Address Correspondence to:

Slides:



Advertisements
Similar presentations
The Biscayne HealthCare Community ™ Model. Whole Person HealthCare: Humanizing Healthcare Praeger Press, 2007.
Advertisements

An ADHD Primer: Treatment for Educators Jill Zaruba, OT Columbus Community Hospital Tawnya Meadows, Ph.D. Munroe-Meyer Institute, UNMC.
Our Mission Community Outreach for Youth & Family Services, Inc. is dedicated to improving the quality of life for both the youth and adult population.
Teenage conceptions in Wales The challenge of intervention and evaluation.
Accommodations and Interventions Joshua Cantor, Ph.D., ABPP Department of Rehabilitation Medicine.
The Physical and Mental Wellness Intervention Kristen Apol Department of Psychology Grand Valley State University  It could be 20%
Project Aim To provide training for Early Childhood Care Providers (ECCPs) on Applied Behavior Analysis (ABA) principles within the EIBI autism classroom,
Accessing Sources Of Evidence For Practice Introduction To Databases Karen Smith Department of Health Sciences University of York.
Psychology 3.3 Managing stress. Psychology Learning outcomes Understand the following three studies on managing stress: Cognitive (Meichenbaum, D. (1972)
Occupational therapy Mazyad Alotaibi.
An Introduction to The SCERTS ® Model Collaborators- Barry Prizant, Ph.D. Amy Wetherby, Ph.D. Emily Rubin, MS Amy Laurent, Ed.M, OTR/L Copyright 2010-
Integrating Service Needs for Homeless Children in a Medical Home Christine Achre, MA, LCPC.
Nursing Care Makes A Difference The Application of Omaha Documentation System on Clients with Mental Illness.
Topics in PsycINFO of Relevance to Nursing PsycINFO is a research database published by the American Psychological Association. Nurses and other health.
Stacee Lerret PhD, RN, CPNP, CCTC Medical College of Wisconsin Children’s Hospital of Wisconsin WI ITNS Annual Conference October 13, 2012 MOVING ON UP:
T HE I NTERGENERATIONAL O BSERVATION S CALE : P ROCESS, P ROCEDURES, AND O UTCOMES Background Shannon Jarrott, Ph.D., Cynthia L. Smith, Ph.D., & Aaron.
Intro to Positive Behavior Interventions & Supports (PBiS)
NICE: what it is and how it works Professor David Haslam, Chair, NICE 10 th June 2015.
Dr. Turki AlBatti,MD. barriers in young adults with type 1 diabetes Glycemic control and adherence behaviors remain low for patients with type 1 diabetes.
Introduction: Medical Psychology and Border Areas
NICE - in evidence based commissioning Gateshead Council Gillian Mathews, Implementation Consultant - North 9 September 2011.
Orientation for New Behavior Team Members – Vocabulary Activity Illinois Service Resource Center 3444 W Dundee Rd Northbrook, IL
Appraisal of Guidelines for Research & Evaluation Using the AGREE¹ Instrument CAN-IMPLEMENT Toolkit Version 1.0 April 2010 Modified from:
Response to Intervention within IDEIA 2004: Get Ready South Carolina Bradley S. Witzel, PhD Department of Curriculum and Instruction Richard W. Riley College.
Pediatric Pain Management
Could Yoga and Meditation Slash Health Care Utilization, Costs? Becker’s Hospital Review Article Written By: Tamara Rosin October 20, 2015.
Chapter 5 Assessment: Overview INTRODUCTION TO CLINICAL PSYCHOLOGY 2E HUNSLEY & LEE PREPARED BY DR. CATHY CHOVAZ, KING’S COLLEGE, UWO.
Chapter 7: High Leverage Practice 2: Techniques to Teach Students with Learning Disabilities.
Topic 5. ... the aggregate of the specific educational, scientific, and professional contributions of the discipline of psychology to the promotion and.
Background Objectives Methods Study Design A program evaluation of WIHD AfterCare families utilizing data collected from self-report measures and demographic.
