Dataset Information

The child's perspective on discomfort during medical research procedures: a descriptive study.

ABSTRACT:

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.

SUBMITTER: Staphorst MS

PROVIDER: S-EPMC5642655 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Publications

The child's perspective on discomfort during medical research procedures: a descriptive study.

Staphorst Mira S MS Benninga Marc A MA Bisschoff Margriet M Bon Irma I Busschbach Jan J V JJV Diederen Kay K van Goudoever Johannes B JB Haarman Eric G EG Hunfeld Joke A M JAM Jaddoe Vincent V W VVW de Jong Karin J M KJM de Jongste Johan C JC Kindermann Angelika A Königs Marsh M Oosterlaan Jaap J Passchier Jan J Pijnenburg Mariëlle W MW Reneman Liesbeth L Ridder Lissy de L Tamminga Hyke G HG Tiemeier Henning W HW Timman Reinier R van de Vathorst Suzanne S

BMJ open 20170801 7

<h4>Objective</h4>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 ...[more]

PMID: 28765130

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Dataset Information

The child's perspective on discomfort during medical research procedures: a descriptive study.

Objective

Design

Setting

Patients

Main outcome measures

Results

Conclusions

Publications

The child's perspective on discomfort during medical research procedures: a descriptive study.

Similar Datasets

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