Paediatric & neonatal pain最新文献

{"title":"Impact of Palliative Care Educational Program on Knowledge and Attitude Regarding Pediatric Palliative Care Among Healthcare Professionals Working in Nepal.","authors":"Biplav Ghimire, Spandana Rayala, Megan Doherty, Arika Poudel, Sudhir Sapkota, Manon Ranger, Srikanth Srirama","doi":"10.1002/pne2.70024","DOIUrl":"https://doi.org/10.1002/pne2.70024","url":null,"abstract":"<p><p>There is a critical and persistent unmet need for pediatric palliative care (PPC) services in low- and middle-income countries (LMICs), with the lack of specialized training among healthcare professionals (HCPs) identified as a major barrier. This study aimed to evaluate the impact of a structured educational intervention on the knowledge and attitudes of HCPs in Nepal toward PPC. We utilized the Project ECHO (Extension for Community Healthcare Outcomes) model, an interactive, technology-enabled, flipped-classroom approach designed to build capacity in resource-limited settings. The program consisted of nine weekly 75-min online sessions, incorporating expert-led didactic lectures, breakout room discussions, and case-based learning. Using a culturally and contextually adapted, validated questionnaire, we measured the changes in Likert scores before and after the educational intervention to assess changes in participants' PPC-related knowledge and attitudes. Of the 55 HCPs who enrolled in the training, 40 completed both the course and the questionnaire. Among them, 19 (47.5%) were nurses, 17 (42.5%) physicians, 2 (5.0%) psychosocial counselors, and 1 (2.5%) a family support officer. Statistically significant improvements were observed in both knowledge and attitudes regarding PPC. All 40 participants (100.0%) reported that the training was valuable and would recommend it to peers. The most cited barriers to participation included time constraints (72.5%), and internet connectivity issues (40.0%). These findings suggest that virtual PPC education delivered through the Project ECHO model is a promising and effective strategy to enhance knowledge, attitudes, and confidence among HCPs in resource-constrained settings. This study supports its potential to address the PPC education gap in LMICs like Nepal. Furthermore, the validated questionnaire developed through this initiative may serve as a useful tool for evaluating similar training initiatives.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"8 1","pages":"e70024"},"PeriodicalIF":0.0,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147793485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Insights Into Tertiary Care Nurses: Awareness and Practices Regarding Nonpharmacological Pediatric Pain Management in Qatar.","authors":"Jibin Kunjavara, Rajesh Rai, Kalpana Singh, Abdulqadir Nashwan, Badriya Lenjawi","doi":"10.1002/pne2.70018","DOIUrl":"10.1002/pne2.70018","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Effective pain management, particularly non-pharmacological pain management (NPPM), is a critical component of pediatric care. Tertiary care settings play a pivotal role in implementing and modeling best practices in NPPM due to their specialized services, multidisciplinary teams, and access to advanced resources. As tertiary public hospitals often handle complex and severe pediatric cases, they serve as a benchmark for high-quality, holistic pain management practices, including non-pharmacological approaches. This study aimed to assess the knowledge, attitudes, and perceived practices of pediatric nurses regarding NPPM in tertiary public hospitals in Qatar. Additionally, the study explored the association between nurses' demographic characteristics and their competencies in NPPM. A cross-sectional design was employed. Data were collected from 136 pediatric nurses in emergency and inpatient units of tertiary public hospitals between August and October 2024. Proportionate sampling was used to select participants. A structured, self-administered questionnaire adapted from validated tools assessed knowledge, attitudes, and practices. Ethical approval was obtained, and data collection adhered to privacy and confidentiality protocols. The mean age of participants was 36.9 ± 5.7 years, with most reporting workload challenges (94.1%) and insufficient NPPM resources (58.8%). The nurse-to-patient ratio was most reported as 1-4 (58.1%), with a smaller proportion working under undetermined ratios (39.0%). A majority (94.1%) reported experiencing workload challenges, and 58.8% reported insufficient NPPM resources. The mean knowledge score was 10.4 ± 2.1, reflecting moderate understanding. While 86.8% correctly identified the best judge of a patient's pain intensity, gaps in knowledge regarding chronic pain management and pediatric pain assessment were evident. The mean attitude score was 