Producing systemic change in pediatric practice: An intervention protocol for reducing distress during painful procedures

A. E. Kazak, George Blackall, B. Himelstein, P. Brophy, R. Daller

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

We describe the process of designing, implementing, and evaluating a family-centered, combined pharmacologic-psychologic intervention for procedural pain in pediatric leukemia. The program, the Analgesia Protocol for Procedures in Oncology (APPO), is consistent with family systems frameworks. APPO emphasizes the competence of families in coping with serious pediatric illness and the importance of the roles of multidisciplinary staff in the development of efforts directed at changing clinical practice. Change is viewed as a process of achievements and resistance. The importance of an integrated research perspective is highlighted throughout.

Original languageEnglish (US)
Pages (from-to)173-185
Number of pages13
JournalFamily Systems Medicine
Volume13
Issue number2
DOIs
StatePublished - 1995

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

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