Efficacy of a children's procedural preparation and distraction device on healing in acute burn wound care procedures : study protocol for a randomized controlled trial

Brown, Nadia J., Rodger, Sylvia, Ware, Robert S., Kimble, Roy M., & Cuttle, Leila (2012) Efficacy of a children's procedural preparation and distraction device on healing in acute burn wound care procedures : study protocol for a randomized controlled trial. Trials, 13, p. 238.

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Abstract

BACKGROUND: The intense pain and anxiety triggered by burns and their associated wound care procedures are well established in the literature. Non-pharmacological intervention is a critical component of total pain management protocols and is used as an adjunct to pharmacological analgesia. An example is virtual reality, which has been used effectively to dampen pain intensity and unpleasantness. Possible links or causal relationships between pain/anxiety/stress and burn wound healing have previously not been investigated. The purpose of this study is to investigate these relationships, specifically by determining if a newly developed multi-modal procedural preparation and distraction device (Ditto) used during acute burn wound care procedures will reduce the pain and anxiety of a child and increase the rate of re-epithelialization. METHODS/DESIGN: Children (4 to 12 years) with acute burn injuries presenting for their first dressing change will be randomly assigned to either the (1) Control group (standard distraction) or (2) Ditto intervention group (receiving Ditto, procedural preparation and Ditto distraction). It is intended that a minimum of 29 participants will be recruited for each treatment group. Repeated measures of pain intensity, anxiety, stress and healing will be taken at every dressing change until complete wound re-epithelialization. Further data collection will aid in determining patient satisfaction and cost effectiveness of the Ditto intervention, as well as its effect on speed of wound re-epithelialization. DISCUSSION: Results of this study will provide data on whether the disease process can be altered by reducing stress, pain and anxiety in the context of acute burn wounds. TRIAL REGISTRATION: ACTRN12611000913976.

Impact and interest:

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ID Code: 67192
Item Type: Journal Article
Refereed: Yes
Keywords: Acute Disease, Adaptation, Psychological, Anxiety/diagnosis/economics/*prevention & control/psychology, *Bandages, Burns/diagnosis/economics/psychology/*therapy, Child, *Child Behavior, Child, Preschool, Clinical Protocols, *Computers, Handheld, Cost-Benefit Analysis, Equipment Design, Hospital Costs, Humans, Pain/diagnosis/economics/*prevention & control/psychology, Pain Management/economics/*instrumentation/methods, Pain Measurement, Patient Satisfaction, Prospective Studies, Queensland, Re-Epithelialization, *Research Design, Time Factors, Treatment Outcome, User-Computer Interface, *Wound Healing
DOI: 10.1186/1745-6215-13-238
ISSN: 1745-6215
Divisions: Current > Schools > School of Biomedical Sciences
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2012 Springer
Deposited On: 27 Feb 2014 00:03
Last Modified: 25 Mar 2014 23:57

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