Burns
Volume 36, Issue 5 , Pages 647-658 , August 2010

Multi-modal distraction. Using technology to combat pain in young children with burn injuries

  • Kate Miller

      Affiliations

    • Burns Research Group, Royal Children's Hospital, Brisbane, Australia
    • The University of Queensland, School of Health & Rehabilitation, Division of Occupational Therapy, Brisbane, Australia
    • Department of Occupational Therapy, Royal Children's Hospital, Brisbane, Australia
    • The University of Queensland, School of Medicine, Department of Paediatrics and Child Health, Brisbane, Australia
    • Corresponding Author InformationCorresponding author at: University of Queensland, Department of Paediatrics & Child Health, Level 3 Foundation Building, Royal Children's Hospital, Herston Rd, Herston, QLD 4029, Australia. Tel.: +61 7401260662; fax: +61 733655455.
    • ,
  • Sylvia Rodger

      Affiliations

    • The University of Queensland, School of Health & Rehabilitation, Division of Occupational Therapy, Brisbane, Australia
    • ,
  • Sam Bucolo

      Affiliations

    • The Queensland University of Technology, School of Design, Brisbane, Australia
    • ,
  • Ristan Greer

      Affiliations

    • The University of Queensland, School of Veterinary Science, Division of Epidemiology, Brisbane, Australia
    • ,
  • Roy M. Kimble

      Affiliations

    • Burns Research Group, Royal Children's Hospital, Brisbane, Australia
    • The University of Queensland, School of Medicine, Department of Paediatrics and Child Health, Brisbane, Australia

,Accepted 1 June 2009.

