Pain in children with developmental disabilities: Development and preliminary effectiveness of a pain training workshop for respite workers

Autor: C. Meghan McMurtry, Lara M. Genik, Tamlyn Freedman-Kalchman, Lynn M. Breau, Stephen P. Lewis
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Adult
Male
Health Knowledge
Attitudes
Practice

medicine.medical_specialty
Developmental Disabilities
media_common.quotation_subject
education
Pain
Pilot Projects
Training (civil)
pain assessment and management
Interviews as Topic
Young Adult
03 medical and health sciences
0302 clinical medicine
Extant taxon
children
Pain assessment
Respite care
Perception
medicine
pain assessment
Humans
Pain Management
pain
030212 general & internal medicine
Child
Qualitative Research
media_common
business.industry
respite workers
Focus Groups
Middle Aged
Focus group
children with intellectual disabilities
Anesthesiology and Pain Medicine
Caregivers
pain management
Active learning
Physical therapy
Female
Training needs
Neurology (clinical)
intellectual disabilities
business
030217 neurology & neurosurgery
Preliminary Data
Zdroj: Paediatrics Publications
Popis: Introduction: Pain in children with intellectual disabilities (ID) is common and complex, yet there is no standard pain training for their secondary caregivers (ie, respite staff). Objectives: Determine perceived pain training needs/preferences of children's respite staff (phase 1) and, use this information combined with extant research and guidelines to develop and pilot a training (phase 2). Methods: In phase 1, 22 participants responded to questionnaires and engaged in individual interviews/focus groups about their experiences with pain in children with ID, and perceived training needs/preferences. In phase 2, 50 participants completed knowledge measures and rated the feasibility of, and their own confidence and skill in, pain assessment and management for children with ID immediately before and after completing a pain training. They also completed a training evaluation. Results: Participants viewed pain training as beneficial. Their ideal training involved a half-day, multifaceted in-person program with a relatively small group of trainees incorporating a variety of learning activities, and an emphasis on active learning. Phase 2 results suggested that completion of the 3 to 3.5-hour pain training significantly increased respite workers' pain-related knowledge (effect sizes: r=0.81 to 0.88), as well as their ratings of the feasibility of, and their own confidence and skill in, pain assessment and management in children with ID (effect sizes: r= 0.41 to 0.70). The training was rated favorably. Discussion: Training can positively impact respite workers' knowledge and perceptions about pain assessment and management. As such, they may be better equipped to care for children with ID in this area.
Databáze: OpenAIRE