Evidence map›Paper›PMID 21532793›Full record

ArticlePaediatrics & child health2010

Mothers' beliefs about analgesia during childhood immunization.

Elena Parvez, Jennifer Stinson, Heather Boon, Joanne Goldman, Vibhuti Shah, Anna Taddio

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Paediatrics & child health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01379885 (Childhood Immunization), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01379885 naterminatednot on this mapstarted 2011, after this paper: background citation

Childhood Immunization: Reducing Immunization Distress (RID) Using Multi-Modal Distraction

TypeinterventionalSponsorUniversity of California, San FranciscoRan2011 to 2013Enrolled77ConditionsPainArmsStandard technique, Parent participation technique
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. From the mouth of babes: Getting vaccinated doesn't have to hurt.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2014
    Article
  10. Practices and perceptions regarding pain and pain management during routine childhood immunizations: Findings from a focus-group study with nurses working at Toronto Public Health, Ontario.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2011
    Article
  11. Reducing the pain of childhood vaccination: an evidence-based clinical practice guideline.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010
    Review
  12. Reducing the pain of childhood vaccination: an evidence-based clinical practice guideline (summary).CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Elena ParvezLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario.
Jennifer Stinson
Heather Boon
Joanne Goldman
Vibhuti Shah
Anna Taddio
Institute for Clinical Evaluative Sciences · CA3M (United States) · USHospital for Sick Children · CAMount Sinai Hospital · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunization injections are the most common painful medical procedures experienced during childhood, yet there is a discrepancy between recommendations for the effective use of topical anesthetics to reduce vaccine injection pain and actual practice.

objectiveTo improve our understanding of mothers' experiences and practices regarding their children's routine immunizations.

methodAdopting an interpretive, naturalistic paradigm, semi-structured interviews were conducted with 15 mothers to examine their perceptions and experiences of their children's immunization pain and pain management.

resultsThe findings demonstrated three main themes: attitudes toward immunization pain, immunization pain management and physicians as sources of information. Participants described feeling distressed while their children were being immunized, but most managed these difficulties by focusing on the benefits of immunization and by minimizing or justifying the pain. All of the participants used non-pharmacological techniques to manage immunization injection pain. Few mothers were aware of the availability of topical anesthetics. When participants did use pharmacological analgesic approaches, oral analgesics were most likely to be used for prophylaxis and treatment of fever, and participants were unaware of evidence-based approaches to managing pain. Participants viewed their physicians as trusted sources of information, and the majority said that they would likely use a topical anesthetic in the future if recommended or approved by their physician.

conclusionThe present findings provide direction for future knowledge translation activities to enhance the knowledge of mothers and clinicians regarding pain during immunization injections and its effective management.

Indexed as

ChildImmunizationInfantPain managementQualitative researchTopical anesthetics

Identifiers

PMID21532793
PMCPMC2912630
OpenAlexW1845765471

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.