Conclusion : Systemic changes to academic and funding structures could better support eHealth tool availability and may reduce potential for research waste .
Abstract Introduction : Numerous eHealth tools for pain assessment and management have been developed and evaluated with promising results regarding psychometric properties , efficacy , and effectiveness .
Although considerable re sources are spent on developing and evaluating these tools with the aim of increasing access to care , current evidence suggests they are not made available to end users , reducing their impact and creating potential research waste .
Play and heal: randomized controlled trial of Ditto™ intervention efficacy on improving re-epithelialization in pediatric burns.
BACKGROUND The relationships between pain , stress and anxiety , and their effect on burn wound re-epithelialization have not been well explored to- date . The aim of this study was to investigate the effect of the Ditto ™ ( a h and -held electronic medical device providing procedural preparation and distraction ) intervention on re-epithelialization rates in acute pediatric burns . METHODS / DESIGN From August 2011 to August 2012 , children ( 4 - 12 years ) with an acute burn presenting to the Royal Children 's Hospital , Brisbane , Australia fulfilled the study requirements and were r and omized to [ 1 ] Ditto ™ intervention or [ 2 ] st and ard practice .  Burn re-epithelialization , pain intensity , anxiety and stress measures were obtained at every dressing change until complete wound re-epithelialization . RESULTS One hundred and seventeen children were r and omized and 75 children were analyzed ( n=40 st and ard group ; n=35 Ditto ™ group ) . Inability to predict wound management result ed in 42 participants no longer meeting the eligibility criteria . Wounds in the Ditto ™ intervention group re-epithelialized faster than the st and ard practice group ( -2.14 days ( CI : -4.38 to 0.10 ) , p-value=0.061 ) , and significantly faster when analyses were adjusted for mean burn depth ( -2.26 days ( CI : -4.48 to -0.04 ) , p-value=0.046 ) . Following procedural preparation at the first change of dressing , the Ditto ™ group reported lower pain intensity scores ( -0.64 ( CI : -1.28 , 0.01 ) p=0.052 ) and lower anxiety ratings ( -1.79 ( CI : -3.59 , 0.01 ) p=0.051 ) . At the second and third dressing removals average pain ( FPS-R and FLACC ) and anxiety scores ( VAS-A ) were at least one point lower when Ditto ™ intervention was received . CONCLUSIONS The Ditto ™ procedural preparation and distraction device is a useful tool alongside pharmacological intervention to improve the rate of burn re-epithelialization and manage pain and anxiety during burn wound care procedures
Conclusion : Systemic changes to academic and funding structures could better support eHealth tool availability and may reduce potential for research waste .
Abstract Introduction : Numerous eHealth tools for pain assessment and management have been developed and evaluated with promising results regarding psychometric properties , efficacy , and effectiveness .
Although considerable re sources are spent on developing and evaluating these tools with the aim of increasing access to care , current evidence suggests they are not made available to end users , reducing their impact and creating potential research waste .