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A Randomized Clinical Trial Of Vapocoolant For Pediatric Immunization Pain Relief, Lindsey L. Cohen, Jill E. Maclaren, Melissa Demore, Beverly Fortson, Abby Friedman, Crystal S. Lim, Balram Gangaram

Psychology Faculty Publications

OBJECTIVES: The purpose of the current study was to evaluate the effectiveness of vapocoolant for preschoolers’ immunization injection pain relief.

STUDY DESIGN: 57 4- to 6-year-old children were randomized to vapocoolant alone or typical care conditions. Pain was measured at baseline and at injection via self-report, caregiver-report, nurse-report, and an observational scale.

RESULTS: Self-report suggested that children in the vapocoolant alone condition demonstrated stronger increases in pain from baseline to injection than typical care. All other measures showed significant increases in pain from baseline to injection, but none indicted treatment effects.

CONCLUSIONS: Consistent with prior studies, vapocoolant might not be …

Behavioral Approaches For Infant Pain Relief, Naomi E. Joffe, Lindsey L. Cohen, Donald J. Bearden, Josie S. Welkom

Psychology Faculty Publications

Infants experience a host of painful medical procedures including heel sticks, venipuncture, and immunizations. Historically, little attention was given to infant pain management due to misconceived myths and beliefs about the experience and long-term effects of pain in infants. Recent data suggest that there are both short- and long-term negative repercussions associated with unmanaged infant pain. In response, a number of non-pharmacological approaches have been developed to provide infants with pain relief associated with medical events. This paper will review these behavioral approaches including positioning, parent training, distraction, sucrose, and skin-to-skin contact. Recommendations for best practices will be provided and …