Anxiety Disorders
Conditions
Keywords
anxiety, children
Brief summary
The purpose of this study is to demonstrate an anxiety decrease about children 3 to 6 years during a venous puncture with the fabrique à histoire.
Detailed description
The purpose of this study is to demonstrate an anxiety decrease about children 3 to 6 years during a venous puncture with the fabrique à histoire. the study will compare the fabrique à histoire(Lunii(R)) with the usual care.
Interventions
Fabrique à histoire is a participatory entertainment method. Children of this arm going to create and listening a story before and during the venous puncture.
It is a passive entertainment method. Children of this arm going to do habitual activities before and during the venous puncture, like to sing, blow up a balloon, to play with recreational thing, etc.
Sponsors
Study design
Intervention model description
This study is an interventional prospective controlled study with 2 arms: * the fabrique à histoire arm : production and listening a story by the children * the controlled arm: usual care (to sing, blow up a baloon, etc)
Eligibility
Inclusion criteria
* Children 3 to 6 years in pediatric emergency needing to venous puncture * Oral consent by children * Informed and signed consent by tenured of parent authority * To have Anaesthetic patch 45 minutes or more before the venous puncture
Exclusion criteria
* To have Anaesthetic patch less than 45 minutes before the venous puncture because of necessity to blood test or an other emergency * Necessity to analgesic 3 emergency * Necessity to MEOPA * Minor parents * Assessment of anxiety is not possible because of comorbidity * Anterior participation to these study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| modified Yale Preoperative Anxiety Scale (mYPAS) | During venipuncture, an average of 1,5 hours | Evolution of mYPAS (validated anxiety scale with a scale 23,3 (no anxiety) to 100 (max of anxiety) between T0 (before venipuncture) and T1 (venipuncture). mYPAS is quoted by an extern observator |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| FLACC Scale | through study completion, an average of 2 hours | Evolution assessment of pain caused by the venous puncture for children assess by caregivers and measured with FLACC Scale (Face Legs Activity Cry Consolability / 0=no pain and 10=max pain) between T0 and T2 (after venipuncture) |
| Parent anxiety assessment | through study completion, an average of 2 hours | Assessment of anxiety caused by the venous puncture for children assess by parents at T2 with an Analogue and Visual Scale (AVS) 10 levels (0=No anxiety 10=max anxiety) |
| Parent pain assessment | through study completion, an average of 2 hours | Assessment of pain caused by the venous puncture for children assess by parents at T2 with an AVS 10 level (0=No pain 10=max pain) |
| Number of venous puncture before success | through study completion, an average of 2 hours | Number of venous puncture tentative(s) before success |
| Children face scale | through study completion, an average of 2 hours | Evolution of Self-assessment of pain with the face scale caused by the venous puncture for children 4 to 6 years between T0 and T2 (after venipuncture) |
| Time before venous puncture success | through study completion, an average of 2 hours | Measure of time spent performing the act before its success |
| Caregivers feedback | through study completion, an average of 2 hours | Assessment of caregivers feedback from the gesture with an AVS 0 (worst feeling) to 10 (best feeling) |
| Parents feedback | through study completion, an average of 2 hours | Assessment of parents feedback from the gesture with an AVS 0 (worst feeling) to 10 (best feeling) |
| Venous puncture success | through study completion, an average of 2 hours | Success or not (Yes/No) of the venous puncture |
Countries
France