The Feasibility of Using the BrightHearts Biofeedback‐Assisted Relaxation Application for the Management of Pediatric Procedural Pain: A Pilot Study.

Objective: The objective of this pilot study was to assess the acceptability and feasibility of using BrightHearts, a biofeedback‐assisted relaxation application (app), in children undergoing painful procedures. Methods: Thirty children 7 to 18 years of age undergoing a medical procedure (peripheral...

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Publicado en:Pain Practice Vol. 18; no. 8; pp. 979 - 988
Autores principales: Burton, Karen L.O., Morrow, Angela M., Beswick, Brooke V., Khut, George P.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Nov2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2018
      vid: 18
      iid: 8
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/papr.12696
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        atl: The Feasibility of Using the BrightHearts Biofeedback‐Assisted Relaxation Application for the Management of Pediatric Procedural Pain: A Pilot Study.
      aug:
        au:
          Burton, Karen L.O.
          Morrow, Angela M.
          Beswick, Brooke V.
          Khut, George P.
        affil: Kids Rehab, The Children's Hospital at Westmead, Westmead New South Wales, Australia
      sug:
        subj:
          Biofeedback
          Relaxation Techniques Methods
          Mobile Applications
          Pain, Procedural Prevention and Control
          Pain Management
          Pediatric Care
          Human
          Child
          Adolescence
          Pilot Studies
          Botulinum Toxins Administration and Dosage
          Injections, Intravenous Adverse Effects
          Catheterization Adverse Effects
          Heart Rate Evaluation
          Pulse Oximeters
          Ear
          Thumb
          Monitoring, Physiologic
          Attitude of Health Personnel
          Caregiver Attitudes
          Patient Satisfaction
          Surveys
          Consumer Participation
          Blood Specimen Collection
          Distraction
          Pain Measurement
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Objective: The objective of this pilot study was to assess the acceptability and feasibility of using BrightHearts, a biofeedback‐assisted relaxation application (app), in children undergoing painful procedures. Methods: Thirty children 7 to 18 years of age undergoing a medical procedure (peripheral blood collection, botulinum toxin injection, or intravenous cannula insertion) participated. Participants used BrightHearts, a heart rate–controlled biofeedback‐assisted relaxation training app delivered via an iPad with heart rate measured through a pulse oximeter worn on the ear or thumb. Feasibility was assessed through observations and patient, parent/carer, and healthcare professional feedback. Patient, parent/carer, and healthcare professional satisfaction with BrightHearts was rated using investigator‐developed surveys. Results: Eighty‐three percent of child participants reported that they found BrightHearts helpful during the procedure and that they would use BrightHearts again. All parents and 96% of healthcare professionals indicated they would use BrightHearts again. Sixty‐four percent of healthcare providers perceived that BrightHearts assisted with the ease of performing the procedure. Qualitative analyses found 2 themes: (1) BrightHearts calms through providing distraction and biofeedback and (2) the impact of BrightHearts on the procedure. Conclusions: This pilot study demonstrates the feasibility of using biofeedback‐assisted relaxation delivered via the BrightHearts app in children undergoing peripheral blood collection and cannulation. Future studies are required to evaluate BrightHearts' efficacy in reducing pain and anxiety during painful procedures and distinguish the effects of a biofeedback‐mediated app from distraction.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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