Preoperative Anxiety
Conditions
Brief summary
The present study investigated the effect of an animated preoperative preparation video in mitigating preoperative anxiety among children receiving comprehensive dental treatment under General Anesthesia (GA).
Detailed description
This randomised controlled trial, conducted at King Abdullah University Hospital (KAUH) over an eight-month period from February to October 2023, focused on children aged four to seven years undergoing comprehensive dental treatment under GA. Participants were randomly assigned to either the control group or the study group. Participants in the control group received the standard care provided upon arrival at the Day Case Unit (DCU) at KAUH, involving only a verbal explanation of the anaesthesia induction process. In contrast, on the night before the surgery, participants in the study group were presented with an animated video illustrating the story of a child's journey through the hospital facilities, including the anaesthesia induction, and the postoperative return home. Additionally, all parents watched the video alongside their children and provided positive comments on its content. The primary outcome assessed was the children's preoperative anxiety measured by modified Yale Preoperative Anxiety Scale (m-YPAS) and Visual Facial Anxiety Scale (VFAS), allowing for an evaluation of the intervention's impact.
Interventions
BEHAVIORALPreoperative preparation video
An animated video illustrating the story of a child's journey through the hospital facilities, including the anaesthesia induction, and the postoperative return home.
Sponsors
Jordan University of Science and Technology
King Abdullah University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Masking description
Research Assistant who evaluated patient's anxiety levels did not know who watched the intervention and who did not.
Intervention model description
Randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
4 Years to 7 Years
Healthy volunteers
Yes
Inclusion criteria
* Children who are healthy, with American Society of Anesthesiologists (ASA) Grade 1 and 2 status. * Age 4-7 years. * Children undergoing GA for the first time who require comprehensive dental rehabilitation.
Exclusion criteria
* Presence of a systemic disease, as well as mental, cognitive, and intellectual disabilities. * Presence of visual or auditory disability. * Participants who refuse to answer subjective scales due to heightened anxiety levels. * Participants with no access to internet services. * Presence of active severe dental pain and/or facial abscess as it could affect the participant's state anxiety.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| modified Yale Preoperative Anxiety Scale | 1 day | Observational anxiety scale, values (23.3-100) with higher scores indicating higher levels of anxiety |
| Visual Facial Anxiety Scale | 1 day | Self-report anxiety scale, values (0-10) with higher scores indicating higher levels of anxiety |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Face, Legs, Activity, Cry, Consolability scale | 1 day | Observational pain scale, values (0-10) with higher scores indicating higher levels of pain |
| Pediatric Anesthesia Emergence Delirium scale | 1 day | Observational emergence delirium scale, values (0-20) with higher scores indicating higher levels of emergence delirium |
Countries
Jordan
Outcome results
None listed