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dc.contributor.authorBrown, Nadia J
dc.contributor.authorKimble, Roy M
dc.contributor.authorRodger, Sylvia
dc.contributor.authorWare, Robert S
dc.contributor.authorCuttle, Leila
dc.date.accessioned2017-10-24T23:29:59Z
dc.date.available2017-10-24T23:29:59Z
dc.date.issued2014
dc.identifier.issn0305-4179
dc.identifier.doi10.1016/j.burns.2013.11.024
dc.identifier.urihttp://hdl.handle.net/10072/172307
dc.description.abstractBackground: The relationships between pain, stress and anxiety, and their effect on burn wound re-epithelialization have not been well explored to-date. The aim of this study was to investigate the effect of the Ditto™ (a hand-held electronic medical device providing procedural preparation and distraction) intervention on re-epithelialization rates in acute pediatric burns. Methods/Design: From August 2011 to August 2012, children (4–12 years) with an acute burn presenting to the Royal Children's Hospital, Brisbane, Australia fulfilled the study requirements and were randomized to [1] Ditto™ intervention or [2] standard practice. Burn re-epithelialization, pain intensity, anxiety and stress measures were obtained at every dressing change until complete wound re-epithelialization. Results: One hundred and seventeen children were randomized and 75 children were analyzed (n = 40 standard group; n = 35 Ditto™ group). Inability to predict wound management resulted in 42 participants no longer meeting the eligibility criteria. Wounds in the Ditto™ intervention group re-epithelialized faster than the standard practice group (−2.14 days (CI: −4.38 to 0.10), p-value = 0.061), and significantly faster when analyses were adjusted for mean burn depth (−2.26 days (CI: −4.48 to −0.04), p-value = 0.046). Following procedural preparation at the first change of dressing, the Ditto™ group reported lower pain intensity scores (−0.64 (CI: −1.28, 0.01) p = 0.052) and lower anxiety ratings (−1.79 (CI: −3.59, 0.01) p = 0.051). At the second and third dressing removals average pain (FPS-R and FLACC) and anxiety scores (VAS-A) were at least one point lower when Ditto™ intervention was received. Conclusions: The Ditto™ procedural preparation and distraction device is a useful tool alongside pharmacological intervention to improve the rate of burn re-epithelialization and manage pain and anxiety during burn wound care procedures.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofpagefrom204
dc.relation.ispartofpageto213
dc.relation.ispartofissue2
dc.relation.ispartofjournalBurns
dc.relation.ispartofvolume40
dc.subject.fieldofresearchClinical sciences
dc.subject.fieldofresearchClinical sciences not elsewhere classified
dc.subject.fieldofresearchcode3202
dc.subject.fieldofresearchcode320299
dc.titlePlay and heal: Randomized controlled trial of Ditto™ intervention efficacy on improving re-epithelialization in pediatric burns
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorWare, Robert


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