title: Procedural Preparation and Support as a Standard of Care in Pediatric Oncology.
abstract: Youth with cancer undergo many repeated and invasive medical procedures that are often painful and highly distressing. A systematic review of published research since 1995 identified 65 papers (11 review articles and 54 empirical studies) that investigated preparatory information and psychological interventions for a variety of medical procedures in pediatric cancer. Distraction, combined cognitive-behavioral strategies, and hypnosis were identified as effective for reducing child pain and increasing child coping. Low- to high-quality evidence informed strong recommendations for all youth with cancer to receive developmentally appropriate preparatory information and psychological intervention for invasive medical procedures.
authors.affiliation: Department of Pediatric Psychology and Neuropsychology, Nationwide Children's Hospital, Columbus, Ohio.
authors.forename: Stacy R
authors.initials: SR
authors.lastname: Flowers
authors.affiliation: Department of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada.|Centre for Pediatric Pain Research, IWK Health Centre, Halifax, NS, Canada.
authors.forename: Kathryn A
authors.initials: KA
authors.lastname: Birnie
mesh_terms: D000223:Adaptation, Psychological; D002648:Child; D006801:Humans; D008495:Medical Oncology / Q000592:standards*; D009369:Neoplasms / Q000523:psychology*; D010146:Pain / Q000517:prevention & control* / Q000523:psychology; D059408:Pain Management / Q000379:methods / Q000592:standards; D010372:Pediatrics / Q000592:standards*; D059039:Standard of Care
keywords: anxiety; cognitive-behavioral; distraction; distress; hypnosis; nonpharmacological; pain; pediatric oncology; preparation; procedure; psychological intervention; psychosocial; standards of care; support