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Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: Implementation Effectiveness of a Parent-Directed YouTube Video ("It Doesn't Have To Hurt") on Evidence-Based Strategies to Manage Needle Pain: Descriptive Survey Study
Author(s): Chambers, Christine T
Dol, Justine
Parker, Jennifer A
Caes, Line
Birnie, Kathryn A
Taddio, Anna
Campbell-Yeo, Marsha
Halperin, Scott A
Langille, Jennifer
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Keywords: pain management
knowledge translation
social media
Issue Date: Jun-2020
Citation: Chambers CT, Dol J, Parker JA, Caes L, Birnie KA, Taddio A, Campbell-Yeo M, Halperin SA & Langille J (2020) Implementation Effectiveness of a Parent-Directed YouTube Video ("It Doesn't Have To Hurt") on Evidence-Based Strategies to Manage Needle Pain: Descriptive Survey Study. JMIR Pediatrics and Parenting, 3 (1), Art. No.: e13552.
Abstract: Background: Despite the availability of high-quality evidence and clinical practice guidelines for the effective management of pediatric pain, this evidence is rarely used in practice for managing children’s pain from needle procedures such as vaccinations. Parents are generally unaware of pain management strategies they can use with their children. Objective: This study aimed to develop, implement, and evaluate the implementation effectiveness of a parent-directed YouTube video on evidence-based strategies to manage needle pain in children. Methods: This was a descriptive study. Analytics were extracted from YouTube to describe video reach. A Web-based survey was used to seek parent and health care professional (HCP) feedback about the video. The 2-minute 18-second video was launched on YouTube on November 4, 2013. In the video, a 4-year-old girl tells parents what they should and should not do to help needles hurt less. The key evidence-based messages shared in the video were distraction, deep breathing, and topical anesthetic creams. A group of parents (n=163) and HCPs (n=278) completed the Web-based survey. Measures of reach included number of unique views, country where the video was viewed, sex of the viewer, and length of watch time. The Web-based survey assessed implementation outcomes of the video, such as acceptability, appropriateness, penetration, and adoption. Results: As of November 4, 2018 (5 years after launch), the video had 237,132 unique views from 182 countries, with most viewers watching an average of 55.1% (76/138 seconds) of the video. Overall, both parents and HCPs reported strong acceptance of the video (ie, they liked the video, found it helpful, and felt more confident) and reported significant improvements in plans to use distraction, deep breathing, and topical anesthetic creams. Conclusions: This parent-directed YouTube video was an acceptable and appropriate way to disseminate evidence about the procedure of pain management to a large number of parents.
DOI Link: 10.2196/13552
Rights: ©Christine T Chambers, Justine Dol, Jennifer A Parker, Line Caes, Kathryn A Birnie, Anna Taddio, Marsha Campbell-Yeo, Scott A Halperin, Jennifer Langille. Originally published in JMIR Pediatrics and Parenting (, 04.03.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Pediatrics and Parenting, is properly cited. The complete bibliographic information, a link to the original publication on, as well as this copyright and license information must be included.
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