References 

  1. Benjamin D, Herndon D. Special considerations of age: the pediatric burned patient. In:  Herndon D editors. Total Burn Care. Edinburgh: Elsevier Saunders; 2002;p. 427–438
  2. Hettiaratchy S, Dziewulski P. ABC of burns: pathophysiology and types of burns. BMJ. 2004;329(7453):1427–1429
  3. Fitzgerald M. The development of nocioceptive circuits. Nat Rev Neurosci. 2005;6:19–42
  4. Passaretti D, Billmire DA. Management of pediatric burns. J Craniofac Surg. 2003;14(5):713–718
  5. Schechter N, Berde C, Yaster M. Pain in infants, children and adolescents: an overview. Baltimore: Williams & Wilkins; 1993;
  6. Hoffman HG, Patterson DR, Magula J, Carrougher GJ, Zeltzer K, Dagadakis S, et al. Water-friendly virtual reality pain control during wound care. J Clin Psychol. 2004;60(2):189–195
  7. Varni J, Blount R, Waldron S, Smith A. Management of pain and distress. vol. 2. New York: Guilford Press; 1995;
  8. de Jong AE, Middelkoop E, Faber AW, Van Loey NE. Non-pharmacological nursing interventions for procedural pain relief in adults with burns: a systematic literature review. Burns. 2007;33(7):811–827
  9. Hoffman HG, Richards TL, Coda B, Bills AR, Blough D, Richards AL, et al. Modulation of thermal pain-related brain activity with virtual reality: evidence from fMRI. Neuroreport. 2004;15(8):1245–1248
  10. Hoffman HG. Virtual-reality therapy. Sci Am. 2004;291(2):58–65
  11. Miller K, Bucolo S, Patterson E, Kimble RM. The emergence of multi-modal distraction as a paediatric pain management tool. Stud Health Technol Inform. 2008;132:287–292
  12. Mott J, Bucolo S, Cuttle L, Mill J, Hilder M, Miller K, et al. The efficacy of an augmented virtual reality system to alleviate pain in children undergoing burns dressing changes: a randomised controlled trial. Burns. 2008;34:803–808
  13. Wong DL, Baker CM. Pain in children: comparison of assessment scales. Pediatr Nurs. 1988;14:8
  14. Stinson JN, Kavanagh T, Yamada J, Gill N, Stevens B. Systematic review of the psychometric properties, interpretability and feasibility of self-report pain intensity measures for use in clinical trials in children and adolescents. Pain. 2006;125(1–2):143–157
  15. Knutsson J, Tibbelin A, Von Unge M. Postoperative pain after paediatric adenoidectomy and differences between the pain scores made by the recovery room staff, the parent and the child. Acta Otolaryngol. 2006;126(10):1079–1083
  16. Merkel S, Voepel-Lewis T, Malviya S. Pain assessment in infants and young children: the FLACC scale: a behavioral scale for scoring postoperative pain in young children. Am J Nurs. 2002;102(10):55–58
  17. Voepel-Lewis T, Merkel S, Tait AR, Trzcinka A, Malviya S. The reliability and validity of the face, legs, activity, cry. Consolability observational tool as a measure of pain in children with cognitive impairment. Anesth Analg. 2002;95(5):1224–1229
  18. Bucolo S, Mott J, Kimble R. The design of a tangible interaction device to alleviate anxiety and pain in paediatric burns patients. In: CHI 2006: real world design solutions: 2006. Montreal, Quebec, Canada. 2006;[Abstracts: 129–134]
  19. Miller K, Bucolo S, Patterson E, Kipping B, Kimble RM. The development of a paediatric pain management device. In:  Wiederhold B,  Gamberini L,  Bouchard S,  Riva G editor. Annual review of telemedicine and cybertherapy. San Diego, USA. 2008;p. 135–140
  20. Miller K, Bucolo S, Patterson E, Kimble RM. The emergence of multi-modal distraction as a paediatric pain management tool. Studies in Health Technology and Informatics. 2008;132:287–292
  21. Cuttle L, Mill J, Kimble R. ActicoatTM: a cost effective and evidenced-based dressing strategy. Burns. 2008;34(4):578–579
  22. Cuttle L, Naidu S, Mill J, Hoskins W, Das K, Kimble R. A retrospective cohort study of ActicoatTM versus SilvazineTM in a paediatric population. Burns. 2007;33(6):701–707
  23. Field A. Discovering statistics using SPSS. 2nd ed. London: SAGE Publications; 2005;
  24. Tabachnick B, Fidell L. Using multivariate statistics. 4th ed. Boston, MA: Allyn and Bacon; 2001;
  25. Bernstein S, Bijur P, Gallagher E. Relationships between intesnsity and relief in patients with acute severe pain. Am J Emerg Med. 2006;24:162–166
  26. Dworkin RH, Turk DC, Wyrwich KW, Beaton D, Cleeland CS, Farrar JT, et al. Interpreting the clinical importance of treatment outcomes in chronic pain clincial trials: IMMPACT recommendations. J Pain. 2008;9:105–121
  27. Bulloch T, Tenenbein M. Assessment of clinically significant changes in acute pain in children. Acad Emerg Med. 2002;9:199–202
  28. Cohen J. Statistical power analysis for the behavioral sciences. 2nd edn. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988;
