Pain Instruction with Third- and Fourth-Grade Children: A Pilot Study

Abstract
Third- and fourth-grade children (n = 28) participated in a 20-lesson pain program covering a diversity of topics including the early warning value of pain, pain issues, hospitalization, maladaptive usage of pain, improving the child's perspective on needle procedures, and training in cognitive coping strategies. Within the small-group format, direct teaching, symbolic modeling, role play, discussion, and debate were used to teach the program. A comparison ofpre- and postprogram test scores provided unequivocal evidence (p < .001) that the children could increase their knowledge and understanding of pain when given an instruction program of this type. The immediate and long-term potential benefits that might reasonably accrue to the participants were discussed

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