Normal Values and the Impact of a Painful Procedure on Salivary Cortisol Levels in Children

2.50
Hdl Handle:
http://hdl.handle.net/10755/161124
Type:
Presentation
Title:
Normal Values and the Impact of a Painful Procedure on Salivary Cortisol Levels in Children
Abstract:
Normal Values and the Impact of a Painful Procedure on Salivary Cortisol Levels in Children
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:McCarthy, Ann Marie, PhD, RN, FAAN
P.I. Institution Name:University of Iowa
Title:Professor
Contact Address:College of Nursing, 50 Newton Rd, Iowa City, IA, 52242, USA
Contact Telephone:319 335 7086
Co-Authors:Kirsten Hanrahan, MA, ARNP, Project Director; Charmaine Kleiber, PhD, RN, FAAN, Associate Professor; Susan Lutgendorf, PhD; Eva Tsalikian, MD; and Bridget Zimmerman, PhD
Purpose A multisite research project is being conducted on the impact of distraction coaching by parents for children undergoing an IV insertion. One outcome measure of child distress is salivary cortisol. However, normal values are not well established. The purpose of this poster is to present 1) normal child cortisol values obtained during a baseline day, 2) comparisons of cortisol levels pre and post procedure, and 3) comparisons of cortisol levels between the day of the procedure and the baseline day.

Theoretical/Conceptual Framework Changes in cortisol levels can be used to assess an individual's response to stressful stimuli or to determine the effectiveness of interventions intended to reduce stress.

Subjects A total of 812 salivary cortisol samples were obtained from 220 children, 4-10 years of age.

Methods Two specimens are collected on the day of the procedure and two on a baseline day. A collection procedure was developed that includes chewing sugarless gum and spitting through a straw into a vial. Educational materials are provided to families describing home collection and mailing guidelines. Procedures were developed to control and monitor sample collection, storage, and shipping.

Results Quality control measures were established to ensure the reliability of the assays carried out in the lab. The inter- and intra-assay coefficients of variation (CV) for the lab were 7.1-9.0% and 4-6.7% respectively. The overall intra-assay CV for duplicates of this data set is 9.8%. Normal cortisol levels for children 4-10 will be presented from the cortisol values obtained on the baseline day. Comparisons of cortisol levels pre and post procedure and between procedural and baseline days will be presented.

Conclusions Results will be used to determine the efficacy of distraction as an intervention for children experiencing an IV. Establishment of normative values will be beneficial to future research with children in stressful situations. [Poster Presentation]
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNormal Values and the Impact of a Painful Procedure on Salivary Cortisol Levels in Childrenen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161124-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Normal Values and the Impact of a Painful Procedure on Salivary Cortisol Levels in Children</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">McCarthy, Ann Marie, PhD, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Iowa</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, 50 Newton Rd, Iowa City, IA, 52242, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">319 335 7086</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ann-mccarthy@uiowa.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Kirsten Hanrahan, MA, ARNP, Project Director; Charmaine Kleiber, PhD, RN, FAAN, Associate Professor; Susan Lutgendorf, PhD; Eva Tsalikian, MD; and Bridget Zimmerman, PhD</td></tr><tr><td colspan="2" class="item-abstract">Purpose A multisite research project is being conducted on the impact of distraction coaching by parents for children undergoing an IV insertion. One outcome measure of child distress is salivary cortisol. However, normal values are not well established. The purpose of this poster is to present 1) normal child cortisol values obtained during a baseline day, 2) comparisons of cortisol levels pre and post procedure, and 3) comparisons of cortisol levels between the day of the procedure and the baseline day. <br/><br/>Theoretical/Conceptual Framework Changes in cortisol levels can be used to assess an individual's response to stressful stimuli or to determine the effectiveness of interventions intended to reduce stress.<br/><br/>Subjects A total of 812 salivary cortisol samples were obtained from 220 children, 4-10 years of age.<br/><br/>Methods Two specimens are collected on the day of the procedure and two on a baseline day. A collection procedure was developed that includes chewing sugarless gum and spitting through a straw into a vial. Educational materials are provided to families describing home collection and mailing guidelines. Procedures were developed to control and monitor sample collection, storage, and shipping. <br/><br/>Results Quality control measures were established to ensure the reliability of the assays carried out in the lab. The inter- and intra-assay coefficients of variation (CV) for the lab were 7.1-9.0% and 4-6.7% respectively. The overall intra-assay CV for duplicates of this data set is 9.8%. Normal cortisol levels for children 4-10 will be presented from the cortisol values obtained on the baseline day. Comparisons of cortisol levels pre and post procedure and between procedural and baseline days will be presented.<br/><br/>Conclusions Results will be used to determine the efficacy of distraction as an intervention for children experiencing an IV. Establishment of normative values will be beneficial to future research with children in stressful situations. [Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-26T23:16:17Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:16:17Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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