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| Name | Class |
|---|---|
| The Hospital for Sick Children | OTHER |
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Our goal in this study is to investigate the feasibility and acceptability of virtual parental presence of parents on anxiety in children at induction of anesthesia at Cincinnati Children's Hospital, an institution whose use of parental presence on induction is deeply ingrained in our culture, and to determine the impact of coaching of parents either prior to arrival at the hospital vs. on the day of surgery on efficacy of virtual parental presence on induction. Our primary hypothesis is that virtual PPIA is both feasibile for the smooth induction of general anesthesia and is acceptable to parents, patients, and anesthesia providers at our isntutition. Our secondary hypothesis is that the coaching of parents prior to virtual PPIA enhances the effect of video parental presence at induction of anesthesia on children's anxiety and that coaching prior to arrival at the hospital will allow for increased ease and use of this technique.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Feasibility/Acceptability | Other | This arm will be used to assess the feasibility and acceptability of using FaceTime during induction. |
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| Coaching prior to surgery | Other |
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| Coaching day of surgery | Other |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Use of Facetime with child and parents during induction | Other | Families will be able to use Facetime with their child when the child is taken to the operating room |
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| Measure | Description | Time Frame |
|---|---|---|
| Virtual presence cause delays in operating room | Based off operating room scheduled time vs actual start time | During procedure |
| Parent satisfaction with virtual presence | Parent will complete a satisfaction form which is 6 questions rating experience. Ratings are rated Excellent to Poor. | Immediately after induction |
| Operating room provider satisfaction | NASA Task Load Index questionnaire. The NASA task load index (NASA TLX) is a tool for measuring and conducting a subjective mental workload (MWL) assessment. It allows you to determine the MWL of a participant while they are performing a task. It rates performance across six dimensions to determine an overall workload rating. | Immediately after procedure |
| Operating room provider satisfaction | System Usability Scale. It consists of a 10 item questionnaire with five response options for respondents; from Strongly agree to Strongly disagree. | Immediately after procedure |
| Operating room induction nurse satisfaction | NASA Task Load Index questionnaire. The NASA task load index (NASA TLX) is a tool for measuring and conducting a subjective mental workload (MWL) assessment. It allows you to determine the MWL of a participant while they are performing a task. It rates performance across six dimensions to determine an overall workload rating. | Immediately after procedure |
| Operating room induction nurse satisfaction | System Usability Scale. It consists of a 10 item questionnaire with five response options for respondents; from Strongly agree to Strongly disagree. |
| Measure | Description | Time Frame |
|---|---|---|
| Anxiety of child | Use of modified Yale Preoperative Anxiety Scale (mYPAS) measures anxiety at anesthesia induction. It looks at activity, facial expression, alertness and arousal, vocalization and interaction with adults. | Prior to induction |
| Anxiety of child |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kenneth Goldschneider, MD | Cincinnati Childrens Hospital Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cincinnati Childrens Hospital Medical Center | Cincinnati | Ohio | 45229 | United States | ||
| Hospital for Sick Children |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| Immediately after procedure |
| Assessment of parental presence with either Facetime, Skype or Teams | Parent and child will use one of three applications during the induction process | During patients induction, assessed immediately |
Use of modified Yale Preoperative Anxiety Scale (mYPAS) measures anxiety at anesthesia induction. It looks at activity, facial expression, alertness and arousal, vocalization and interaction with adults. |
| During induction process, assessed immediately |
| Child behavior induction compliance | Child Behavior Induction Assessment is an observational scale, used to describe the compliance of a child during induction of anesthesia. | During induction, assessed immediately |
| Parent anxiety | State-Trait Anxiety Inventory assesses anxiety in adults. Responses are rated "Not at All" to "Very Much So" | Prior to patient moving to operating room |
| Patient previous induction experience | Parent will complete form regarding previous experience. Will use a likert scale to compare previous experience to virtual presence experience | After induction complete, assessed immediately |
| Parental Coaching - Prior | Parents will review a standard video and handout for a week prior to surgery. Both will outline desired behaviors to support child during induction process. | One week prior to surgery date |
| Parental Coaching - Day | Parents will review a standard video and handout the day of surgery. Both will outline desired behaviors to support child during induction process. | 1-2 hours before procedure |
| Toronto |
| Ontario |
| Canada |