A randomized controlled trial of a brief versus standard group parenting program for toddler aggression

Abstract Background Neuropathic pain is characterized by spontaneous painful symptoms. Medical therapies include the use of a capsaicin 8% patch (Qutenza®, Grünenthal Gmbh, Germany), and patients may experience a sharp burning sensation at application and removal of the patch. This study aimed to evaluate the impact of playing a standardized hypnosis recording during application, on the pain and anxiety induced by capsaicin treatment. Methods In a randomized, controlled trial, we assessed the benefits of the intervention firstly on pain and secondly on anxiety, as measured using numerical rating scales. All patients had application of the capsaicin patch, including the possibility for the patient to apply a cold patch. Participants were randomly assigned to one of 3 groups, namely the “Standard group” (no intervention), “Hypnosis group”, in which a standardized hypnotic message was played during application, or the “Music group” in which relaxing music was played during application of the patch. Results Sixty-nine patients were included. Overall, there was no significant difference in pain scores between groups (p = 0.355). Compared to standard application, anxiety was significantly lower in the hypnosis group after application (p = 0.007), with no significant difference between the standard and music arms (p = 0.271), or between the hypnosis and music arms (p = 0.423). Conclusions Listening to a standardized hypnotic message during application of a capsaicin patch was found to significantly lower anxiety. These findings indicate that the use of a hypnotic message can reduce discomfort and warrant its evaluation in other indications of pain or anxiety during treatment procedures. Trial registration NCT02822625.

Download Full-text

The Irie Homes Toolbox: A Cluster Randomized Controlled Trial of an Early Childhood Parenting Program to Prevent Violence Against Children in Jamaica

Children and Youth Services Review ◽

10.1016/j.childyouth.2021.106060 ◽

2021 ◽

pp. 106060

Author(s):

Taja Francis ◽

Helen Baker-Henningham

Keyword(s):

Randomized Controlled Trial ◽

Early Childhood ◽

Controlled Trial ◽

Cluster Randomized Controlled Trial ◽

Parenting Program ◽

Violence Against Children ◽

Randomized Controlled ◽

Childhood Parenting ◽

Cluster Randomized

Download Full-text

A randomized controlled trial of an emotion socialization parenting program and its impact on parenting, children's behavior and parent and child stress cortisol: Tuning in to Toddlers

Behaviour Research and Therapy ◽

10.1016/j.brat.2021.104016 ◽

2021 ◽

pp. 104016

Author(s):

Sophie S. Havighurst ◽

Christiane E. Kehoe ◽

Ann E. Harley ◽

Alessandra Radovini ◽

Rae Thomas

Keyword(s):

Randomized Controlled Trial ◽

Emotion Socialization ◽

Controlled Trial ◽

Parenting Program ◽

Randomized Controlled ◽

Children's Behavior

Download Full-text

Interest of a standardized hypnotic message for the reduction of pain and anxiety in cancer patients treated by capsaicin patch for neuropathic pain: A randomized-controlled trial

10.21203/rs.3.rs-147663/v1 ◽

2021 ◽

Author(s):

Rémi Etienne ◽

Myriam Laurent ◽

Aline Henry ◽

Antoine Bioy ◽

Julia Salleron ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Neuropathic Pain ◽

Rating Scales ◽

Controlled Trial ◽

Standard Group ◽

Randomized Controlled ◽

Significant Difference ◽

Numerical Rating ◽

Reduction Of Pain ◽

The Impact

Abstract BackgroundNeuropathic pain is characterised by spontaneous painful symptoms. Medical therapies include the use of a capsaicin 8% patch (Qutenza ®, Grünenthal Gmbh, Germany), and patients may experience a sharp burning sensation at application and removal of the patch. This study aimed to evaluate the impact of playing a standardized hypnosis recording during application, on the pain and anxiety induced by capsaicin treatment.MethodsIn a randomized-controlled trial, we assessed the benefits of the intervention firstly on pain and secondly on anxiety, as measured using numerical rating scales. All patients had application of the capsaicin patch, including the possibility for the patient to apply a cold patch. Participants were randomly assigned to one of 3 groups, namely the “Standard group” (no intervention), “Hypnosis group”, in which a standardized hypnotic message was played during application, or the “Music group” in which relaxing music was played during application of the patch.ResultsSixty-nine patients were included. Overall, there was no significant difference in pain scores between groups (p = 0.355). Compared to standard application, anxiety was significantly lower in the hypnosis group after application (p = 0.007), with no significant difference between the standard and music arms (p = 0.271), or between the hypnosis and music arms (p = 0.423).ConclusionsListening to a standardized hypnotic message during application of a capsaicin patch was found to significantly lower anxiety. These findings indicate that the use of a hypnotic message can reduce discomfort and warrant its evaluation in other indications of pain or anxiety during treatment procedures.Trial Registration : NCT02822625

Download Full-text

Effectiveness of a Technology-Based Supportive Educational Parenting Program on Parental Outcomes in Singapore: Protocol for a Randomized Controlled Trial (Preprint)

10.2196/preprints.8062 ◽

2017 ◽

Author(s):

Shefaly Shorey ◽

Yvonne Peng Mei Ng ◽

An Ling Siew ◽

Joanne Yoong ◽

Evalotte M�relius

Keyword(s):

