A majority of children who recover from surgery suffer from pain in the post-anesthesia care unit (PACU) and upon arriving home. Poorly treated postoperative pain is detrimental due to impacts on children's postoperative behavioral and clinical recovery and subsequent pain and medical care. Accordingly, it is important to develop methods that will alleviate child pain in the postoperative environment. In a previously funded NICHD grant, specific nurse and parent behaviors that influence children's postoperative pain were identified. Building on this line of research, the overall goal of this F31 application is to develop and test the Nurse and Parent Training in Postoperative Stress (N/P-TIPS). The first goal of this study is to develop an intervention which will include a training program to teach PACU nurses to increase behaviors that alleviate child pain and decrease behaviors that elicit child pain and teach nurses how to train parents to alter their own behaviors in a similar way.
The second aim of this study is to conduct a formative evaluation to examine the feasibility and acceptability of this newly developed intervention in a busy surgery center. We will revise the intervention based on healthcare provider feedback. The third objective of this study is to conduct some preliminary testing of the intervention's ability to change parent and nurse behaviors leading to decreases in child postoperative pain. This application will subsequently lead to a large-scale, randomized controlled trial of the effectiveness of the newly developed intervention (R01 NIH application).
The proposed study will develop and preliminarily evaluate a clinically feasible intervention that is aimed to modify nurse and parents' behavior in the postoperative setting in a way that will decrease pain experienced by children after undergoing surgery. Based on past work done in our center, we hypothesize that affecting adults' behavior will improve children's postoperative pain. This project has the potential to mitigate the pain tha thousands of children suffer from after surgery, leading to improved postoperative recovery, and increased child and parent satisfaction.
| Jenkins, Brooke N; Hunter, John F; Cross, Marie P et al. (2018) When is affect variability bad for health? The association between affect variability and immune response to the influenza vaccination. J Psychosom Res 104:41-47 |
| Min, Christopher B; Kain, Zeev N; Stevenson, Robert S et al. (2016) A randomized trial examining preoperative sedative medication and postoperative sleep in children. J Clin Anesth 30:15-20 |
| Brown, Rebecca; Fortier, Michelle A; Zolghadr, Sheeva et al. (2016) Postoperative Pain Management in Children of Hispanic Origin: A Descriptive Cohort Study. Anesth Analg 122:497-502 |
| Jenkins, Brooke N; Kain, Zeev N; Kaplan, Sherrie H et al. (2015) Revisiting a measure of child postoperative recovery: development of the Post Hospitalization Behavior Questionnaire for Ambulatory Surgery. Paediatr Anaesth 25:738-45 |
