학술논문

A Randomized Controlled Trial of a Parent-Led Memory-Reframing Intervention to Reduce Distress and Pain Associated with Vaccine Injections in Young Children
Document Type
article
Source
Children, Vol 10, Iss 7, p 1099 (2023)
Subject
parent–child reminiscing
memory-reframing intervention
needle pain
pediatric pain
memory of pain
COVID-19 vaccine injection
Pediatrics
RJ1-570
Language
English
ISSN
2227-9067
Abstract
Children remember their memories of pain long after the painful experience is over. Those memories predict higher levels of future pain intensity. Young children’s memories can be reframed to be less distressing. Parents and the way they reminisce about past events with their children play a key role in the formation of pain memories. A novel parent-led memory-reframing intervention changed children’s memories of post-surgical pain to be less distressing. The intervention efficacy in the context of vaccine injections is unclear. This registered randomized controlled trial (NCT05217563) aimed to fill this gap. Seventy-four children aged 4.49 years (SD = 1.05) and scheduled to obtain two COVID-19 vaccine injections and one of their parents were randomized to receive: (1) standard care; (2) standard care and memory-reframing information; and (3) standard care and memory-reframing information with verbal instructions. Children reported their pain after vaccine injections. One week after the first vaccination, children reported memory of pain. Parents reported their use of memory-reframing strategies and intervention feasibility and acceptability. The intervention did not result in significant differences in children’s recalled or future pain. Parents rated the intervention as acceptable and feasible.