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 .
Automated parent-training for preschooler immunization pain relief: a randomized controlled trial.
OBJECTIVE To examine a computerized parent training program , " Bear Essentials , " to improve parents ' knowledge and coaching to help relieve preschoolers ' immunization distress . METHOD In a r and omized controlled trial , 90 parent-child dyads received  Bear Essentials parent training plus distraction , distraction only , or control . Outcomes were parent knowledge , parent and child behavior , and child pain . RESULTS Bear Essentials result ed in improved knowledge of the effects of parents ' reassurance , provision of information , and apologizing on children 's procedural distress . Trained parents also engaged in less reassurance and more distraction and encouragement of deep breathing . Children in Bear Essentials engaged in more distraction and deep breathing than children in other groups . There were no effects on measures of child distress or pain . CONCLUSIONS Results suggest that the interactive computer training program impacted parent knowledge , parent behavior , and child behavior as hypothesized , but modifications will be necessary to have more robust outcomes on child procedural distress
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 .