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document
A pilot study to improve venipuncture compliance in children and adolescents with autism spectrum disorders . OBJECTIVE Medical procedures , particularly venipuncture ( the puncture of a vein especially for the withdrawal of blood ) , can cause serious distress and behavior disturbance for many children . Noncompliance to blood draws can have significant ramifications in both research and clinical settings . The negative reactions may be exacerbated in individuals with autism spectrum disorders . Even so , there has been little research into the prevalence of the problem or effective intervention procedures . In response to these concerns , we developed and evaluated the Blood Draw Intervention Program . The program was designed to be easy to use , require little provider or family time , effectively reduce negative behaviors , and increase blood draw compliance . METHOD In a quasi-randomized trial over the course of ∼ 18 months , 58 of 210 families with children with autism spectrum disorders participating in a larger study of phenotypic and genotypic factors reported significant concerns about blood draws and elected to use the Blood Draw Intervention Program . RESULTS Completion of the program increased blood draw compliance rates from 85.4 % to 96.6 % ( odds ratio = 4.80 ; 95 % confidence interval = 1.12 , 20.59 ; p = .03 ) . CONCLUSION Results indicate the efficacy of the program in a research setting and suggest a potential clinical application . The current intervention , unlike many others for the same or similar difficulties proposed in the past , was successful without requiring extensive time , training , or effort on the part of providers and parents or their children , nor did it require large-scale institutional changes .
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Intervention_Educational
Blood Draw Intervention Program .
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Outcome_Mental
venipuncture compliance
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Outcome_Mental
serious distress
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Outcome_Mental
behavior disturbance
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Outcome_Mental
negative behaviors
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Outcome_Mental
increase blood draw compliance
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Outcome_Mental
blood draw compliance rates
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Participant_Condition
autism spectrum disorders
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Participant_Sample-size
58
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Participant_Sample-size
210 families
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Participant_Age
children
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Participant_Condition
autism spectrum disorders