Young children experience little emotional burden during invasive procedures in asthma research.

Research in children should strike the right balance between protecting underage study subjects and advancing the medical field. This study gives insight into the emotional burden that common invasive research procedures in asthma research have on young children, both from the child and parent persp...

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Publicado en:European Journal of Pediatrics Vol. 178; no. 2; pp. 207 - 212
Autores principales: Padding, Anne M., Rutjes, Niels W., Hashimoto, Simone, Vos, Amit, Staphorst, Mira S., van Aalderen, Wim M. C., van der Schee, Marc P.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2019
      vid: 178
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00431-018-3265-0
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        atl: Young children experience little emotional burden during invasive procedures in asthma research.
      aug:
        au:
          Padding, Anne M.
          Rutjes, Niels W.
          Hashimoto, Simone
          Vos, Amit
          Staphorst, Mira S.
          van Aalderen, Wim M. C.
          van der Schee, Marc P.
        affil: Pediatric Respiratory Medicine, Emma Children's Hospital, Amsterdam UMC, Amsterdam, The Netherlands
      sug:
        subj:
          Research Subjects Psychosocial Factors
          Consumer Participation Psychosocial Factors
          Emotions
          Phlebotomy Psychosocial Factors
          Asthma Psychosocial Factors
          Parents
          Research, Medical
          Research Ethics
          Play and Playthings
          Child
          Child, Preschool
          Female
          Male
          Visual Analog Scaling
          Human
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Female
          Male
      ab: Research in children should strike the right balance between protecting underage study subjects and advancing the medical field. This study gives insight into the emotional burden that common invasive research procedures in asthma research have on young children, both from the child and parent perspective. Puppetry was used to stimulate children (age 5-6 years) to explain their emotional burden prior to and after the research procedures. We operationalised emotional burden as willingness to participate in future research and reluctance towards participation. Parents filled out a questionnaire on this topic. Symptomatic patients as well as healthy controls were analysed. Forty-one children were included. Children's anticipatory fear for future research showed a clear decrease of 0.7 ± 1.6 on a 5-point Likert scale as a consequence of participation (p = 0.02). Sixty percent of all participating children explicitly indicated willingness to undergo identical research procedures again. Children uninformed by their parents about the venipuncture were significantly more reluctant to the venipuncture after the procedure (p < 0.01), compared to children who had been informed (4.0 ± 0.9 resp. 2.8 ± 1.2).Conclusion: This study suggests that the emotional burden of participation in asthma research for underage children can be prevented when they are properly informed and decreases as a consequence of participations. We believe increased emphasis should be placed on informing children and evaluating the emotional impact of research to help caretakers and research ethics committees make informed decisions about participation of children in medical research. What is Known: • Medical professionals and parents are likely to overestimate children's discomfort undergoing (invasive) research procedures. • Two thirds of children (age 6-18 years) participating in medical research indicated that they would participate in the same research study again. What is New: • Pre-school children experience little emotional burden during invasive procedures in asthma research. • Proper communication about (invasive) research procedures in pre-school children helps to reduce the anticipatory fear of these procedures in the future.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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