  29. Hoffman HG, Patterson DR, Carrougher GJ, Sharar SR. Effectiveness of virtual reality-based pain control with multiple treatments. Clin J Pain. 2001;17(3):229–235
  30. Foertsch CE, O’Hara MW, Stoddard FJ, Kealey GP. Treatment-resistant pain and distress during pediatric burn-dressing changes. J Burn Care Rehabil. 1998;19(3):219–224
  31. Kleiber C, Harper D. Effects of distraction on children's pain and distress during medical procedures: a meta-analysis. Nurs Res. 1999;48(1):44–49
  32. Patterson DR. Non-opioid-based approaches to burn pain. J Burn Care Rehabil. 1995;16(3 Pt 2):372–376
  33. Prensner JD, Yowler C, Smith LF, Steele AL, Fratianne RB. Music therapy for assistance with pain and anxiety management in burn treatment. J Burn Care Res. 2001;22(1):83–88
  34. Stevenson M, Bivins C, O’Brien K, Gonzalez del Rey J. Child life intervention during angiocatheter insertion in the pediatric emergency department. Pediatr Emerg Care. 2005;21(11):712–718
  35. Mansson M, Frederikzon B, Rosberg B. Comparison of preparation and narcotic-sedative premedication in children undergoing surgery. Pediatr Nurs. 1992;18(4):337–342
  36. Jay S, Elliot C, Ozolins M, Olson R, Pruitt S. Behavioural management of children's distress during painful procedures. Behav Res Ther. 1985;23:513–520
  37. American Pain Society (APS). The assessment and management of acute pain in infants, children, and adolescents. J Pediatr. 2001;108(3):793–797
  38. Patel A, Schieble T, Davidson M, Tran MC, Schoenberg C, Delphin E, et al. Distraction with a hand-held video game reduces pediatric preoperative anxiety. Paediatr Anaesth. 2006;16(10):1019–1027
  39. Hoffman HG, Doctor JN, Patterson DR, Carrougher GJ, Furness TA. Virtual reality as an adjunctive pain control during burn wound care in adolescent patients. Pain. 2000;85(1–2):305–309
  40. Bauchner H, Vinci R, Bak S, Pearson C, Corwin M. Parents and procedures: a randomized controlled trial. J Pediatr. 1996;98(5):861–867
  41. Manne SL, Jacobsen PB, Redd WH. Assessment of acute pediatric pain: do child self-report, parent ratings, and nurse ratings measure the same phenomenon?. Pain. 1992;48:45–52
  42. St-Laurent-Gagnon T, Bernard-Bonnin AC, Villebeuve E. Pain evaluation in preschool children and by their parents. Acta Paediatr. 1999;88(4):422–427
  43. Beyer JE, McGrath PJ, Berde CB. Discordance between self-report and behavioral pain measures in children aged 3–7 years after surgery. J Pain Symptom Manage. 1990;5(6):350–356
  44. Strong J, Unruh A, Wright A, Baxter G. Pain: a textbook for therapists. London: Churchill Livingstone; 2002;
  45. Gumenyuk V, Korzyukov O, Alho K, Escera C, Schroger E, Ilmoniemi RJ, et al. Brain activity index of distractibility in normal school-age children. Neurosci Lett. 2001;314(3):147–150
  46. van Dijk M, de Boer JB, Koot HM, Tibboel D, Passchier J, Duivenvoorden HJ. The reliability and validity of the COMFORT scale as a postoperative pain instrument in 0 to 3-year-old infants. Pain. 2000;84(2–3):367–377
  47. Walco GA. Procedural distress in children with cancer: self-report, behavioral observations, and physiological parameters. Clin J Pain. 2005;21(6):484–490
  48. Das DA, Grimmer K, Sparnon AL, McRae SE, Thomas B. The efficacy of playing a virtual reality game in modulating pain for children with acute burn injuries: a randomised control. J Pediatr. 2005;5
  49. Porter F, Grunau R, Anand K. Long-term effects of pain in infants. J Dev Behav Pediatr. 1999;20:253–261
  50. Young K. Pediatric procedural pain. Ann Emerg Med. 2005;45:160–171
  51. van Twillert B, Bremer M, Faber A. Computer-generated virtual reality to control pain and anxiety in pediatric and adult burn patients during wound dressing changes. J Burn Care Res. 2007;28(5):694–702
  52. Fradet C, McGrath P, Kay J, Adams S, Luke B. A prospective survey of reactions to blood tests by children and adolescents. Pain. 1990;40:53–60
  53. Difede J, Jaffe A, Musnigi G, Perry S, Yurt RW. Determinants of pain expression in hospitalised burn patients. Pain. 1997;72:245–251
  54. Konstantatos AH, Angliss M, Costello V, Cleland H, Stafrace S. Predicting the effectiveness of virtual reality relaxation on pain and anxiety when added to PCA morphine in patients having burns dressings changes. Burns. 2009;35:491–499
  55. Sharar SR, Carrougher GJ, Nakamura D, Hoffman HG, Blough D, Patterson DR. Factors influencing the efficacy of virtual reality distraction analgesia during postburn physical therapy: preliminary resluts from 3 ongoing studies. Arch Phys Med Rehabil. 2007;88:43–49

PII: S0305-4179(09)00403-3

doi: 10.1016/j.burns.2009.06.199

Burns
Volume 36, Issue 5 , Pages 647-658 , August 2010

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