Keri Hainsworth, PhD
PhD, University of Wisconsin - Milwaukee
Postdoctoral training in pediatric pain, Medical College of Wisconsin
Pediatric Health Care Professionals’ Knowledge and Perceptions of Essential Oil Use
Presented at the Society of Pediatric Psychology Annual Conference 2020
Johanna R. Michlig, BA, Ashley J. Stelter, MS, RN, PCNS-BC, Nancy Korom, MSN, RN, NEA-BC, FAAN, Michelle Czarnecki, MSN, RN-BC, CPNP, Anita Norton, MSN, RN, CPNP, Keri Hainsworth, PhD
Complementary and Integrative Medicine (CIM) is widely used by adults. Despite this, studies have shown little discussion between Health Care Professionals (HCPs) and their patients about CIM, such as essential oils (EOs). These discussions are important as some EO uses may have adverse interactions with traditional medications (Crawford et al, 2006). Additionally, although families use EOs, few studies have focused on pediatric populations. Lack of awareness or willingness to discuss EO use with families may negatively affect patient satisfaction and health. The purpose of this study is to explore pediatric HCP’s knowledge and perceptions of EO use in their clinical practice.
HCPs at a Midwestern pediatric hospital completed an 18-question survey about their perceptions and use of EOs in practice. The sample included 987 respondents (18-79 years; 98% female; 88% White/Caucasian). HCPs included: 62% RNs, 15% Doctors (Psychologists/MDs/DOs), 13% APNs/PAs, 7% Other, and 3% Fellow/Residents.
Overall, 80% of respondents indicated that they “rarely or never” discussed EO use with patients, and 79% never recommended EOs for patients. Despite this, 70% reported that familiarity with non-pharmacological options was important. Additionally, 76% indicated an openness to learning more about EOs and 62.6% indicated a willingness to incorporate EOs into their practice. This latter finding was influenced by HCP role. RNs (75%) reported the most willingness to incorporate EOs into their practive, whereas doctors (27%) and fellow/residents (14%) were less willing (p= .000).
Overall, this study suggests that HCPs are not currently discussing nor recommending EOs with pediatric patients. However, the majority indicated that they are open to learning more if they received the proper education. In addition to education regarding the use of EOs, HCPs may benefit from tips on how to introduce the topic of CIM with their patients to improve patient care.
- Chronic Pain
- Pain Measurement
- Pain, Postoperative
- Pediatric Obesity
- Quality of Life
- Pediatric chronic pain with co-morbid obesity
- Pediatric acute pain
- Yoga as a therapeutic intervention for pediatric pain
Stress Numerical Rating Scale-11: Validation in Pediatric Inpatient and Outpatient Pain Settings.
(LiaBraaten BM, Linneman N, Czarnecki M, Davies WH, Zhang L, Simpson PM, Jastrowski Mano KE, Weisman SJ, Hainsworth KR.) Pain Manag Nurs. 2023 Apr 12 PMID: 37059666 SCOPUS ID: 2-s2.0-85152438647 04/15/2023
Family Caregiver Acceptability of Assessing Caregiver Adverse Childhood Experiences (ACEs) and Distress in Pediatric Specialty Care.
(Kapke TL, Karst J, LiaBraaten B, Zhang J, Yan K, Barbeau J, Hainsworth KR.) Children (Basel). 2023 Feb 15;10(2) PMID: 36832511 PMCID: PMC9954957 SCOPUS ID: 2-s2.0-85148709107 02/26/2023
Use of Aromatherapy for Pediatric Surgical Patients.
(Czarnecki ML, Michlig JR, Norton AM, Stelter AJ, Hainsworth KR.) Pain Manag Nurs. 2022 Dec;23(6):703-710 PMID: 36123297 SCOPUS ID: 2-s2.0-85138069111 09/20/2022
Wisconsin's COVID-19 Safer-at-Home Order: Perspectives on Pain, Stress, and Functioning From Pediatric Patients With Chronic Pain.
(Mehta A, Michlig JR, Gremillion ML, Anderson Khan K, Davies WH, Weisman SJ, Hainsworth KR.) WMJ. 2022 Oct;121(3):231-234 PMID: 36301651 SCOPUS ID: 2-s2.0-85140858210 10/28/2022
Lipid signatures of chronic pain in female adolescents with and without obesity.