50.3 ± 5.9, indicating a positive outlook toward NPPM, though only 41.9% deemed their training adequate. Practices revealed a mean score of 57.3 ± 6.8, with high usage of preparation techniques (87.5%) and verbal reassurance (86.7%). However, methods like guided imagery were underutilized (47.8%). Family involvement in pain management was emphasized, with 92.6% of nurses integrating family participation. This study found that pediatric nurses demonstrate positive attitudes toward non-pharmacological pain management (NPPM) but face gaps in chronic pain management and pediatric pain assessment. Nurse-to-patient ratios also influenced practice, with heavier workloads limiting individualized care. Targeted education, interprofessional collaboration, adequate resources, and evidence-based staffing are essential to strengthen NPPM competencies and improve pediatric pain outcomes. Despite positive attitudes and the adoption of certain effective practices, significant gaps remain in knowledge and the consistent application of NPPM techniques among pediatric nurses in tertiary ","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"7 4","pages":"e70018"},"PeriodicalIF":0.0,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12687297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145727206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Communication Strategies for Children With Chronic Pain Across the Ages: A Qualitative Study of Physiotherapists Using Vignette-Based Focus Groups.","authors":"Jessica Coventry, Rhianydd Thomas, Luke M Davies, Cylie M Williams, Binh Ta, Verity Pacey","doi":"10.1002/pne2.70014","DOIUrl":"10.1002/pne2.70014","url":null,"abstract":"<p><p>Good communication strategies are essential in the management of chronic pain in children. While physiotherapists play a key role in pain management, there is limited guidance on adapting communication strategies for children of different ages. This study describes the communication approaches physiotherapists consider when working with children experiencing chronic lower limb pain and how they adapt these strategies across developmental stages. This study incorporated a qualitative design with three case vignettes and semi-structured focus groups with 20 physiotherapists with experience in pediatrics (mean 11 years physiotherapy experience, 70% with 80%-100% pediatric caseload). Data were analyzed using thematic analysis. Three key themes were generated: (1) Understanding the child and their needs, tailored to the child's developmental level, interests, and communication style; (2) Reassuring and empowering the child, highlighting strategies to build trust, validate pain experiences, and foster autonomy; and (3) Educating the child and their family, addressing pain-related misconceptions and supporting pain management. Additionally, four communication strategies were described by physiotherapists as methods they employ during consultations to support their approaches. These were (1) visual aids, (2) mirror child's language, (3) storytelling and analogies, and (4) age-appropriate resources. Physiotherapists describe understanding, empowering, and educating children with chronic pain through diverse communication strategies tailored to the child's age. These findings highlight the different approaches that may be helpful for physiotherapists who are new to pediatrics or chronic pain management and may enhance physiotherapy practice and improve outcomes for children with chronic pain.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"7 3","pages":"e70014"},"PeriodicalIF":0.0,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12434478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving Pain Outcomes for Children and Adolescents at School via a Socio-Ecological Public Health Lens: A Strengths-Focused Interview Study With Teachers.","authors":"Rebecca Fechner, Erin Turbitt, Emily O Wakefield, Arianne Verhagen, Joshua W Pate","doi":"10.1002/pne2.70012","DOIUrl":"10.1002/pne2.70012","url":null,"abstract":"<p><p>Chronic pain in children and adolescents is widespread and negatively affects school attendance and developmental trajectories. Teachers are central to how pain (both acute and chronic) is experienced by their students because of their position as educators and social role models. Therefore, we aimed to explore how teachers make meaning from and respond to their students' pain, and identify individual and system-level strengths to guide recommendations for clinical and public health interventions for pain management in schools. We conducted a qualitative study using semi-structured individual interviews with schoolteachers using an Appreciative Inquiry approach. We analyzed our results using reflexive thematic analysis, with inductive and deductive approaches. Our analysis was based