T282 NEONATAL PAIN ASSESSMENT PROGRAM (PROGRAMA DE AVALIAÇÃO DE DOR NEONATAL – PADNEO): KNOWLEDGE RETENTION AND SATISFACTION

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POSTER SESSIONS / European Journal of Pain Supplements 5 (2011) 15–295

T282 NEONATAL PAIN ASSESSMENT PROGRAM (PROGRAMA DE ˜ DE DOR NEONATAL – PADNEO): KNOWLEDGE AVALIAC¸ AO RETENTION AND SATISFACTION M. Bueno1 *, A. Kimura1 , A. Leite2 , P. Costa1 , A. Oliveira3 , T. Castral2 , L. Fonseca2 , C. Scochi2 , R. Cardoso4 , S. Gibbins5 , B. Stevens6,7,8 . 1 School of Nursing, University of S˜ ao Paulo, S˜ ao Paulo, 2 Ribeir˜ ao Preto College of Nursing, University of S˜ ao Paulo, Ribeir˜ ao Preto, 3 Children’s Institute, Faculty of Medicine, University of S˜ ao Paulo, S˜ ao Paulo, Brazil; 4 Sunnybrook Health Science Centre, Toronto, 5 Credit Valley Hospital, Mississauga, 6 The Hospital for Sick Children, 7 Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, 8 Faculty of Medicine, University of Toronto, Toronto, ON, Canada Background and Aims: PADNeo is the first Brazilian web-based educational program for neonatal pain assessment. The aim of this study was to preliminary assess participants’ knowledge improvement and satisfaction with course workload, organization, virtual environment, content’s applicability, and resources. Methods: An eight-module web-based course was developed using the Modular Object-Oriented Dynamic Learning Environment (Moodle). Content was designed to enhance knowledge of neonatal pain including: theoretical framework to guide comprehension and learning of basic aspects of pain, pain assessment, and four validated neonatal pain measurement tools. A pilot test was conducted with 10 health sciences students or health care professionals. Applicants completed a pre- and a post-test (20 multiple choice questions) and used a 5-point-Likert scale to assess their satisfaction with the program. Results: The course duration was 8 weeks and all applicants completed the program. Mean pre-test score was 13/20 (±1.88) and mean post-test score, 16/20 (±2.41) and there was a statistically significant difference between the scores (p = 0.006). Applicants were satisfied or highly satisfied with course workload (43.4%, 56.6%, respectively), organization of the program (22.5%, 75%), virtual learning environment (22%, 76%), content’s applicability (33.3%, 66.7%), and learning resources (32.5%, 62.5%). Applicants’ suggestion included increasing the number of pain assessment exercises (video clips and photographs). Conclusion: Knowledge was improved with PADNeo. Applicants were satisfied or highly satisfied with the program. Additional research is needed to assess the impact of PADNeo on clinical settings. Acknowledgements: Authors gratefully acknowledge the IASP for the financial support provided by the “Initiative for Improving Pain Education-2009”. Disclosure: None declared

T283 RISK-FACTORS FOR PAIN COMPLAINTS IN CHILDREN 6–8 YEARS OF AGE – THE PANIC STUDY A. Vierola1 *, M. Narhi ¨ 1 , A.L. Suominen2 , V. Lindi1 , T. Tompuri1 , T.A. Lakka1 . 1 Institute of Biomedicine & Physiology, University of Eastern Finland, Kuopio, 2 Public Health Dentistry, University of Turku, Turku, Finland Background and Aims: We investigated the associations of adiposity, cardiorespiratory fitness (CRF) and physical activity (PA) with the risk of having pain complaints among young children as part of the Physical Activity and Nutrition in Children (PANIC) Study. Methods: The subjects were a population-based sample of 439 children aged 6–8 years. The prevalence and location of overall pain and PA were assessed by questionnaires administered by the parents. Pain occurring at least once a week was determined to be frequent, and that in at least two different areas as multiple pain. CRF was measured by bicycle exercise test and was expressed as maximal work divided by lean body mass (W/LBM). LBM was assessed by Dual Energy X-ray Absorptiometry (DEXA). BMI

standard deviation score (BMI-SDS) was assessed by an obesity calculator. Data were analysed by logistic regression analyses. Results: During the preceding 3 months 235 (54%) of the 439 children had experienced any pain. Of the 235 children with pain, 124 (53%) had had frequent and 128 (54%) multiple pain. BMISDS was inversely associated with overall pain (p = 0.039), and the association remained after adjustment for PA (p = 0.043), but not after further adjustment for CRF (p = 0.083). BMI-SDS (p = 0.011) was also inversely associated with multiple pain, and the relationship remained after adjustment for PA (p = 0.012) and for both PA and CRF (p = 0.013). Conclusions: A lower adiposity was associated with a higher prevalence of overall and multiple pain, and with higher levels of PA the association was even more pronounced. Disclosure: None declared

T284 THE IMPACT OF INDUCED THREAT ON PARENTAL EMOTIONAL REACTIONS WHEN ANTICIPATING PAIN IN THEIR CHILD: AN EXPERIMENTAL STUDY L. Caes *, T. Vervoort, L. Goubert. Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium Background and Aims: Limited research has addressed the underlying processes of parental responses to their child’s pain. The present study investigates whether the threat value parents assign to their child’s pain impacts parents’ emotional responses when anticipating pain in their child. Methods: Fifty-nine schoolchildren (M = 13.03 years; SD = 1.33) participated in a heat pain task, while being observed by one of their parents (47 mothers; 12 fathers). Blue or yellow circles signalled possible pain (i.e., pain signal) or no pain (i.e., safety signal). Parents’ self-reported and psychophysiological responses of fear/distress (i.e., fear-potentiated startle, corrugators EMG activity) were measured, as well as catastrophizing thoughts about their child’s heat pain experience. In parents, the threat value of the child’s pain was manipulated by means of verbal instructions regarding the heat stimulis (low threat: neutral information; high threat: threatening information) and pictures of children expressing low (low threat) or high (high threat) pain, as examples of common child reactions to this heat stimulus. Results: Catastrophizing thoughts about their child’s heat pain were higher in the high threat group compared to the low threat group. Parents reported more fear and exhibited stronger corrugator EMG activity during pain signals than during safety signals, especially in the high threat group. No effect of threat was found on the fear-potentiated startle. Conclusions: The results indicate that parents experience more negative emotions in anticipation of pain in their child when child’s pain is perceived as highly threatening. The findings will be elaborated from affective-motivational theories about pain. Disclosure: None declared

T285 EFFICACY AND SAFETY OF DEEP SEDATION FOR THERAPEUTIC UPPER GASTROINTESTINAL ENDOSCOPY IN PEDIATRIC PATIENTS IN A DEVELOPING COUNTRY S. Amornyotin1 *, P. Aanpreung2 . 1 Anesthesiology, Mahidol University, Faculty of Medicine Siriraj Hospital, 2 Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand Background and Aims: Therapeutic upper gastrointestinal endoscopy (TUGIE) in pediatric patients can be completed with deep sedation or with general anesthesia. The aim of this study was to evaluate the clinical efficacy of deep sedation for TUGIE in pediatric patients in a tertiary care teaching hospital in Thailand. Methods: We undertook a retrospective review of the sedation service records of pediatric patients who underwent TUGIE. All endoscopies were performed by a pediatric gastroenterologist.