The child's perspective on discomfort during medical research procedures
| Autor: | Suzanne van de Vathorst, Jan J. V. Busschbach, Karin J M de Jong, Reinier Timman, Vincent V. W. Jaddoe, Hyke G Tamminga, Jan Passchier, Mariëlle W. Pijnenburg, Mira S. Staphorst, Johannes B. van Goudoever, Marc A. Benninga, Margriet Bisschoff, Irma Bon, Eric G. Haarman, Lissy de Ridder, L. Reneman, Henning Tiemeier, Kay Diederen, Johan C. de Jongste, Jaap Oosterlaan, Angelika Kindermann, Marsh Königs, Joke A. M. Hunfeld |
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| Přispěvatelé: | Psychiatry, Erasmus MC other, Pediatrics, Child and Adolescent Psychiatry / Psychology, Public Health, Paediatric Dentistry, IBBA, Clinical Neuropsychology, APH - Mental Health, Clinical Psychology, Pedodontologie (OII, ACTA), Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam Reproduction & Development (AR&D), Paediatric Gastroenterology, Neonatology, General Paediatrics, Paediatric Pulmonology, Other departments, Amsterdam Neuroscience - Compulsivity, Impulsivity & Attention, APH - Personalized Medicine, Radiology and Nuclear Medicine, APH - Aging & Later Life, General practice, AGEM - Endocrinology, metabolism and nutrition, Pediatric surgery, ACS - Diabetes & metabolism |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
discomfort
Male medicine.medical_specialty Biomedical Research Adolescent Medical procedure Exploratory research Pain self report Anxiety Pulmonary function testing 03 medical and health sciences 0302 clinical medicine Distraction medicine Humans Attention 030212 general & internal medicine research participation Child Diagnostic Techniques and Procedures Fatigue business.industry Research Perspective (graphical) Paediatrics Fear General Medicine Boredom Medical research ethics Surgery Cross-Sectional Studies Attitude Research Design Physical therapy Female Descriptive research medicine.symptom business Stress Psychological 030217 neurology & neurosurgery Personality |
| Zdroj: | BMJ Open, 7(7):e016077. BMJ Publishing Group BMJ Open, 7(7):e016077, 1-9. BMJ Publishing Group Staphorst, M S, Benninga, M A, Bisschoff, M, Oosterlaan, J & Passchier, J 2017, ' The child's perspective on discomfort during medical research procedures: a descriptive study ', BMJ Open, vol. 7, no. 7, e016077, pp. 1-9 . https://doi.org/10.1136/ bmjopen-2017-016077 Staphorst, M S, Benninga, M A, Bisschoff, M, Bon, I, Busschbach, J J V, Diederen, K, Van Goudoever, J B, Haarman, E G, Hunfeld, J A M, Jaddoe, V V W, De Jong, K J M, De Jongste, J C, Kindermann, A, Königs, M, Oosterlaan, J, Passchier, J, Pijnenburg, M W, Reneman, L, Ridder, L D, Tamminga, H G, Tiemeier, H W, Timman, R & Van De Vathorst, S 2017, ' The child's perspective on discomfort during medical research procedures : A descriptive study ', BMJ Open, vol. 7, no. 7, e016077 . https://doi.org/10.1136/bmjopen-2017-016077 BMJ Open BMJ open, 7(7). BMJ Publishing Group Staphorst, M S, Benninga, M A, Bisschoff, M, Bon, I, Busschbach, J J V, Diederen, K, van Goudoever, J B, Haarman, E G, Hunfeld, J A M, Jaddoe, V V W, de Jong, K J M, de Jongste, J C, Kindermann, A, Königs, M, Oosterlaan, J, Passchier, J, Pijnenburg, M W, de Ridder, L, Tiemeier, H W, Timman, R & van de Vathorst, S 2017, ' The child's perspective on discomfort during medical research procedures : A descriptive study ', BMJ Open, vol. 7, no. 7, e016077 . https://doi.org/10.1136/bmjopen-2017-016077 |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/ |
| Popis: | Objective The evaluation of discomfort in paediatric research is scarcely evidence-based. In this study, we make a start in describing children's self-reported discomfort during common medical research procedures and compare this with discomfort during dental check-ups which can be considered as a reference level of a ‘minimal discomfort’ medical procedure. We exploratory study whether there are associations between age, anxiety-proneness, gender, medical condition, previous experiences and discomfort. We also describe children's suggestions for reducing discomfort.Design Cross-sectional descriptive study.Setting Paediatric research at three academic hospitals.Patients 357 children with and without illnesses (8–18 years, mean=10.6 years) were enrolled: 307 from paediatric research studies and 50 from dental care.Main outcome measures We measured various generic forms of discomfort (nervousness, annoyance, pain, fright, boredom, tiredness) due to six common research procedures: buccal swabs, MRI scans, pulmonary function tests, skin prick tests, ultrasound imaging and venepunctures.Results Most children reported limited discomfort during the research procedures (means: 1–2.6 on a scale from 1 to 5). Compared with dental check-ups, buccal swab tests, skin prick tests and ultrasound imaging were less discomforting, while MRI scans, venepunctures and pulmonary function tests caused a similar degree of discomfort. 60.3% of the children suggested providing distraction by showing movies to reduce discomfort. The exploratory analyses suggested a positive association between anxiety-proneness and discomfort.Conclusions The findings of this study support the acceptability of participation of children in the studied research procedures, which stimulates evidence-based research practice. Furthermore, the present study can be considered as a first step in providing benchmarks for discomfort of procedures in paediatric research. |
| Databáze: | OpenAIRE |
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