On-line preparatory information for children and their families undergoing dental extractions under general anesthesia: a phase III randomized controlled trial
On-line preparatory information for children and their families undergoing dental extractions under general anesthesia: a phase III randomized controlled trial
Background
Family‐centered interactive on‐line games are increasingly popular in healthcare, but their effectiveness for preoperative preparation needs further research. www.scottga.orgis the new on‐line version of a proven nonweb‐based game for children and parents/caregivers.
Aims
The aim of this study was to evaluate if www.scottga.org improved children's anxiety and families' satisfaction compared with controls.
Methods
In this phase III double‐blind randomized controlled trial, children/parents/caregivers received (i) www.scottga.org, (ii) standard care, or (iii) a placebo hand‐washing game. The intervention and placebo games were available online for home usage and provided again on the ward before surgery. All children were accompanied by parent/caregivers at induction and observed and scored using validated measures. Stratified randomization and generalized linear models were used. An intention‐to‐treat approach was adopted.
Results
Overall, 52/176 children had baseline “psychological disturbance.” Children's anxiety increased preinduction, but there were no differences between groups (Facial Image Scale: video‐standard OR = 1.08, P = .82, 95% CI [0.56, 2.1]; video‐placebo OR = 0.9, P = .77 95% CI [0.46, 1.8]). There were no differences in induction behavior (visual analog scale: video mean = 3.5; standard care mean = 3.5; placebo mean = 3.7: video‐standard OR = 2.0, P = .42, 95% CI [−0.6, 1.3]; video‐placebo OR = 1.53, P = .65, 95% CI [−0.8, 1.1]) or induction anxiety (modified Yale Preoperative Anxiety Scale: video‐standard OR 1.02, P = .97, 95% CI [0.61, 2.6]; video‐placebo OR 1.38, P = .49, 95% CI [0.87, 3.81]). Families favored the intervention regarding the “child handling the visit better” (Treatment Evaluation Inventory: video‐standard OR = 12; 95% CI 4.7‐32; P < .001; video‐placebo OR = 8.2; 95% CI 3‐22; P < .001) and “improving the child's ability to cope” (Treatment Evaluation Inventory: video‐standard OR = 21; 95% CI 8‐56; P < .001 and video‐placebo OR = 13; 95% CI 5‐34; P < .001).
Conclusion
Families believed that a video‐game preparation helped their child's perioperative anxiety, but there were no objective measures of behavioral improvement associated with this intervention.
anesthesia, child, general [*psychology], preoperative care, tooth extraction, video games [psychology]
157-166
Huntington, Corinne
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Liossi, Christina
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Donaldson, Ana Nora
1c5e63f7-01a1-4966-8472-167443d71b21
Newton, Jonathan Timothy
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Reynolds, Patricia A.
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Alharatani, Reham
4be24174-ced5-479b-8d15-ca853f7cc84a
Hosey, Marie Therese
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18 January 2018
Huntington, Corinne
d0a856b1-b300-4a6b-a6aa-37d8b6dbbcf1
Liossi, Christina
fd401ad6-581a-4a31-a60b-f8671ffd3558
Donaldson, Ana Nora
1c5e63f7-01a1-4966-8472-167443d71b21
Newton, Jonathan Timothy
c6d0a8ce-3318-47b3-8009-7e58b0b8a19d
Reynolds, Patricia A.
9464d071-4194-48f0-8154-584514c55682
Alharatani, Reham
4be24174-ced5-479b-8d15-ca853f7cc84a
Hosey, Marie Therese
22678fa4-e2fe-4fa2-9ab0-ed8d944f28b8
Huntington, Corinne, Liossi, Christina, Donaldson, Ana Nora, Newton, Jonathan Timothy, Reynolds, Patricia A., Alharatani, Reham and Hosey, Marie Therese
(2018)
On-line preparatory information for children and their families undergoing dental extractions under general anesthesia: a phase III randomized controlled trial.
Paediatric Anaesthesia, 28 (2), .
(doi:10.1111/pan.13307).
Abstract
Background
Family‐centered interactive on‐line games are increasingly popular in healthcare, but their effectiveness for preoperative preparation needs further research. www.scottga.orgis the new on‐line version of a proven nonweb‐based game for children and parents/caregivers.
Aims
The aim of this study was to evaluate if www.scottga.org improved children's anxiety and families' satisfaction compared with controls.
Methods
In this phase III double‐blind randomized controlled trial, children/parents/caregivers received (i) www.scottga.org, (ii) standard care, or (iii) a placebo hand‐washing game. The intervention and placebo games were available online for home usage and provided again on the ward before surgery. All children were accompanied by parent/caregivers at induction and observed and scored using validated measures. Stratified randomization and generalized linear models were used. An intention‐to‐treat approach was adopted.
Results
Overall, 52/176 children had baseline “psychological disturbance.” Children's anxiety increased preinduction, but there were no differences between groups (Facial Image Scale: video‐standard OR = 1.08, P = .82, 95% CI [0.56, 2.1]; video‐placebo OR = 0.9, P = .77 95% CI [0.46, 1.8]). There were no differences in induction behavior (visual analog scale: video mean = 3.5; standard care mean = 3.5; placebo mean = 3.7: video‐standard OR = 2.0, P = .42, 95% CI [−0.6, 1.3]; video‐placebo OR = 1.53, P = .65, 95% CI [−0.8, 1.1]) or induction anxiety (modified Yale Preoperative Anxiety Scale: video‐standard OR 1.02, P = .97, 95% CI [0.61, 2.6]; video‐placebo OR 1.38, P = .49, 95% CI [0.87, 3.81]). Families favored the intervention regarding the “child handling the visit better” (Treatment Evaluation Inventory: video‐standard OR = 12; 95% CI 4.7‐32; P < .001; video‐placebo OR = 8.2; 95% CI 3‐22; P < .001) and “improving the child's ability to cope” (Treatment Evaluation Inventory: video‐standard OR = 21; 95% CI 8‐56; P < .001 and video‐placebo OR = 13; 95% CI 5‐34; P < .001).
Conclusion
Families believed that a video‐game preparation helped their child's perioperative anxiety, but there were no objective measures of behavioral improvement associated with this intervention.
Text
Huntington_et_al-2018-Pediatric_Anesthesia
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More information
Accepted/In Press date: 26 November 2017
e-pub ahead of print date: 27 December 2017
Published date: 18 January 2018
Keywords:
anesthesia, child, general [*psychology], preoperative care, tooth extraction, video games [psychology]
Identifiers
Local EPrints ID: 417623
URI: https://eprints.soton.ac.uk/id/eprint/417623
ISSN: 1155-5645
PURE UUID: 9815a841-b0be-41ae-9f5b-be22a2b19297
Catalogue record
Date deposited: 07 Feb 2018 17:30
Last modified: 19 Apr 2018 16:30
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Contributors
Author:
Corinne Huntington
Author:
Ana Nora Donaldson
Author:
Jonathan Timothy Newton
Author:
Patricia A. Reynolds
Author:
Reham Alharatani
Author:
Marie Therese Hosey
University divisions
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