Carol A. Miller, MD Professor, Pediatrics UCSF Benioff Children’s Hospital And the Asthma Task Force Team.
Purpose Of Training: To guide Clinicians in the completion of screens and development of Alternative Community Service Plans.
Rebecca Cogwell Anderson, Ph.D. Professor and Psychologist Director, Integrated Mental Health in Pain Management Medical College of Wisconsin Pain Management.
Health Related Quality of Life after serious occupational injuries and long term disability Presenter: Ibishi Nazmie MD,PhD University Clinical Center.
Assessment of the Department of Developmental Services Stephen Brown 4/30/12 School of Social Work, Salem State University.
EDU 564 MODULE 5(CHAPTERS 10, 11 AND 12). Chapter 10  Self Determination - many definitions and models to teach this skill -essential characteristics.
+ Interdisciplinary Care in Pediatric Chronic Pain Emily Law, PhD Assistant Professor Department of Anesthesiology & Pain Medicine University of Washington.
LuAnne Stockton, B.A., B.S., Northeastern Ohio Universities College of Medicine Susan Labuda Schrop, M.S. Northeastern Ohio Universities College of Medicine.
Stages of Research and Development
Evaluating the Effectiveness of Social Work Interventions:
Jones, Amy1; Anderson, S2; Murphy, T1 and Martino, D3.
Training Personnel Using Autism online ebp Modules
Michael E. Levin, Jacqueline Pistorello,
Mary Beth Bruder, Ph.D. Cristina Mogro-Wilson, Ph.D.
Objectives of behavioral health integration in the Family Care Center
Children’s Perceptions of a Brief Group Cognitive Behavioral Intervention: Preliminary data and clinical implications1 Robert D. Friedberg, Ph.D., ABPP.
Efficacy of Exercise for Patients with Mental Illness
Jones, Amy1; Anderson, S2; Murphy, T1 and Martino, D3.
Angela Hoffman, BFA, LMT, CPMT; Mark Connelly, PhD; Gerald Woods, MD
Distraction Techniques during pediatric medical procedures
The Evolution of Behavioral Health Services at Rocky Mountain PACE:
Behavioral health integration into ambulatory practice
Understand, Interpret, Use Delaware Positive Behavior Support Project
“CareerGuide for Schools”
Behavioral Health Overview
Fort Hays State University, Department of Nursing
Training in Clinical Psychology
Construct Progressions
Behavioral health integration into ambulatory practice
Chris Russell Sam Morgan Hunter College SPED 746
Methods The Development of a Cognitive-Behavioral Equine Facilitated Therapy for Children and Adolescents with Anxiety Authors: Mary Acri, PhD; Meghan.
The Coalition Training Institute At The Center for Pediatric Research
Effects of Alternative Headache Treatments In Adolescents:
Deconstructing Standard 2a Dr. Julie Reffel Valdosta State University
Toronto Child & Youth Advocacy Centre (CYAC)
Managing & Controlling Clinical Pain
2. Community member, Halifax, Canada
Patient-reported Outcome Measures
From the Evidence Analysis to the Creation of Evidence Based Guidelines 1.