Social Support ◽

Randomized Controlled Trial ◽

Self Efficacy ◽

Transition To Parenthood ◽

Controlled Trial ◽

Well Being ◽

Perinatal Period ◽

Educational Programs ◽

Parenting Program ◽

Randomized Controlled

BACKGROUND Supportive educational programs during the perinatal period are scarce in Singapore. There is no continuity of care available in terms of support from community care nurses in Singapore. Parents are left on their own most of the time, which results in a stressful transition to parenthood. There is a need for easily accessible technology-based educational programs that can support parents during this crucial perinatal period. OBJECTIVE The aim of this study was to describe the study protocol of a randomized controlled trial on a technology-based supportive educational parenting program. METHODS A randomized controlled two-group pretest and repeated posttest experimental design will be used. The study will recruit 118 parents (59 couples) from the antenatal clinics of a tertiary public hospital in Singapore. Eligible parents will be randomly allocated to receive either the supportive educational parenting program or routine perinatal care from the hospital. Outcome measures include parenting self-efficacy, parental bonding, postnatal depression, social support, parenting satisfaction, and cost evaluation. Data will be collected at the antenatal period, immediate postnatal period, and at 1 month and 3 months post childbirth. RESULTS Recruitment of the study participants commenced in December 2016 and is still ongoing. Data collection is projected to finish within 12 months, by December 2017. CONCLUSIONS This study will identify a potentially clinically useful, effective, and cost-effective supportive educational parenting program to improve parental self-efficacy and bonding in newborn care, which will then improve parents’ social support–seeking behaviors, emotional well-being, and satisfaction with parenting. It is hoped that better supported and satisfied parents will consider having more children, which may in turn influence Singapore’s ailing birth rate. CLINICALTRIAL International Standard Randomized Controlled Trial Number (ISRCTN): 48536064; https://www.isrctn.com/ISRCTN48536064 (Archived by WebCite at http://www.webcitation.org/6wMuEysiO)

Download Full-text

Antimicrobial Dressing versus Standard Dressing in Obese Women Undergoing Cesarean Delivery: A Randomized Controlled Trial

American Journal of Perinatology ◽

10.1055/s-0040-1721112 ◽

2020 ◽

Author(s):

Antonio F. Saad ◽

Ashley E. Salazar ◽

Lindsey Allen ◽

George R. Saade

Keyword(s):

Randomized Controlled Trial ◽

Patient Satisfaction ◽

Pregnant Women ◽

Cesarean Delivery ◽

Wound Dressing ◽

Controlled Trial ◽

Population Characteristics ◽

Standard Group ◽

Provider Satisfaction ◽

Randomized Controlled

Objective This study aimed to evaluate the effect of a novel antimicrobial dressing on patient satisfaction and health-related quality of life (HRQoL) following a cesarean delivery. Study Design This was an open-label, single-center, two-arm randomized controlled trial. This study was done at the tertiary center, maternal unit, Galveston, TX. Pregnant women with body mass indices ≥35 kg/m2 were screened for eligibility. Women were randomized to ReliaTect Post-Op Dressing (RELIATECT) or standard wound dressing (STANDARD). Primary outcome was patient satisfaction and HRQoL using validated questionnaires. Secondary outcomes were provider satisfaction, surgical site infection (SSI) rates, and wound complications. Results In total, 160 women were randomized. Population characteristics were not significant among groups. RELIATECT dressing group had an overall higher score of satisfaction and HRQoL compared with STANDARD group. Women in the RELIATECT group reported less incision odor and incisional pain. Compared with the STANDARD group, most women in RELIATECT dressing group reported better daily activities, self-esteem, personal hygiene, body image, and sleep. Providers reported that the RELIATECT dressing allowed better assessment of the surgical incision site, allowed patients to shower early, and did observe less wound dressing leakage. No differences were found in other secondary end points. Conclusion Postcesarean RELIATECT dressing for wound care in pregnant women with obesity had better patient and provider satisfaction as well as better HRQoL scores. Further, level 1 evidence is needed to assess its impact on SSI rates and wound complication, as this trial was not powered to accomplish this goal. Key Points

Download Full-text

Subcutaneous Tunnelling of Epidural Catheters for Postoperative Analgesia to Prevent Accidental Dislodgement: A Randomized Controlled Trial

Anaesthesia and Intensive Care ◽

10.1177/0310057x9802600203 ◽

1998 ◽

Vol 26 (2) ◽

pp. 147-151 ◽

Cited By ~ 16

Author(s):

R. Burstal ◽

F. Wegener ◽

C. Hayes ◽

G. Lantry

Keyword(s):

Randomized Controlled Trial ◽

Postoperative Analgesia ◽

Controlled Trial ◽

Initial Position ◽

Catheter Removal ◽

Standard Group ◽

Epidural Blockade ◽

Randomized Controlled ◽

Clinically Significant ◽

Epidural Catheters

The use of subcutaneous tunnelling to prevent movement of epidural catheters was examined in a prospective controlled trial. There were 113 patients in the standard group and 100 in the tunnelled group. The groups were similar with respect to age, sex and weight. There were 176 thoracic catheters, and 37 lumbar catheters. Mean duration of catheterization in the tunnelled group was 3.5±1.3 days and in the standard group, 3.1±1.5 days. In total, 60 catheters moved significantly from their initial position: 17 (28%) moved inwards and 43 (72%) moved outwards. 159 catheters were still functioning at the time of their removal, 76 standard and 83 tunnelled. This represents 67 and 83% of the two groups respectively. Subcutaneous tunnelling was shown to prevent clinically significant inwards (P=0.043) and outwards (P=0.0005) movement of epidural catheters and is more likely to result in a functional epidural blockade at the time of catheter removal (P=0.0084).

Download Full-text