Microsoft Word - GRADE #45 clinician ed Mar 2 2015.docx
Author(s): RPR/AT
Date: 2015-03-03
Question: Should education of clinicians about pain management prior to the vaccination day vs no treatment be used for reducing vaccine injection pain?
Settings: public health clinics
Bibliography: Chan 2013
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|Quality assessment |No of patients |Effect | | |
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| | | |Quality |Importance |
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|No of studies |
|1 |
|1 |
|1 |
|0 |No evidence available | | | |
|No of studies |
|0 |
|2 |
|1 |
|1 |
|1 |
|1 |
|2 |
|1 |
|0 |No evidence available | | | |
| |
|No of studies |
|1 |
|1 |
|2 |
|1 |
|3 |
|1 |
|1 |
|1 |
|1 |
|1 |
|1 |
|0 |
|0 |No evidence available | | | |
| |
|No of studies |
|2 |
|2 |
|1 |
|1 |
|4 |
|2 |
|3 |
|1 |
|1 |
|1 |
|1 |
|0 |
|0 |No evidence available | | | |
|No of studies |
|1 |
|1 |
|1 |
|0 |
0 |No evidence available | | | | |none |- |- |- |- | |IMPORTANT | | | | | | | | | |0% | |- | | | |1 Sample size was assumed to be 17/group; for No treatment group, sample size was divided by 2
2 Fear was assessed AFTER intervention (i.e., education) and BEFORE procedure
3 In included study (Klingman 1985), the intervention in analysis (1) included education and practice and the intervention in analysis (2) included education and question and answer period.
4 Child not blinded and selective outcome reporting
5 Unclear whether contamination occurred as children vaccinated in groups of 5
6 Sample size was below the recommended optimum information size (OIS) of 400 for an effect size of 0.2
7 Confidence interval crosses the line of nonsignificance and sample size was below the recommended optimum information size (OIS) of 400 for an effect size of 0.2
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