on a socio-ecological framework. We interviewed 11 teachers working in primary (<i>n</i> = 8), secondary schools (<i>n</i> = 2) and leadership (<i>n</i> = 1). We generated three themes to capture participant experiences: (1) The teacher-student relationship: teachers are dedicated to building a connection and have key teaching and learning skills that can support pain; (2) the school community: inclusion policy and culture can positively influence pain outcomes; and (3) societal influences: misconceptions about pain can influence how teachers perceive the reality of pain. This research enhances our comprehension of the ways in which student pain (whether acute or chronic) is experienced and responded to within the school environment. The insights gained can enrich clinical perspectives and foster collaborative efforts with educators to mitigate the adverse impacts of chronic pain on young individuals, such as increased school absenteeism and pain-related stigma.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"7 3","pages":"e70012"},"PeriodicalIF":0.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12372608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Bibliometric Analysis of Publications on the Prevalence of Chronic Pain in Children and Adolescents From 2009 to 2023.","authors":"Justine Dol, Christine T Chambers, Jennifer A Parker, Perri R Tutelman, Brittany Cormier","doi":"10.1002/pne2.70013","DOIUrl":"10.1002/pne2.70013","url":null,"abstract":"<p><p>Bibliometric reviews explore patterns in publications in a given research area by exploring trends over time and the contributions by citations, such as relationships between authors and publications. Despite \"chronic pain\" being the second most common keyword in pain research, no bibliometric reviews have focused on publication trends related to the prevalence of chronic pain in children and adolescents. A bibliometric analysis was conducted with articles included in a systematic review and meta-analysis on the prevalence of pediatric chronic pain to identify the recent trajectory of the field and guide future directions. Publication bibliometrics data from the articles were extracted and analyzed (e.g., gender of authors, citation counts, and countries) and was visualized in VOSViewer. Among 119 studies, the number of publications per year ranged from 4 (2023) to 11 (2014, 2021) with an average of 8/year. Articles were cited on average 36.6 times (SD = 51.7, range 0-380) with 5058 unique citations. There were 74 different journals represented, with most publishing only 1 article (<i>n</i> = 52, 70%). Seventy countries were represented in prevalence data, 78% from high-income countries; fifteen (21.4%) had only one data point, primarily from low- and lower-middle income countries. There were 109 different corresponding authors, with only 1 corresponding author who had more than 2 published articles. There was relative gender equity in terms of first and corresponding author. There was little to no collaboration between author groups identified. Despite a steady number of articles published over the 14-year period, the literature on the prevalence of pediatric chronic pain appears fragmented with articles published in a wide variety of journals. Prevalence data from low- and lower-middle-income countries were under-represented. Future work should focus on expanding evidence in underrepresented areas and greater collaboration among research groups to collect prevalence data in geographical areas where data gaps exist.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"7 3","pages":"e70013"},"PeriodicalIF":0.0,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The EVENDOL Pain Scale Validation for Acute Non-Procedural Neonatal Pain in Term Neonates: Reliability and Validity in Maternity Wards.","authors":"Lucie Calamy, Elisabeth Fournier-Charrière, Patricia Martret, Patricia Cimerman, Claire Boithias, Thierry Debillon, Ricardo Carbajal, Bruno Falissard, Elizabeth Walter-Nicolet","doi":"10.1002/pne2.70008","DOIUrl":"10.1002/pne2.70008","url":null,"abstract":"<p><p>The assessment of acute non-procedural pain in term neonates in maternity wards is challenging due to the difficulty in selecting an appropriate scale and the time-consuming nature of the process. This can lead to inadequate neonatal pain management. To validate the EValuation ENfant DOuLeur (EVENDOL) pain scale for acute non-procedural pain in term neonates in maternity units by comparing it with the Echelle Douleur et Inconfort du Nouveau-né (EDIN) used as a reference. We hypothesized that EVENDOL would be equivalent to EDIN in assessing acute non-procedural neonatal pain, with better appearance. Prospective multicentric non-interventional open study. Term neonates over 37 weeks' gestation in the delivery room and postnatal care