Exposure-based interventions for the management of individuals with high levels of needle fear across the lifespan: A clinical practice guideline and call for further research

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dc.contributor.authorMcMurtry, C. Meghan
dc.contributor.authorTaddio, Anna
dc.contributor.authorNoel, Melanie
dc.contributor.authorMartin, Antony
dc.contributor.authorChambers, Christine
dc.contributor.authorAsmundson, Gordon
dc.contributor.authorPillai Riddell, Rebecca
dc.contributor.authorShah, Vibhuti
dc.contributor.authorMacDonald, Noni
dc.contributor.authorRogers, Jess
dc.contributor.authorBucci, Lucie
dc.contributor.authorMousmanis, Patricia
dc.contributor.authorLang, Eddy
dc.contributor.authorHalperin, Scott
dc.contributor.authorBowles, Susan K
dc.contributor.authorHalpert, Christine
dc.contributor.authorIpp, Moshe
dc.contributor.authorRieder, Michael
dc.contributor.authorRobson, Kate
dc.contributor.authorUleryk, Elizabeth
dc.contributor.authorVotta-Bleeker, Elizabeth (Lisa)
dc.contributor.authorDubey, Vinita
dc.contributor.authorHanrahan, Anita
dc.contributor.authorLockett, Donna
dc.contributor.authorScott, Jeffrey
dc.date.accessioned2018-03-29T18:05:02Z
dc.date.available2018-03-29T18:05:02Z
dc.date.issued2016
dc.description.abstractNeedle fear typically begins in childhood and represents an important health-related issue across the lifespan. Individuals who are highly fearful of needles frequently avoid health care. Although guidance exists for managing needle pain and fear during procedures, the most highly fearful may refuse or abstain from such procedures. The purpose of a clinical practice guideline (CPG) is to provide actionable instruction on the management of a particular health concern; this guidance emerges from a systematic process. Using evidence from a rigorous systematic review interpreted by an expert panel, this CPG provides recommendations on exposure-based interventions for high levels of needle fear in children and adults. The AGREE-II, GRADE, and Cochrane methodologies were used. Exposure-based interventions were included. The included evidence was very low quality on average. Strong recommendations include the following. In vivo (live/in person) exposure-based therapy is recommended (vs. no treatment) for children seven years and older and adults with high levels of needle fear. Non-in vivo (imaginal, computer-based) exposure (vs. no treatment) is recommended for individuals (over seven years of age) who are unwilling to undergo in vivo exposure. Although there were no included trials which examined children < 7 years, exposure-based interventions are discussed as good clinical practice. Implementation considerations are discussed and clinical tools are provided. Utilization of these recommended practices may lead to improved health outcomes due to better health care compliance. Research on the understanding and treatment of high levels of needle fear is urgently needed; specific recommendations are provided.en_US
dc.identifier.citationMcMurtry C.M., Taddio A., Noel M., Antony M.M., Chambers C.T., Asmundson G.J.G., Pillai Riddell R., Shah V., MacDonald N.E., Rogers J., Bucci L.M., Mousmanis P., Lang E., Halperin S., Bowles S., Halpert C., Ipp M., Rieder M.J., Robson K., Uleryk E., Votta Bleeker E., Dubey V., Hanrahan A., Lockett D., Scott J. (2016). Exposure-based interventions for the management of individuals with high levels of needle fear across the lifespan: A clinical practice guideline and call for further research. Cognitive Behaviour Therapy. May 3: 45 (3) 217-235. doi: 10.1080/16506073.2016.1157204.
dc.identifier.urihttps://doi.org/10.1080/16506073.2016.1157204en_US
dc.identifier.urihttp://hdl.handle.net/10315/34446
dc.language.isoenen_US
dc.publisherCognitive Behaviour Therapyen_US
dc.subjectfearen_US
dc.subjectphobiaen_US
dc.subjectneedleen_US
dc.subjectblood-injection-injuryen_US
dc.subjectexposureen_US
dc.subjectclinical practice guidelineen_US
dc.titleExposure-based interventions for the management of individuals with high levels of needle fear across the lifespan: A clinical practice guideline and call for further research
dc.typeArticleen_US

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