Factors Influencing Parental Decision-Making Regarding Analgesia for Children with Musculoskeletal Injury-Related Pain: A Qualitative Study - 05/07/23
, Zoë Dworsky-Fried, MSc 3, Mackenzie Moir, BScN, MSc 1, Manisha Bharadia, MD 1, Manasi Rajagopal, BSc, MBT 1, Serge Gouin, MDCM 4, Scott Sawyer, MD 5, Stephanie Pellerin, RN 4, Lise Bourrier, RN 5, Naveen Poonai, MD, MSc 6, Antonia Stang, MD, MBA 7, Julie Leung, BSc 8, Michael van Manen, MD, PhD 1, 2on behalf of the
KidsCAN PERC Innovative Pediatric Clinical Trials No OUCH Study Team
Abstract |
Objectives |
To explore and understand parental decision-making relating to acute pain management for their children presenting to the emergency department.
Study design |
This study employed one-on-one semistructured interviews. Parents of children with acute musculoskeletal injuries were recruited from 3 Canadian pediatric emergency departments. Interviews were conducted via telephone from June 2019 to March 2021. Verbatim transcription and thematic analyses occurred concurrently with data collection, supporting data saturation and theory development considerations.
Results |
Twenty-seven interviews were completed. Five major themes regarding pain care emerged: (1) my child's comfort is a priority, (2) every situation is unique, (3) opioids only if necessary, (4) considerations when choosing opioids, and (5) pain research is important. Overall, parents were highly comfortable with their assessment of their child's pain. Participants' willingness to use opioid analgesia for their children was primarily dependent on perceptions of injury and pain severity. Opioid-averse and opioid-accepting families had similar considerations when making analgesic decisions but weighed risks and benefits differently.
Conclusions |
Parents assess and manage their children's pain globally and multimodally, with comfort being prioritized. For most parents, the desire to relieve their children's pain outweighed concerns of substance use disorder, misuse, and adverse events when making decisions about opioid analgesia for short-term use. These results can inform evidence-based family-centered approaches to co-decision-making of analgesic plans for children with acute pain.
Le texte complet de cet article est disponible en PDF.Keywords : pediatric, interviews, caregivers, narcotics, analgesic choice
Abbreviations : ED
Plan
| The authors declare no conflicts of interest. |
|
| This work was generously supported by the AMA Section of Pediatrics Grant (2018-2021), the University of Alberta Women and Children's Health Research Institute (WCHRI) Partnership Grant (2017-2014; #1967); the Canadian Institute of Health Research (CIHR) SPOR Innovative Clinical Trial Multi-Year Grant (2017-2023; #MYG 151207); and Zoë Dworsky-Fried was supported through an Alberta Innovates Summer Research Studentship (2022). |
Vol 258
Article 113405- juillet 2023 Retour au numéro
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