(Gonzalez PA, Simcox J, Raff H, Wade G, Von Bank H, Weisman S, Hainsworth K.) Lipids Health Dis. 2022 Aug 30;21(1):80 PMID: 36042489 PMCID: PMC9426222 SCOPUS ID: 2-s2.0-85136987097 08/31/2022
Effects of Weight and Pain on Physical Activity: Insights from the Lived Experiences of Youth with Co-Occurring Chronic Pain and Obesity.
(Gremillion ML, Lang AC, Everhart SA, Davies WH, Stolzman SC, Weisman SJ, Hainsworth KR.) Child Obes. 2022 Jul;18(5):301-308 PMID: 34890258 SCOPUS ID: 2-s2.0-85133649111 12/11/2021
Interaction of chronic pain, obesity and time of day on cortisol in female human adolescents.
(Raff H, Phillips J, Simpson P, Weisman SJ, Hainsworth KR.) Stress. 2022 Jan;25(1):331-336 PMID: 36330600 SCOPUS ID: 2-s2.0-85141327101 11/05/2022
An evaluation of short anxiety measures for use in the emergency department.
(Coleman KD, Chow Y, Jacobson A, Hainsworth KR, Drendel AL.) Am J Emerg Med. 2021 Dec;50:679-682 PMID: 34879486 SCOPUS ID: 2-s2.0-85116041860 12/10/2021
Pediatric healthcare professionals' perceptions, knowledge, and use of essential oils.
(Michlig JR, Stelter AJ, Czarnecki ML, Norton A, Korom N, Hainsworth K.) Complement Ther Clin Pract. 2021 Nov;45:101474 PMID: 34388559 08/14/2021
Factors affecting satisfaction of pediatric posterior spinal fusion patients.
(Michlig JR, Czarnecki M, Simpson P, Zhang L, Weisman S, Hainsworth K.) Stud Health Technol Inform. 2021 Jun 28;280:318 PMID: 34190136 SCOPUS ID: 2-s2.0-85110153433 07/01/2021
An evaluation of short anxiety measures for use in the emergency department
(Coleman KD, Chow Y, Jacobson A, Hainsworth KR, Drendel AL.) American Journal of Emergency Medicine. December 2021;50:679-682 SCOPUS ID: 2-s2.0-85116041860 12/01/2021
Circulating inflammatory biomarkers in adolescents: evidence of interactions between chronic pain and obesity.
(Hainsworth KR, Simpson PM, Raff H, Grayson MH, Zhang L, Weisman SJ.) Pain Rep. 2021;6(1):e916 PMID: 33977184 PMCID: PMC8104468 05/13/2021
Dr. Hainsworth earned a MS (1991) and PhD (1994) in Experimental Psychology at the University of Wisconsin. Her studies emphasized Cognition and Perception, with further emphases in the areas of Developmental Psychology, Physiological Psychology, and Communication Sciences and Disorders. Dr. Hainsworth was an Assistant Professor in the Departments of Psychology and Physical Therapy at Carroll (College) University from 1995-2005. She joined the MCW faculty in 2006 after completing a Post-doctoral Fellowship in Pediatric Pain at the Medical College of Wisconsin.
Her research interests focus on the interrelationships between pain and obesity in children and adolescents. Dr. Hainsworth has shown that youth who experience both chronic pain and obesity have significantly lower quality of life than youth with chronic pain alone or obesity alone. She has also shown that youth with co-occurring pain and obesity have altered pain thresholds. Subsequent studies will be directed at elucidating the mechanisms underlying pain in this population. In addition, she has designed and conducted a number of studies focused on the benefits of yoga for children and adolescents. The study samples have included youth with chronic headache pain, youth with pediatric obesity and a sample of high school sophomores.
As well as conducting her own research, Dr. Hainsworth currently serves as the Research Director of the Jane B. Pettit Pain Management Center at Children’s Wisconsin. The Pain Management Center includes Anesthesiologists, a Clinical Psychologist, Advanced Practice Nurses, and Nurses specializing in chronic pain. The Center’s research program covers a broad range of areas important to acute and chronic pain management, such as optimal opioid delivery systems, post-surgical pain management, and the study of biopsychosocial factors that impact patients’ lives. The Pain Center is known for our inclusion of integrative medicine and a biopsychosocial approach to pediatric pain.