Evidence map›Paper›PMID 33046026›Full record

ArticleBMC pediatrics2020

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

Emma Olsson, Martina Carlsen Misic, Randi Dovland Andersen, Jenny Ericson, Mats Eriksson, Ylva Thernström Blomqvist, Alexandra Ullsten

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04341194 (Parents as Pain Management in Swedish Family-centred Neonatal Care. A Mixed Methods Approach), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 18% 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.

NCT04341194 nacompletednot on this mapstarted 2021, after this paper: background citation

Parents as Pain Management in Swedish Family-centred Neonatal Care. A Mixed Methods Approach

TypeinterventionalSponsorVärmland County Council, SwedenRan2021 to 2023Enrolled225ConditionsInfant Pain Management, Parent-driven Pain ManagementArmsParent-driven pain management with skin-to-skin contact, Parent-driven pain management with skin-to-skin contact/breastfeeding/parental singing
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
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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

7 authors at 5 institutions in 2 countries.

Emma OlssonFaculty of Medicine and Health, School of Health Sciences, Örebro University, S-701 82, Örebro, Sweden. emma.olsson@oru.se.
Martina Carlsen MisicFaculty of Medicine and Health, School of Health Sciences, Örebro University, S-701 82, Örebro, Sweden.
Randi Dovland AndersenDepartment of Research, Telemark Hospital Trust, Skien, Norway.
Jenny EricsonSchool of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
Mats ErikssonFaculty of Medicine and Health, School of Health Sciences, Örebro University, S-701 82, Örebro, Sweden.
Ylva Thernström BlomqvistNeonatal Intensive Care Unit, University Hospital, Uppsala, Sweden.
Alexandra UllstenFaculty of Medicine and Health, School of Health Sciences, Örebro University, S-701 82, Örebro, Sweden.
Örebro University · SECenter for Clinical Research Dalarna · SEDalarna University · SETelemark Hospital · NOUppsala University Hospital · SE

Funding

Uppsala-Örebro Regional Research Council LIVFOU-930025
6 · The paper itself

Abstract

backgroundDuring 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/

designA 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 registrationClinicalTrials.gov ( NCT04341194 ) 10 April 2020.

Indexed as

Pain ManagementProcedural PainBreast FeedingFemaleHumansInfantInfant, NewbornMulticenter Studies as TopicParentsRandomized Controlled Trials as TopicSwedenBreastfeedingInfantsLullaby singingNewborn metabolic screeningPain managementParentsRandomized controlled trialSkin-to-skin contact

Identifiers

PMID33046026
PMCPMC7549219
OpenAlexW3092505168

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.