals (CI). Results: No studies involving vaccination met inclusion criteria; evidence was drawn from 8 studies of other common needle procedures (eg, venous cannulation, venipuncture) in adults. Two trials evaluating the impact of neutral signaling of the impending procedure (eg, "ready?") as compared with signaling of impending pain (eg, "sharp scratch") demonstrated lower pain when signaled about the procedure (n=199): SMD=-0.97 (95% CI, -1.26, -0.68), after removal of 1 trial where self-reported pain was significantly lower than the other 2 included trials. Two trials evaluated music distraction (n=156) and demonstrated no difference in pain: SMD=0.10 (95% CI, -0.48, 0.27), or fear: SMD=-0.25 (95% CI, -0.61, 0.10). Two trials evaluated visual distraction and demonstrated no difference in pain (n=177): SMD=-0.57 (95% CI, -1.82, 0.68), or fear (n=81): SMD=-0.05 (95% CI, -0.50, 0.40). Two trials evaluating breathing interventions found less pain in intervention groups (n=138): SMD=-0.82 (95% CI, -1.21, -0.43). The quality of evidence across all trials was very low. Conclusions: There are no published studies of simple psychological interventions for vaccination pain in adults. There is some evidence of a benefit from other needle procedures for breathing strategies and neutral signaling of the start of the procedure. There is no evidence for use of music or visual distraction.
dc.format pdf
dc.language.iso en
dc.publisher Wolters Kluwer Health Inc.
dc.rights Attribution - NonCommercial - NoDerivatives 4.0 International
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject pain management
dc.subject randomized controlled trial
dc.subject systematic review
dc.subject psychological
dc.subject needle pain
dc.title Simple psychological interventions for reducing pain from common needle procedures in adults: systematic review of randomized and quasi-randomized controlled trials.
dc.type Article
dc.rights.license All items in the Atrium are protected by copyright with all rights reserved unless otherwise indicated.
dcterms.relation Boerner, K.E., Birnie, K.A., Chambers, C.T., Taddio, A., McMurtry, C.M., Noel, M., Shah, V., Pillai Riddell, R., and HELPinKids&Adults Team (2015). Simple psychological interventions for reducing pain from common needle procedures in adults: systematic review of randomized and quasi-randomized controlled trials. The Clinical Journal of Pain. October 2015 - Volume 31 - Issue - p S90-S98. https://doi.org/10.1097/AJP.0000000000000270


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