Abstract
BackgroundDespite the availability of high-quality evidence and clinical practice guidelines for the effective management of pediatric pain, this evidence is rarely used in practice for managing children’s pain from needle procedures such as vaccinations. Parents are generally unaware of pain management strategies they can use with their children.ObjectiveThis study aimed to develop, implement, and evaluate the implementation effectiveness of a parent-directed YouTube video on evidence-based strategies to manage needle pain in children.MethodsThis was a descriptive study. Analytics were extracted from YouTube to describe video reach. A Web-based survey was used to seek parent and health care professional (HCP) feedback about the video. The 2-minute 18-second video was launched on YouTube on November 4, 2013. In the video, a 4-year-old girl tells parents what they should and should not do to help needles hurt less. The key evidence-based messages shared in the video were distraction, deep breathing, and topical anesthetic creams. A group of parents (n=163) and HCPs (n=278) completed the Web-based survey. Measures of reach included number of unique views, country where the video was viewed, sex of the viewer, and length of watch time. The Web-based survey assessed implementation outcomes of the video, such as acceptability, appropriateness, penetration, and adoption.ResultsAs of November 4, 2018 (5 years after launch), the video had 237,132 unique views from 182 countries, with most viewers watching an average of 55.1% (76/138 seconds) of the video. Overall, both parents and HCPs reported strong acceptance of the video (ie, they liked the video, found it helpful, and felt more confident) and reported significant improvements in plans to use distraction, deep breathing, and topical anesthetic creams.ConclusionsThis parent-directed YouTube video was an acceptable and appropriate way to disseminate evidence about the procedure of pain management to a large number of parents.
Highlights
BackgroundDespite the availability of high-quality evidence and clinical practice guidelines for effective management of pediatric pain, best available evidence is rarely used in practice for managing children’s pain [1,2]
Cost-effective, and evidence-based pain-relieving interventions exist for vaccination in school-aged children, fewer than 5% of children undergoing vaccination receive any form of pain management [4]
Knowledge synthesis research and clinical practice guidelines for procedural pain management in children include evidence-based recommendations that are simple for parents to implement [4,18,19,20,21]; most parents are unaware of these strategies [4]
Summary
BackgroundDespite the availability of high-quality evidence and clinical practice guidelines for effective management of pediatric pain, best available evidence is rarely used in practice for managing children’s pain [1,2]. Cost-effective, and evidence-based pain-relieving interventions exist for vaccination in school-aged children (eg, relaxation, distraction strategies, and topical anesthetic creams), fewer than 5% of children undergoing vaccination receive any form of pain management [4]. This is alarming as poorly managed pain is associated with a range of negative short- and long-term effects [5,6,7,8], including pain sensitization and development of needle fears and avoidance, which can contribute to vaccine hesitancy. Parents are generally unaware of pain management strategies they can use with their children
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
