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The reduction of preoperative anxiety in children and adolescents before an elective surgical procedure is an important clinical question in perioperative care. Adequate, age-appropriate patient information about the processes of the inpatient stay plays an important role in order to address possible worries and fears to reduce.
The medium video is popular with children and adolescents today and offers the possibility of an easily understandable and vivid presentation of information.
Studies by the health insurance companies, scientific publications and economic papers show that in times of increasing economic interests of the hospitals and the resulting necessity of economic working methods in the medical system, less time remains for human interaction. This creates areas of conflict, such as the patient's right to information regarding the time available to medical personnel. This in turn leads to significant stress factors in patients who are involved in the treatment and mostly on the communication level, such as "Missing information", "misunderstood visit", "missing partnership relationship" refer to what is reflected in patient satisfaction and fears. Studies show how important good perioperative psychosocial care is for reducing these circumstances in children, also and especially in the context of further development. The drug options for calming and reducing anxiety are already known, but there are also increasing numbers of non-drug approaches to reducing anxiety and stress in the literature. Painting therapy and clinic clowns are examples. However, access to such resources is limited and costs are permanently high. New technologies, e.g. mobile phones and tablets, with the associated media, increasingly finding their way into our society, are now inexpensive to buy and have become an integral part of most households. Such devices and media are increasingly used in clinical studies and patient care. Their use is tested extensively in modern medicine, e.g. to avoid unnecessary postoperative consultations in the emergency room or to increase cognitive learning for children. Even small children can use and understand these media early on. Videos are one of the most common media already understood by the smallest patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment as usual | Active Comparator | Treatment as Usual, Explanation of standard procedures before, during and after surgery by nurse |
|
| Treatment as usual + Video | Experimental | Treatment as usual and additionally Video |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Treatment as usual + Video | Other | Additionally to treatment as usual a video is shown to participant about procedures on the ward before, during and after surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in perioperative Anxiety in Children (T1 vs. T2, TAU vs. Video) | The primary endpoint was to analyze the preoperative state-anxiety in children before (t1) and after (t2) the intervention (video), compared with standard care (TAU). we use State-Trait-Anxiety-Operation-Inventory | Through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Change in perioperative Anxiety in Parental Report (T1 vs. T2, TAU vs. Video) | Secondary endpoint was to analyze the preoperative trait-anxiety in children, as well as the preoperative state- and trait-anxiety in the parental report. We use the State-Trait-Anxiety-Operation-Inventory | Through study completion, an average of 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Julian Trah, MD | Department of pediatric surgery | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Hamburg Eppendorf - Department of pediatric surgery | Hamburg | 20246 | Germany | |||
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D014743 | Videotape Recording |
| ID | Term |
|---|---|
| D013637 | Tape Recording |
| D001296 | Audiovisual Aids |
| D018961 | Educational Technology |
| D013672 | Technology |
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randomized controlled trial
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| Treatment as usual | Other | Explanation of standard procedures before, during and after surgery by nurse |
|
| Nurse reported anxiety before and after Intervention (T1 vs. T2) |
we analyzed the nurse-reported anxiety status of the child before (t1) and after (t2) the intervention, we use a short State-Anxiety-Inventory (Krohne et al. 2005) |
| Through study completion, an average of 1 year |
| Perioperative Anxiety separated in state and trait anxiety (T1 vs T2, TAU vs Video) | difference between anxiety levels, again separated in state and trait, reported by children, We use the State-Trait-Anxiety-Operation-Inventory | Through study completion, an average of 1 year |
| Evaluation of STOA in a pediatric cohort | Evaluation of Questionnaire in a pediatric cohort | Through study completion, an average of 1 year |
| The Altona Children's Hospital |
| Hamburg |
| 22763 |
| Germany |
| D013676 |
| Technology, Industry, and Agriculture |
| D013690 | Television |