Janet E Rennick1,2,3,4,5, Robyn Stremler6,7, Linda Horwood2,5, Marilyn Aita8,9, Tanya Lavoie5, Annette Majnemer5,10, Marie Antonacci1, Alyssa Knox5, Evelyn Constantin2,4,5. 1. Department of Nursing, The Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada. 2. Department of Pediatrics, The Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada. 3. Ingram School of Nursing, Faculty of Medicine McGill University, Montreal, Quebec, Canada. 4. Department of Pediatrics, Faculty of Medicine, McGill University, Montreal, Quebec, Canada. 5. Research Institute, McGill University Health Centre, Montreal, Quebec, Canada. 6. Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. 7. Research Institute, The Hospital for Sick Children, Toronto, Ontario, Canada. 8. Faculté des sciences infirmières, Université de Montréal, Montreal, Quebec, Canada. 9. Research Center, Centre hospitalier universitaire Sainte-Justine, Montreal, Quebec, Canada. 10. School of Physical & Occupational Therapy, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Abstract
OBJECTIVES: To examine the feasibility and acceptability of a PICU Soothing intervention using touch, reading, and music. DESIGN: Nonblinded, pilot randomized controlled trial. SETTING: The PICU and medical-surgical wards of one Canadian pediatric hospital. PATIENTS: Twenty PICU patients age 2-14 years old and their parents, randomized to an intervention group (n = 10) or control group (n = 10). INTERVENTION: PICU Soothing consisted of: 1) parental comforting (touch and reading), followed by 2) a quiet period with music via soft headbands, administered once daily throughout hospitalization. MEASUREMENTS AND MAIN RESULTS: Acceptability and feasibility of the intervention and methods were assessed via participation rates, observation, measurement completion rates, semistructured interviews, and telephone calls. Psychological well-being was assessed using measures of distress, sleep, and child and parent anxiety in the PICU, on the wards and 3 months post discharge. Forty-four percent of parents agreed to participate. Seventy percent and 100% of intervention group parents responded positively to comforting and music, respectively. Most intervention group parents (70%) and all nurses felt children responded positively. All nurses found the intervention acceptable and feasible. Measurement completion rates ranged from 70% to 100%. Pilot data suggested lower intervention group child and parent anxiety after transfer to hospital wards. CONCLUSIONS: PICU Soothing is acceptable and feasible to conduct. Results support the implementation of a full-scale randomized controlled trial to evaluate intervention effectiveness.
RCT Entities:
OBJECTIVES: To examine the feasibility and acceptability of a PICU Soothing intervention using touch, reading, and music. DESIGN: Nonblinded, pilot randomized controlled trial. SETTING: The PICU and medical-surgical wards of one Canadian pediatric hospital. PATIENTS: Twenty PICU patients age 2-14 years old and their parents, randomized to an intervention group (n = 10) or control group (n = 10). INTERVENTION: PICU Soothing consisted of: 1) parental comforting (touch and reading), followed by 2) a quiet period with music via soft headbands, administered once daily throughout hospitalization. MEASUREMENTS AND MAIN RESULTS: Acceptability and feasibility of the intervention and methods were assessed via participation rates, observation, measurement completion rates, semistructured interviews, and telephone calls. Psychological well-being was assessed using measures of distress, sleep, and child and parent anxiety in the PICU, on the wards and 3 months post discharge. Forty-four percent of parents agreed to participate. Seventy percent and 100% of intervention group parents responded positively to comforting and music, respectively. Most intervention group parents (70%) and all nurses felt children responded positively. All nurses found the intervention acceptable and feasible. Measurement completion rates ranged from 70% to 100%. Pilot data suggested lower intervention group child and parent anxiety after transfer to hospital wards. CONCLUSIONS: PICU Soothing is acceptable and feasible to conduct. Results support the implementation of a full-scale randomized controlled trial to evaluate intervention effectiveness.
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