This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Children and families consistently reported that invasive medical procedures are a cause of great distress and have told us that they would like to learn more about ways besides medicine to help children cope with pain and/or anxiety. It is well known that non-pharmacologic interventions, such as cognitive and behavioral techniques, reduce the pain and anxiety associated with invasive procedures. A Comfort Kit Pilot (28 kits) was carried out in both acute care and ambulatory settings to evaluate the perceived efficacy of the intervention before and during procedures in which the children, parents, and assisting staff were surveyed. Eighty-three percent of patients and families found the Comfort Kit helped relieve pain and/or anxiety and ninety-six percent would recommend it to other families. Based on feedback received during the pilot, Comfort Kits have been adapted to include tools for specific developmental ages, making the kits more useful for older children and families as well as younger children.
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