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##mine The Effect Of A Smartphone Delivered CBT Intervention In 46 Children

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and thoughts to develop appropriate coping mechanisms. Some of the coping mechanisms include attention, diversion, and coping self-statements (Daniels, 2015). In a study to determine the effect of a smartphone-delivered CBT intervention in 46 children with SCD, Schatz et al. (2015) reported that there was a significant increase in the use of coping mechanisms in the post-intervention compared to before the intervention. In addition, the authors revealed that the use of CBT in the preceding day reduced the pain intensity in the day that followed. Nevertheless, there was no association between CBT and changes in functional activities. In another related study, Daniels (2015) utilized a quasi-experimental approach and reported results similar …show more content…

Among the patient sample receiving acupuncture, there was a significant reduction of reported pain score immediately after the procedure. More than three-quarters of patients receiving acupuncture in outpatient setting reported a significant improvement of their pain state (Lu et al., 2014). In a review of non-pharmacological approaches to SCD pain management, Williams and Tanabe (2016) reported that all the reviewed studies on acupuncture had yielded reductions in pain but at insignificant levels. It should be noted, however, that the Williams and Tanabe (2016) review only found 2 studies on acupuncture. There are other studies that have cited challenges in the integration of acupuncture as an adjunctive therapy for SCD pain; Bhushan, Conner, Ellen, and Sibinga (2015) concluded that although acupuncture had some pain reduction effects, only 5% of eligible patients (n= 40) agreed to receive the therapy. Other skill-based approaches include massaging, IV therapy, and hypnosis. A few studies have exclusively explored the importance of massaging as a treatment option for SCD pain. Williams and Tanabe (2016) included only three massage studies, and all achieved significant pain reduction. None of the studies was conducted in the past five years indicating that evidence on massage therapy is limited. The Theory of human becoming and Alternative Approaches to SCD Pain Before discussing R.R Parse’s Human becoming theory, it is important to note that a comprehensive

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