The prevalence and evidence-based management of needle fear in adults with chronic disease: A scoping review

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dc.contributor.authorDuncanson, E.
dc.contributor.authorLe Leu, R.K.
dc.contributor.authorShanahan, L.
dc.contributor.authorMacauley, L.
dc.contributor.authorBennett, P.N.
dc.contributor.authorWeichula, R.
dc.contributor.authorMcDonald, S.
dc.contributor.authorBurke, A.L.J.
dc.contributor.authorCollins, K.L.
dc.contributor.authorChur-Hansen, A.
dc.contributor.authorJesudason, S.
dc.contributor.editorWieland, L.S.
dc.date.issued2021
dc.description.abstractBackground: Little is known about the prevalence and best management of needle fear in adults with chronic disease, who may experience frequent and long-term exposure to needles for lifesaving therapies such as renal dialysis and cancer treatment. Identifying interventions that assist in management of needle fear and associated distress is essential to support these patients with repeated needle and cannula exposure. Method: We followed the PRISMA methodology for scoping reviews and systematically searched PsychINFO, PubMed (MEDLINE), ProQuest, Embase and grey literature and reference lists between 1989 and October 2020 for articles related to needle discomfort, distress, anxiety, fear or phobia. The following chronic diseases were included: arthritis, asthma, chronic back pain, cancer, cardiovascular disease, chronic obstructive pulmonary disease, diabetes, and mental illness, or kidney failure. Literature concerning dentistry, vaccination, intravenous drug users and paediatric populations were excluded. Results: We identified 32 papers reporting prevalence (n = 24), management (n = 5) or both (n = 3). Needle fear prevalence varied in disease cohorts: 17–52% (cancer), 25–47% (chronic kidney disease) and 0.2–80% (diabetes). Assessment methods varied across studies. Management strategies had poor evidence-base, but included needle-specific education, decorated devices, cognitive-behavioural stress management techniques, distraction, and changing the therapy environment or modality. Conclusion: Although needle fear is common there is a paucity of evidence regarding interventions to address it among adults living with chronic disease. This scoping review has highlighted the need for improved identification of needle fear in adults and development of interventions are required for these cohorts.
dc.description.statementofresponsibilityEmily Duncanson, Richard K. Le Leu, Lisa Shanahan, Luke Macauley, Paul N. Bennett, Rick Weichula, Stephen McDonald, Anne L. J. Burke, Kathryn L. Collins, Anna Chur-Hansen, Shilpanjali Jesudason
dc.identifier.citationPLoS ONE, 2021; 16(6):e0253048-1-e0253048-16
dc.identifier.doi10.1371/journal.pone.0253048
dc.identifier.issn1932-6203
dc.identifier.issn1932-6203
dc.identifier.orcidDuncanson, E. [0000-0001-9244-9638]
dc.identifier.orcidLe Leu, R.K. [0000-0003-4704-4943]
dc.identifier.orcidBennett, P.N. [0000-0001-9174-3499]
dc.identifier.orcidMcDonald, S. [0000-0001-6103-1386]
dc.identifier.orcidBurke, A.L.J. [0000-0002-0109-2950]
dc.identifier.orcidCollins, K.L. [0000-0003-3371-9452]
dc.identifier.orcidChur-Hansen, A. [0000-0002-2935-2689]
dc.identifier.orcidJesudason, S. [0000-0001-9695-0761]
dc.identifier.urihttps://hdl.handle.net/2440/145815
dc.language.isoen
dc.publisherPublic Library of Science (PLoS)
dc.rights© 2021 Duncanson et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
dc.source.urihttps://doi.org/10.1371/journal.pone.0253048
dc.subjectDiabetes mellitus; Insulin; Fear; Medical dialysis; Patients; Pain; Anxiety; Kidneys
dc.subject.meshHumans
dc.subject.meshChronic Disease
dc.subject.meshPrevalence
dc.subject.meshPhobic Disorders
dc.subject.meshEvidence-Based Medicine
dc.subject.meshAdult
dc.subject.meshDisease Management
dc.subject.meshCognitive Behavioral Therapy
dc.titleThe prevalence and evidence-based management of needle fear in adults with chronic disease: A scoping review
dc.typeJournal article
pubs.publication-statusPublished

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