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Study protocol: parents as pain management in Swedish neonatal care – SWEpap, a multi-center randomized controlled trial

BACKGROUND: During the first period of life, critically ill as well as healthy newborn infants experience recurrent painful procedures. Parents are a valuable but often overlooked resource in procedural pain management in newborns. Interventions to improve parents’ knowledge and involvement in infan...

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Autores principales: Olsson, Emma, Carlsen Misic, Martina, Dovland Andersen, Randi, Ericson, Jenny, Eriksson, Mats, Thernström Blomqvist, Ylva, Ullsten, Alexandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7549219/
https://www.ncbi.nlm.nih.gov/pubmed/33046026
http://dx.doi.org/10.1186/s12887-020-02356-7
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author Olsson, Emma
Carlsen Misic, Martina
Dovland Andersen, Randi
Ericson, Jenny
Eriksson, Mats
Thernström Blomqvist, Ylva
Ullsten, Alexandra
author_facet Olsson, Emma
Carlsen Misic, Martina
Dovland Andersen, Randi
Ericson, Jenny
Eriksson, Mats
Thernström Blomqvist, Ylva
Ullsten, Alexandra
author_sort Olsson, Emma
collection PubMed
description BACKGROUND: During the first period of life, critically ill as well as healthy newborn infants experience recurrent painful procedures. Parents are a valuable but often overlooked resource in procedural pain management in newborns. Interventions to improve parents’ knowledge and involvement in infants’ pain management are essential to implement in the care of the newborn infant. Neonatal pain research has studied a range of non-pharmacological pain alleviating strategies during painful procedures, yet, regarding combined multisensorial parent-driven non-pharmacological pain management, research is still lacking. METHODS/DESIGN: A multi-center randomized controlled trial (RCT) with three parallel groups with the allocation ratio 1:1:1 is planned. The RCT “Parents as pain management in Swedish neonatal care – SWEpap”, will investigate the efficacy of combined pain management with skin-to-skin contact, breastfeeding and live parental lullaby singing compared with standard pain care initiated by health care professionals, during routine metabolic screening of newborn infants (PKU-test). DISCUSSION: Parental involvement in neonatal pain management enables a range of comforting parental interventions such as skin-to-skin contact, breastfeeding, rocking and soothing vocalizations. To date, few studies have been published examining the efficacy of combined multisensorial parent-driven interventions. So far, research shows that the use of combined parent-driven pain management such as skin-to-skin contact and breastfeeding, is more effective in reducing behavioral responses to pain in infants, than using the pain-relieving interventions alone. Combined parental soothing behaviors that provide rhythmic (holding/rocking/vocalizing) or orogustatory/orotactile (feeding/pacifying) stimulation that keep the parent close to the infant, are more effective in a painful context. In the SWEpap study we also include parental live lullaby singing, which is an unexplored but promising biopsychosocial, multimodal and multisensory pain alleviating adjuvant, especially in combination with skin-to-skin contact and breastfeeding. TRIAL REGISTRATION: ClinicalTrials.gov (NCT04341194) 10 April 2020.
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spelling pubmed-75492192020-10-13 Study protocol: parents as pain management in Swedish neonatal care – SWEpap, a multi-center randomized controlled trial Olsson, Emma Carlsen Misic, Martina Dovland Andersen, Randi Ericson, Jenny Eriksson, Mats Thernström Blomqvist, Ylva Ullsten, Alexandra BMC Pediatr Study Protocol BACKGROUND: During the first period of life, critically ill as well as healthy newborn infants experience recurrent painful procedures. Parents are a valuable but often overlooked resource in procedural pain management in newborns. Interventions to improve parents’ knowledge and involvement in infants’ pain management are essential to implement in the care of the newborn infant. Neonatal pain research has studied a range of non-pharmacological pain alleviating strategies during painful procedures, yet, regarding combined multisensorial parent-driven non-pharmacological pain management, research is still lacking. METHODS/DESIGN: A multi-center randomized controlled trial (RCT) with three parallel groups with the allocation ratio 1:1:1 is planned. The RCT “Parents as pain management in Swedish neonatal care – SWEpap”, will investigate the efficacy of combined pain management with skin-to-skin contact, breastfeeding and live parental lullaby singing compared with standard pain care initiated by health care professionals, during routine metabolic screening of newborn infants (PKU-test). DISCUSSION: Parental involvement in neonatal pain management enables a range of comforting parental interventions such as skin-to-skin contact, breastfeeding, rocking and soothing vocalizations. To date, few studies have been published examining the efficacy of combined multisensorial parent-driven interventions. So far, research shows that the use of combined parent-driven pain management such as skin-to-skin contact and breastfeeding, is more effective in reducing behavioral responses to pain in infants, than using the pain-relieving interventions alone. Combined parental soothing behaviors that provide rhythmic (holding/rocking/vocalizing) or orogustatory/orotactile (feeding/pacifying) stimulation that keep the parent close to the infant, are more effective in a painful context. In the SWEpap study we also include parental live lullaby singing, which is an unexplored but promising biopsychosocial, multimodal and multisensory pain alleviating adjuvant, especially in combination with skin-to-skin contact and breastfeeding. TRIAL REGISTRATION: ClinicalTrials.gov (NCT04341194) 10 April 2020. BioMed Central 2020-10-12 /pmc/articles/PMC7549219/ /pubmed/33046026 http://dx.doi.org/10.1186/s12887-020-02356-7 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Study Protocol
Olsson, Emma
Carlsen Misic, Martina
Dovland Andersen, Randi
Ericson, Jenny
Eriksson, Mats
Thernström Blomqvist, Ylva
Ullsten, Alexandra
Study protocol: parents as pain management in Swedish neonatal care – SWEpap, a multi-center randomized controlled trial
title Study protocol: parents as pain management in Swedish neonatal care – SWEpap, a multi-center randomized controlled trial
title_full Study protocol: parents as pain management in Swedish neonatal care – SWEpap, a multi-center randomized controlled trial
title_fullStr Study protocol: parents as pain management in Swedish neonatal care – SWEpap, a multi-center randomized controlled trial
title_full_unstemmed Study protocol: parents as pain management in Swedish neonatal care – SWEpap, a multi-center randomized controlled trial
title_short Study protocol: parents as pain management in Swedish neonatal care – SWEpap, a multi-center randomized controlled trial
title_sort study protocol: parents as pain management in swedish neonatal care – swepap, a multi-center randomized controlled trial
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7549219/
https://www.ncbi.nlm.nih.gov/pubmed/33046026
http://dx.doi.org/10.1186/s12887-020-02356-7
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