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Impact of parent-provided distraction on child responses to an IV insertion
Journal article   Peer reviewed

Impact of parent-provided distraction on child responses to an IV insertion

Ann Marie McCarthy, Charmaine Kleiber, Kirsten Hanrahan, M Bridget Zimmerman, Nina Westhus and Susan Allen
Children's Health Care, Vol.39(2), pp.125-141
01/01/2010
DOI: 10.1080/02739611003679915
PMCID: PMC3106296
PMID: 21643530
url
https://www.ncbi.nlm.nih.gov/pmc/articles/3106296View
Open Access

Abstract

This study evaluates the impact of parent-provided distraction on children's responses (behavioral, physiological, parent, and self-report) during an IV insertion. Participants were 542 children, 4 to 10 years old, randomized to an experimental group that received a parent distraction coaching intervention or to routine care. Experimental group children had significantly less cortisol responsivity (p = .026). Children that received the highest level of distraction coaching had the lowest distress on behavioral, parent report, and cortisol measures. When parents provide a higher frequency and quality of distraction, children have lower distress responses on most measures.

Clinical Trials Nursing Catheterization Peripheral -- Psychosocial Factors Distraction Parents Chi Square Test Child Preschool Clinical Assessment Tools Confidence Intervals Female Funding Source Human Hydrocortisone -- Blood Kruskal-Wallis Test Logistic Regression Male Midwestern United States Questionnaires Random Assignment Repeated Measures Wilcoxon Rank Sum Test

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