units, with or without acute non-procedural pain, before and after analgesia. Cronbach's α coefficient, intraclass correlation (ICC), and correlation between EVENDOL and EDIN scores, documented by the researchers and the caregivers at rest and mobilization, before and after oral paracetamol, were measured. Ninety-one neonates were included: 48 (51%) had pain and 43 (47%) had no pain. Before analgesia, the Cronbach coefficient was above 0.80, the ICC (25th-75th interquartile ranges [IQ]) were 0.84 (0.77-0.89) and 0.90 (0.85-0.93) at rest and mobilization, respectively. Seventeen patients received oral acetaminophen and were re-assessed. Psychometric values remained good after analgesia (Cronbach coefficient above 0.80, ICC [IQ]: 0.65 [0.26-0.85] and 0.76 [0.45-0.91]) at rest and mobilization, respectively. The feasibility and ease of use were better for EVENDOL for researchers and caregivers. EVENDOL is suitable for the assessment of acute non-procedural neonatal pain for term neonates in the maternity wards. <b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT02819076, registered in June 2016 as EVENDOL scale validation for at term newborn.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"7 2","pages":"e70008"},"PeriodicalIF":0.0,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143344/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chest Pain in Children: Is It Another \"Growing Pain\"?","authors":"Mia Kassab, Abhay Katyal, Sonia Franciosi, Shubhayan Sanatani","doi":"10.1002/pne2.70003","DOIUrl":"10.1002/pne2.70003","url":null,"abstract":"<p><p>Chest pain is a common complaint among children that has a non-cardiac origin in 99% of pediatric cases. We conducted a literature review of the different proposed etiologies of pediatric chest pain, as well as the evidence base supporting current approaches. Among the non-cardiac causes of chest pain in children, musculoskeletal causes are reported to be the most prevalent. This includes precordial catch syndrome, Tietze's syndrome, and costochondritis. However, these origins of musculoskeletal chest pain were described historically, and their labels are likely applied too broadly. It is important that providers be able to differentiate between benign chest pain that truly has a musculoskeletal origin and that which lacks an identifiable cause. To determine the cause of chest pain, providers should take a detailed history, physical examination, electrocardiogram, and any additional indicated laboratory tests. Musculoskeletal chest pain should only be diagnosed if there is an objective finding of reproducible tenderness during the physical examination or if there is a plausible history. If no cause can be identified, the chest pain may be linked to somatization. As a result, these patients may benefit from psychiatric evaluation and mindfulness-based interventions. To better inform clinical care, providers should be aware of these emerging management approaches.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"7 1","pages":"e70003"},"PeriodicalIF":0.0,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11933443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Objective Detection of Newborn Infant Acute Procedural Pain Using EEG and Machine Learning Algorithms.","authors":"Jean-Michel Roué, Amir Avnit, Behnood Gholami, Wassim M Haddad, Kanwaljeet J S Anand","doi":"10.1002/pne2.70001","DOIUrl":"10.1002/pne2.70001","url":null,"abstract":"<p><p>Observer-dependent infant pain scales have limitations including discontinuous assessments and the lack of healthcare professionals' availability. We hypothesized that applying agnostic machine learning approaches to neonatal electroencephalographic (EEG) analysis may reveal features of the infant response to acute pain. EEG was recorded from 30 neonates undergoing acutely painful procedures (18 males, 34.0-41.7 weeks gestation at birth). EEG recordings were randomly assigned to training (<i>n</i> = 20) and testing (<i>n</i> = 10) datasets. Functional connectivity measures were calculated for each infant before and after pain-inducing procedures. A grid search including five machine learning models was conducted on the training dataset, and each model was evaluated using leave-one-subject-out cross-validation. An optimal model, having the highest F-1 score, was obtained and evaluated on the independent testing dataset. A gradient boosting model with 12 features showed optimal performance, with 90% area under the receiver operating characteristic curve suggesting high specificity (0.90) and precision (0.90). The five highest ranked features corresponded to EEG electrode pairs: T7-P4, Fz-CP5, FC1-TP10, CP6-Cz, and Fz-F3, suggesting involvement of the contralateral temporal gyrus, opercular cortex, thalamus, and bilateral insula in infant pain processing. Preliminary changes in functional connectivity indicate infant pain processing. Future machine learning algorithms can integrate physiological and behavioral parameters with EEG changes to accurately assess the complexity of infant pain responses. <b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT03330496.