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A Randomized Controlled Trial About Teaching Parents How to Manage Childhood Immunization Pain

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ClinicalTrials.gov Identifier: NCT01637779
Recruitment Status : Completed
First Posted : July 11, 2012
Last Update Posted : October 29, 2013
Sponsor:
Collaborator:
The Hospital for Sick Children
Information provided by (Responsible Party):
Anna Taddio, University of Toronto

Brief Summary:
There is no effect of a parent-directed fact sheet about pain management during childhood immunization and pre-test on parent learning about evidence-based pain relieving methods.

Condition or disease Intervention/treatment Phase
Mothers of Newborn Infants Behavioral: Fact sheet Phase 3

Detailed Description:
Over 90% of young children demonstrate severe distress during vaccination. Pain relieving strategies are uncommonly used, despite a plethora of evidence for physical, pharmacological and psychological techniques. Parents commonly report pain as a harm-related concern for childhood immunizations and are dissatisfied with current practices. Unmitigated pain causes long-term adverse sequelae, including; anticipatory fear and hypersensitivity to pain at future procedures in children, and parental non-compliance with immunization schedules. Health providers and parents report the major barrier to routine use of pain management is parental lack of knowledge about effective strategies. Lack of time is reported as a secondary barrier. An educational tool about immunization pain management targeted to parents that can be practically implemented in the clinical setting within usual time constraints is needed.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 120 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Official Title: A Randomized Clinical Trial to Evaluate the Impact of a Fact Sheet About Childhood Immunization Pain Management on Parental Knowledge
Study Start Date : July 2012
Actual Primary Completion Date : February 2013
Actual Study Completion Date : February 2013

Arm Intervention/treatment
Experimental: fact sheet review
mothers will review a fact sheet containing information about pain management during immunization then complete a knowledge test afterward
Behavioral: Fact sheet
fact sheet about pain management during immunization

Placebo Comparator: control unrelated material
mothers will review material unrelated to pain management during immunization then complete a knowledge test
Behavioral: Fact sheet
fact sheet about pain management during immunization

Experimental: pre-test, review of fact sheet
mothers do a pre-test, then read a fact sheet about how to manage immunization pain, then repeat the test
Behavioral: Fact sheet
fact sheet about pain management during immunization

Placebo Comparator: pre-test, control unrelated information
mothers do a pre-test, then read unrelated material, then repeat the test
Behavioral: Fact sheet
fact sheet about pain management during immunization




Primary Outcome Measures :
  1. knowledge [ Time Frame: 10 minutes after intervention (educational material) ]
    maternal knowledge will be evaluated after reading the fact sheet or control (material unrelated to immunization)


Secondary Outcome Measures :
  1. utilization of pain relieving interventions [ Time Frame: 2 months after intervention ]
    maternal self-reported use of pain relieving interventions during routine 2-month infant immunizations



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Ages Eligible for Study:   15 Years to 60 Years   (Child, Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • new mothers with health full-term infants
  • 5 minute Apgar 7 or more

Exclusion Criteria:

  • non-english speaking mothers
  • mothers with psychiatric conditions
  • infants admitted to intensive care unit

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01637779


Locations
Canada, Ontario
Mount Sinai Hospital
Toronto, Ontario, Canada, M5G 1X5
Sponsors and Collaborators
University of Toronto
The Hospital for Sick Children
Investigators
Principal Investigator: Anna Taddio, PhD University of Toronto

Responsible Party: Anna Taddio, Associate Professor, Leslie Dan Faculty of Pharmacy, University of Toronto
ClinicalTrials.gov Identifier: NCT01637779     History of Changes
Other Study ID Numbers: 11-0231-E
1000032989 ( Other Identifier: The Hospital for Sick Children )
First Posted: July 11, 2012    Key Record Dates
Last Update Posted: October 29, 2013
Last Verified: October 2013

Keywords provided by Anna Taddio, University of Toronto:
randomized controlled trial
parent education
pain management
infant
immunization

Additional relevant MeSH terms:
Vaccines
Immunologic Factors
Physiological Effects of Drugs