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Research on Social Work Practice
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Pediatric Pain and Anxiety: A Meta-Analysis of Outcomes for a Behavioral Telehealth Intervention

Gary Holden

School of Social Work, New York University, gary.holden{at}nyu.edu

David J. Bearison

The Graduate School & University Center, City University of New York

Diane C. Rode

Mount Sinai School of Medicine, Mount Sinai Hospital

Merri Fishman-Kapiloff

Mount Sinai School of Medicine, Mount Sinai Hospital

Gary Rosenberg

Mount Sinai School of Medicine, Mount Sinai Hospital

Patrick Onghena

Katholieke Universiteit Leuven

Objectives: This study sought to explore the utility of using single system designs (SSD) in an optimal set of circumstances. The effects of a computer network intervention on three outcomes (pain intensity, pain aversiveness, and anxiety) were examined. Method: Meta-analysis of three studies using restricted alternating treatment designs was conducted. Results: Children reported significantly less pain intensity, pain aversiveness, and anxiety in the SBW condition than in the GPM condition. Both sex and age moderated these effects. Conclusions: An SSD/meta-analysis approach can provide multiple views of the impact of an intervention.

Key Words: single subject design • meta-analysis • pain • anxiety • technology

Research on Social Work Practice, Vol. 13, No. 6, 693-704 (2003)
DOI: 10.1177/1049731503254107
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