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| Name | Class |
|---|---|
| Aalto University | OTHER |
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A case-control study is conducted in Helsinki Children's hospital. Altogether 70 children aged 4-17 years coming for a minor operative procedure including pre-operative cannula insertion will be included. Part of the patients will be exposed to medical clowning intervention and the reference group will be treated preoperatively as routinely without clowns. Emotions, anxiety levels, pain caused by the cannula insertion of the children will be monitored during the day. A survey on the emotions and expectations of the parents will be done.
This study aims to measure experiences of children and their parents during day-surgery in hospital setting.
A case-control study is conducted in Helsinki Children's hospital. Altogether 70 children aged 4-17 years coming for a minor operative procedure including pre-operative cannula insertion will be included. Part of the patients will be exposed to medical clowning intervention and the reference group will be treated preoperatively as routinely without clowns. Emotions, anxiety levels, pain caused by the cannula insertion of the children will be monitored during the day. A survey on the emotions and expectations of the parents will be done.
A novel digital survey tool will be used to measure patient experiences before and after the insertion of a venous cannula needed for anaesthesia.
The research questions are as follows:
How does engagement with a medical clown during pre-operative cannulation impact on children and their parents' patient experience? How feasible is a novel data collection tool for measuring patient experience and the impact of an intervention on the patient experience of families?
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Medical clowning | Active Comparator | Preoperative medical clown exposure |
|
| Control | No Intervention | Normal preop care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Medical clowning | Behavioral | Medical clowning |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in emotional status | Self reported emotions selected from a list of 11 emotional items. Assessment at baseline and after recovering from anesthesia. | Baseline and 2 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Change in anxiety status | Self reported anxiety at a scale 1-5. (1=none,..5=very much). Assessment at baseline and after recovering from anesthesia. | Baseline and 2 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pekka Lahdenne, MD, PhD | Helsinki University Central Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Helsinki Children's Hospital | Helsinki | 00290 | Finland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32336267 | Derived | Karisalmi N, Maenpaa K, Kaipio J, Lahdenne P. Measuring patient experiences in a Children's hospital with a medical clowning intervention: a case-control study. BMC Health Serv Res. 2020 Apr 26;20(1):360. doi: 10.1186/s12913-020-05128-2. |
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Children and their parents entering day surgery are pre-operatively exposed to medical clowning (N=38) or normal pre-operative care (N=32)
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