Anxiety, Behavioral Problem of Child
Conditions
Keywords
patient-centered communication, children, MRI, anesthesia, toy simulation
Brief summary
The goal of this project is to study the influence of child-centered communication on children's anxiety, satisfaction and the use of anesthesia for MRI
Detailed description
This study seeks to inspect the influence of a child-centered communication (CCC) on anesthesia use in magnetic resonance imaging (MRI) exams among four- to 10-year-old children. Children's levels of anxiety and satisfaction with the interaction also are assessed. Children are divided into three groups by order of arrival. Group 1 receives routine information about the MRI and simulates it with an MRI toy (EG1). Group 2 simulates the exam with the toy and receives the CCC. These two groups are compared with a third group of children who had received only the routine information about the exam and who served as a comparison group (CG).
Interventions
BEHAVIORALChild-centered communication
The child is asked for ideas, fears and concerns regarding the magnetic resonance imaging exam and responses are tailored to these individual needs
Sponsors
Centro Hospitalar De São João, E.P.E.
Centro de Investigação em Tecnologias e Serviços de Saúde
Rede de Investigação em Saúde
Universidade do Porto
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
The investigator applied the intervention. The participant and the outcomes assessors were blind as to which group participants were assigned.
Intervention model description
Parallel assignment
Eligibility
Sex/Gender
ALL
Age
4 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
* Ages between four and 10 years old * Having a medical request for the MRI in the hospital * The MRI performed for the first time
Exclusion criteria
* Presenting cognitive, psychiatric or neurological conditions that prevented the understanding of communication * Having any intra-body devices that impeded performance of the MRI exam
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Anesthesia count | 30 minutes (after the Magnetic Resonance Imaging) | Number of children who perform the Magnetic Resonance Imaging exam using anesthesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in self-reported anxiety | 20 minutes (before and after the child's preparation) | Change in anxiety levels before and after preparation for the Magnetic Resonance Imaging, assessed through a self-report question responded on a 1 (very calm) to 5 (very scared) scale |
| Change in heart rate frequency | 20 minutes (before and after the child's preparation) | Change in anxiety levels before and after preparation for the Magnetic Resonance Imaging assessed through heart rate frequency |
Other
| Measure | Time frame | Description |
|---|---|---|
| Satisfaction measurement | 20 minutes (after child preparation to do the Magnetic Resonance Imaging) | Children's satisfaction with the interaction they had in preparation for the Magnetic Resonance Imaging, assessed through self-reported, Yes/No questions |
Countries
Portugal
Outcome results
None listed