CClinicalTrials.gg
CompletedNCT00954499Updated Mar 1, 2011

Reducing Pain in Four- to Six-month Old Infants Undergoing Immunization Using a Multi-modal Approach

An interventional study of Tactile stimulation added to Standard care and Standard care in Pain From Immunization, sponsored by Women's College Hospital. Completed at 1 site in Canada. Open to participants aged 4 Months to 6 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2011-03-01.

Sponsored by Women's College Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
4 Months to 6 Months
Sex
All
01

Study summary

The aim of this study is to answer the following question: In healthy infants aged four to six months undergoing routine immunization for diphtheria, tetanus, acellular pertussis, inactivated poliovirus and Haemophilus influenzae type B (DTaP-IPV-Hib) and pneumococcal conjugate vaccine (PCV) while receiving a combination of proven analgesic interventions (least painful injection technique, holding by parent, and oral sucrose solution) and non-procedural talk by the parent, does the addition of rubbing near the site of injection reduce pain as measured by the Modified Behavioral Pain Scale (MBPS) to a greater extent than no rubbing?

Read the detailed description

Immunization is a significant source of pain and distress for infants. At present pain-relieving interventions are rarely employed to manage this pain.

There are many non-pharmacological methods that can be used to reduce immunization pain. These include: sugar water, fast injection without aspiration, holding infants during the procedure, and non-procedural related parental behaviours such as distraction. At present, there are no studies of tactile stimulation during noxious procedures in infants and its effectiveness, therefore, is unclear. Light rubbing of the skin near the injection site that is administered by a parent immediately before, during and immediately after immunization is an easily learned, cost neutral intervention that could offer improved pain management.

02

Conditions studied

  • Pain From Immunization

Keywords

  • tactile stimulation
  • pain
  • immunization
  • infant
03

In context

Lead sponsor

Women's College Hospital is the lead sponsor of 83 studies on the registry; 20 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
4 Months to 6 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • healthy infants
  • 4 to 6 months old
  • routine immunization with DTaP-IPV-Hib and PCV

Exclusion criteria

Exclusion Criteria:

  • impaired neurological development
  • history of seizure
  • use of topical local anaesthetics at the injection site
  • use of sedatives or narcotics in the preceding 24 hours
  • fever or illness that would prevent administration of the vaccine
  • parent is unable to use the assessment tools in the study
  • parent does not speak English
  • prior participation in this trial
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Care provider)
Enrollment
120 participants (estimated)

Study arms

  • Active comparator
    Standard care

    Behavioral: Standard care

  • Experimental
    Tactile stimulation

    Behavioral: Tactile stimulation added to Standard care

Interventions

  • BehavioralTactile stimulation added to Standard care

    * Parent rubs the infant's skin near the injection site just before, during and after the injection. * Fast injection technique without aspiration. * Oral sucrose 2 minutes before first injection. * Parent holds infant close.

  • BehavioralStandard care

    * Fast injection technique without aspiration. * Oral sucrose 2 minutes before first injection. * Parent holds infant close.

06

What researchers measure

Primary outcomes

  1. Pain response to immunization, as measured by the Modified Behavioral Pain Scale (MBPS).

    Time frame: at time of injection on day 1

Secondary outcomes

  1. Pain response to immunization as measured by observer Visual Analogue Scale (VAS).

    Time frame: at time of injection on day 1

07

Study locations

1 site
  • Women's College Hospital Family Practice Health Centre
    Toronto, Ontario M5S 1B6, Canada
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 1, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00954499
Lead sponsor
Women's College Hospital
First posted
Aug 7, 2009
Start date
Jul 2009
Primary completion
Nov 2010
Completion
Nov 2010
Last update
Mar 1, 2011

Study contacts

Anna Taddio, B.Sc.Phm, M.Sc., Ph.D.
principal investigator · University of Toronto

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2011. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion