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The goal of this clinical trial is to learn about the use of incentives in pediatric patients requiring medical procedures. The main questions it aims to answer are: Are incentives effective at reducing pediatric anxiety for medical procedures? What is the best way to use incentives with pediatric populations requiring medical procedures? Participants will be provided support in preparation for their procedure and during the procedure by a child life specialist and might receive an incentive prize after their procedure. Participants distress levels during the procedure will be observed and they will be asked to rate their anxiety on a visual analog scale.
Researchers will compare the anxiety of those who did or did not receive an incentive after their procedure to see if incentives reduced procedural anxiety.
The purpose of this study is to evaluate the impact incentives have on the distress and cooperation of children undergoing stressful medical procedures. The primary aim is to determine if offering an incentive reduces procedural distress for children undergoing stressful medical procedures. Secondly, if an incentive is offered does the process for offering the incentive (conditional or unconditional) to the patient impact the procedural distress of the patient. Patient anxiety and visit satisfaction will be looked at as secondary measures.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Child life standard of care | Active Comparator | Child life standard of care |
|
| Child life standard of care + incentives provided with conditional agreement. | Experimental | Child life standard of care + incentives provided with conditional agreement. |
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| Child life standard of care + incentive provided unconditionally. | Experimental | Child life standard of care + incentive provided unconditionally. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Child life standard of care | Behavioral | Standard preparation and support provided to the participant by a Certified Child Life Specialist. |
|
| Measure | Description | Time Frame |
|---|---|---|
| modified Yale Preoperative Anxiety Scale (mYPAS) | Observational measure of anxiety in pediatric patients. Scores range from 23.33 to 100, lower scores meaning less anxiety. | Immediately after the intervention/procedure/surgery |
| Visual Scale Self-Report Anxiety | Visual analog scale used for participants to report their perceived anxiety. Scores range from 0-100, lower scores meaning the participant is less anxious. | Immediately after the intervention/procedure/surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Visit Satisfaction Survey | Visit satisfaction survey completed by the accompanying parent. | Immediately after the intervention/procedure/surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jennifer Staab, MS | Contact | 720-777-3264 | jennifer.staab@childrenscolorado.org |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Children's Hospital Colorado Anschutz | Recruiting | Aurora | Colorado | 80045 | United States |
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| Child life standard of care + incentives provided with conditional agreement. | Behavioral | Patient is provided standard preparation and support provided to the participant by a Certified Child Life Specialist. Before the procedure the child life specialist discusses earning a prize with the patient if they demonstrate the agreed upon coping goal (i.e. holding arm still, taking deep breaths, engaging in distraction.) At the end of the procedure the patient is provided with the prize if they earn the prize based on the agreed upon coping plan. |
|
| Child life standard of care + incentive provided unconditionally. | Behavioral | Patient is provided standard preparation and support provided to the participant by a Certified Child Life Specialist. After the procedure is complete the patient is provided with a prize. The patient does not need to do anything to earn the prize. |
|
| Children's Hospital Colorado North Campus | Recruiting | Broomfield | Colorado | 80023 | United States |
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| Children's Hospital Colorado South Campus | Recruiting | Highlands Ranch | Colorado | 80129 | United States |
|