Lincoln Intermediate Unit 12
Presentation transcript:

Address Correspondence to: The Clinical Utility of iPhone Technology for Pediatric Pain Management Kelly Smith1,2, Christina Iversen, B.A. 1, and Rachael Coakley, Ph.D.1,3 1Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children’s Hospital 2Emmanuel College, Boston, MA 3Department of Psychiatry, Harvard Medical School, Boston, MA Mac Powerpoint 97-2004 36 x 48 Abstract Methods The present study systematically reviewed 89 Apple applications targeting pediatric chronic pain interventions; 73 of those were purchased and tested. Each application that was purchased was independently rated by three raters on a Likert scale from 1 (poor) to 5 (excellent) in six  different categories. Thirteen applications included discrepant ratings in one or more categories. These apps were coded by two additional raters to increase reliability. Applications were also coded into categories based on an application’s main utility. Of the 73 purchased and reviewed applications, 25 were recommended based on whether they obtained a mean rating of “4” (very good) or better in this systematic review. While the majority of these applications were found to be developed by lay-professionals, target adult populations, and have not been subject to clinical research, a significant number of these applications are engaging and well designed. This review highlights the current applications that may be clinically useful in pediatric populations, but also highlights the need for more research and the need for caution in using applications with patients. Applications were identified using the following search terms: “Apple applications for: relaxation, breathing, diaphragmatic breathing, belly breathing, guided imagery, pacing breathing, kids, sleep, hypnosis, self-hypnosis, anxiety, yoga, biofeedback, pain, CBT, and cognitive-behavioral therapy.” This search yielded a total of 89 applications. Sixteen were eliminated prior to review because they either exceeded our price limit of $6.00 per app or were found to be outside the scope of this clinical review. Remaining apps (n = 73) were rated on a Likert scale (1=poor, 5=excellent) in six domains. Child/adolescent appropriate Educational Skills-based Engaging Ease of use Technical reliability Three raters coded each application. Ratings that were discrepant by two or more points on a Likert scale were then coded by two additional independent raters. Additional information gathered about each application includes price, developer, year it was created, overall characteristics, and user reviews if available. Discussion Strengths This study offers the first comprehensive review of iPhone app technology for use in clinical pediatric psychology practice. The apps contained in this review may offer clinical benefit to a wide range of pediatric illness and pain populations. Approximately 1/3 of the tested apps were found to be consistent with skills that are taught as part of an evidence based CBT approach to pain management, despite being developed by lay professionals. Many apps were also found to be child and adolescent friendly, despite being developed for adults. This study finds that of 73 potentially relevant apps, only 25 (34%) are likely appropriate for children and adolescents and include a component of clinical utility. This research provides clinicians a guide to the most useful applications available at this time. A complete list of recommended apps is available by request. Limitations and Future Directions This study offers subjective ratings completed by three Ph.D. level providers and two undergraduate research assistants. In general, there was high agreement between raters, though official rater-reliabilities have yet to be calculated. Testing these applications in child and adolescent populations will yield additional useful information about the clinical utility and benefit of integrating iPhone technology into pediatric psychology practice. Evaluating applications in other operating systems such as Android, Windows, and Blackberry could give more insight into other available tools that can be used with a wider audience. Background Cognitive behavioral skill development that includes biobehavioral training is demonstrated to be an effective approach for youth with a variety of chronic pain conditions (Chen & Francis, 2010). Routine practice of these skills is a necessary component of treatment for children and adolescents in order to gain proficiency with these techniques. iPhone technology may offer an engaging and rewarding platform that could potentially reinforce skill acquisition through home-based practices as well as offering the potential for self-management of symptoms. Research on clinically useful applications will help clinicians integrate technology into their practice, which may be especially attractive to children and adolescents. In 2012, 50% of all US households owned an average of three Apple products (CBNC’s All-America Economic Survey, 2012), making apple the most widely utilized app-oriented technology. To date, the only published study looking at smartphone applications for pain management tested only five applications for clinical utility (Rosser & Eccleston, 2011). The current research offers the first systematic review of iPhone apps that may offer clinical utility for children and adolescents with chronic pain and associated difficulties. Results Of the 73 purchased applications, 25 were recommended. Recommendations were made based on whether or not each application received a mean rating of “4” (very good) or better in each of the categories. A sample of recommended applications: Relax and Rest Guided Meditations Breathe2Relax iSleep Easy Autogenic Training and Progressive Muscle Relaxation Super Stretch Yoga Camp Pain Retreat CBT-i Coach The majority of apps were found to either not be developmentally appropriate for use in child and adolescent populations and/or contained information that was not consistent with evidence based practice in pediatric psychology. Address Correspondence to: kelly.smith@childrens.harvard.edu or rachael.coakley@childrens.harvard.edu