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"7 1","pages":"e70001"},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11891568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improved Post-Operative Outcomes and Reduced Narcotic Use With ERAS Protocol in a Pediatric Ambulatory Surgery Setting.","authors":"Niharika Singh, Jane Ahn, Xin Chen, Sherwin Park, Sunitha Singh, Stefanie Cardamone, Rachel Davis, Helen Hsieh, Robert P Moore","doi":"10.1002/pne2.70004","DOIUrl":"10.1002/pne2.70004","url":null,"abstract":"<p><p>Compared to the adult literature, there are few enhanced recovery after surgery (ERAS) protocols standardized in the pediatric population. The objective of the current study is to determine if the implementation of an ERAS protocol would improve patient outcomes in the ambulatory pediatric urologic population. A retrospective analysis was performed on pediatric patients who underwent urologic procedures (circumcision, orchiopexy, hypospadias correction, and urethroplasty) in the ambulatory surgical setting affiliated with a tertiary pediatric hospital. Outcomes measured include opioid use, home pain control, time in recovery, need for rescue pain medications, and adverse events between pediatric patients receiving standard of care (<i>n</i> = 30) and pediatric patients receiving the ERAS protocol (<i>n</i> = 29). The application of the ERAS pathway led to significantly increased opioid-free care (7% vs. 43%, <i>p</i> < 0.01). There was a reduction in the cost of care, a trend toward reduced opioid use, a trend toward reduced PACU stays for ERAS patients, and families of ERAS patients reported a 100% rate of well-controlled pain at home. These changes occurred without any increased need for rescue pain medications (16% vs. 13%, <i>p</i> = 1) or any change in adverse events (0% vs. 0%, <i>p</i> = 1.0). Postoperative pain measures are improved in pediatric patients receiving the ERAS protocol in an ambulatory surgery setting when compared to patients receiving the standard of care, without an increased risk of adverse events or the need for rescue analgesia. Therefore, this work serves as a proof of concept that ERAS protocols can improve postoperative outcomes in the pediatric ambulatory surgical population.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"7 1","pages":"e70004"},"PeriodicalIF":0.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11891489/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring children's preferences for graphic symbols to represent pain-related words.","authors":"Ensa Johnson, Nina Swanepoel, Gunilla Thunberg","doi":"10.1002/pne2.12128","DOIUrl":"10.1002/pne2.12128","url":null,"abstract":"<p><p>Children who are hospitalized may sometimes not be able to communicate verbally to self-report their pain or other symptoms due to medical conditions, medical interventions, or communication difficulties. As such, these children may need other means, such as augmentative and alternative communication (AAC) strategies, in this case, graphic symbols, to express their pain-related experiences and receive applicable treatment. Choosing suitable graphic symbols to represent pain-related words contributes to the effective use and implementation of visual support. This study explored the preferences of 6.0-9.11-year-old (years; months) children with typical development regarding graphic symbols to represent pain-related words. These symbols were selected from two commonly used and widespread symbol resources: Picture Communication Symbols (PCS®) and Aragonese Portal of Augmentative and Alternative Communication (ARASAAC) symbols. A descriptive, quantitative study design was employed, including a total of 30 typically developed South African children. Data were collected by means of an electronic questionnaire and analyzed using descriptive and inferential statistics. Probability values were determined and predictions, as well as inferences, were implemented. The results showed that the children preferred ARASAAC symbols to represent most pain-related words (<i>p</i> < 0.001). It is important to consider stakeholders' (in this case, children's) input on their preferences in designing communication support to enable participation during the clinical decision-making process.</p>","PeriodicalId":94166,"journal":{"name":"Paediatric & neonatal pain","volume":"6 4","pages":"174-193"},"PeriodicalIF":0.0,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11645971/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}