Evidence map›Paper›PMID 33863339›Full record

ArticleBMC health services research2021

Factors associated with parents' experiences using a knowledge translation tool for vaccination pain management: a qualitative study.

Nicole E MacKenzie, Perri R Tutelman, Christine T Chambers, Jennifer A Parker, Noni E MacDonald, C Meghan McMurtry, Pierre Pluye, Vera Granikov, Anna Taddio, Melanie Barwick and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Reducing distress during vaccine injections: 2026 clinical practice guideline update.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Guideline
  2. Review
  3. Article
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

12 authors at 6 institutions in 1 country.

Nicole E MacKenzieDalhousie University, Department of Psychology and Neuroscience, Halifax, Nova Scotia, Canada.
Perri R TutelmanDalhousie University, Department of Psychology and Neuroscience, Halifax, Nova Scotia, Canada.
Christine T ChambersDalhousie University, Department of Psychology and Neuroscience, Halifax, Nova Scotia, Canada. Christine.Chambers@dal.ca.ORCID http://orcid.org/0000-0002-7138-916X
Jennifer A ParkerIWK Health Centre, Centre for Pediatric Pain Research, Halifax, Nova Scotia, Canada.
Noni E MacDonaldDalhousie University, Department of Pediatrics, Halifax, Nova Scotia, Canada.
C Meghan McMurtryUniversity of Guelph, Department of Psychology, Guelph, Ontario, Canada and Pediatric Chronic Pain Program, McMaster Children's Hospital, Hamilton, Ontario, Canada.
Pierre PluyeMcGill University, Department of Family Medicine, Montreal, Quebec, Canada.
Vera GranikovMcGill University, Department of Family Medicine, Montreal, Quebec, Canada.
Anna TaddioUniversity of Toronto, Leslie Dan Faculty of Pharmacy, Toronto, Ontario, Canada.
Melanie BarwickChild Health Evaluative Sciences Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada.
Kathryn A BirnieDalhousie University, Department of Psychology and Neuroscience, Halifax, Nova Scotia, Canada.
Katelynn E BoernerBC Children's Hospital & University of British Columbia, Department of Psychiatry, Vancouver, British Columbia, Canada.
Dalhousie University · CAMcGill University · CAUniversity of Toronto · CAIzaak Walton Killam Health Centre · CAMcMaster Children's Hospital · CAUniversity of British Columbia · CA

Funding

CIHR 167902IWK Health Centre (CA) 1024294
6 · The paper itself

Abstract

backgroundVaccination is a common painful procedure for children. Parents' concern regarding vaccination pain is a significant driver of vaccine hesitancy. Despite the wealth of evidence-based practices available for managing vaccination pain, parents lack knowledge of, and access to, these strategies. Knowledge translation (KT) tools can communicate evidence-based information to parents, however little is known about what factors influence parents' use of these tools. A two-page, electronic KT tool on psychological, physical, and pharmacological vaccination pain management strategies for children, was shared with parents as part of a larger mixed methods study, using explanatory sequential design, exploring factors related to uptake of this KT tool. The aim of this qualitative study was to understand what influenced parents' perceptions of the relevance of the KT tool, as well as their decision as to whether to use the tool.

methodsA qualitative descriptive design was used. A total of 20 parents of children aged 0-17 years (n = 19 mothers) reviewed the KT tool ahead of their child's upcoming vaccination and participated in a semi-structured interview at follow-up. Interviews were recorded, transcribed verbatim, and analyzed with reflexive thematic analysis using an inductive approach.

resultsThe analysis generated three interrelated themes which described factors related to parents' use of the KT tool: (1) Relevance to parents' needs and circumstances surrounding their child's vaccination; (2) Alignment with parents' personal values around, and experiences with, vaccination pain management (e.g., the importance of managing pain); and (3) Support from the clinical environment for implementing evidence-based strategies (e.g., physical clinical environment and quality of interactions with the health care provider).

conclusionsSeveral factors were identified as central to parents' use of the KT tool, including the information itself and the clinical environment. When the tool was perceived as relevant, aligned with parents' values, and was supported by health care providers, parents were more inclined to use the KT tool to manage their children's vaccination pain. Future research could explore other factors related to promoting engagement and uptake when creating parent-directed KT tools for a range of health-related contexts.

Indexed as

ParentsTranslational Research, BiomedicalAdolescentChildChild, PreschoolHumansInfantInfant, NewbornPainQualitative ResearchVaccinationEvidence-based practicesEvidence uptakeKnowledge translationPain managementPediatric painVaccination

Identifiers

PMID33863339
PMCPMC8052692
OpenAlexW3156567609

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.