Music to Reduce Pain and Anxiety in the Pediatric Emergency Department

NCT00761033 | Completed

• 1 other identifier: B-010908
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

Many medical procedures aimed at helping children can cause them pain and distress. If children experience certain levels of pain or distress, it can have long lasting negative effects. The emergency department can be a particularly stressful place for children and their parents. There are also many procedures that children may have in the emergency department that can cause pain and distress. These include procedures such as needle pokes, stitches, or setting a broken bone. Two common methods of managing a child's pain in the emergency department are drugs and distraction. Drugs are not always practical and may come with unwanted side effects. Distraction is often used formally or informally and by parents or the health professionals. One form of distraction involves listening to music. This can lower the child's pain and distress by moving their attention from the painful stimulus, for example a needle poke, to a more pleasant sensation such as familiar children's songs. This study will test whether music is useful to help lower pain and distress for young children (ages 3 to 6 years) who are visiting an emergency department and need an intravenous line. Music is safe and pleasant for children. The results from this study could be important for many children receiving medical care.

Conditions

Pain; Distress

Keywords

children undergoing intravenous placement in the pediatric emergency department

Outcome Measures

Primary Outcomes (1)

• Observation Scale of Behavioral Distress-Revised (OSBD-R)

Secondary Outcomes (1)

• Pain

Study Arms (2)

music

EXPERIMENTAL

children will listen to music during procedure

Behavioral: music

Standard care

OTHER

Standard care

Behavioral: music

Interventions

music BEHAVIORAL

Standard care; music

Eligibility Criteria

• Age: 3 Years - 6 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children attending the pediatric ED between the ages of 3 and 6 years - Undergoing an IV placement
• Conscious
• Have sufficient knowledge of the English language to understand and follow instructions and complete the age-appropriate pain assessment

You may not qualify if:

• Children with hearing impairments, developmental disabilities, or sensory impairment to pain (e.g., spina bifida)
• Children will be excluded at the discretion of the attending staff (e.g., child in critical condition; requires urgent IV placement; or has altered level of consciousness).

Sponsors & Collaborators

• University of Alberta: lead
• Stollery Children's Hospital Foundation: collaborator

Study Sites (1)

Stollery Children's Hospital

Edmonton, Alberta, Canada

Location

Related Publications (1)

• Hartling L, Newton AS, Liang Y, Jou H, Hewson K, Klassen TP, Curtis S. Music to reduce pain and distress in the pediatric emergency department: a randomized clinical trial. JAMA Pediatr. 2013 Sep;167(9):826-35. doi: 10.1001/jamapediatrics.2013.200.

  PMID: 23857075 RESULT

MeSH Terms

Conditions

Pain

Interventions

Music Therapy

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Sensory Art Therapies; Complementary Therapies; Therapeutics; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Psychotherapy; Behavioral Disciplines and Activities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: September 25, 2008
• First Posted: September 26, 2008
• Study Start: October 1, 2008
• Last Updated: December 8, 2016

Record last verified: 2016-12

Locations

CA (1)