Topics

Analysis of the Link Between Flow State and Preoperative Anxiety in Children Undergoing Playful Distraction

2019-09-11 01:53:30 | BioPortfolio

Summary

This study focuses on preoperative anxiety in children and non-drug methods to reduce anxiety.

During surgery under general anesthesia, children may be anxious because of separation from their parents, fear of anesthesia, or loss of control.

In order to reduce the anxiety of the child, anesthesiologists sometimes use an anxiolytic medicine. This premedication can reduce the anxiety of children. However, side effects are often observed as rebound anxiety after the operation or a delay to discharge from hospital.

In recent years, alternative methods to premedication have been studied to reduce the anxiety of children. For example, video games and cartoons are distraction methods. Studies have shown that using a video game or cartoon during the waiting phases (in the room, when traveling, in the permutation room) reduces the anxiety of children and with the same efficiency as anxiolytic.

In this study, the investigators will evaluate the effectiveness of a tablet game and a cartoon to reduce the anxiety of children.

Description

This study takes an interest on the problem of the well-being of children during an outpatient surgery.

Children are often anxious before a surgery under general anesthetic because of unfamiliar environments, separation from parents, loss of control or uncertainty about anesthesia. 50% to 70% of children develop anxiety after surgery. Anxiety before surgery are associated with behavioral changes in postoperative like increase in anxiety, sleep or eating disturbances and with postoperative pain.

To reduce this preoperative anxiety, the use of anxiolytics (hypnovel, hydroxizyne) is the most commonly used method. But this premedication remains controversial (paradoxical effects with rebound of anxiety, loss of explicit memorization).

The aim of this study is to examine two non-pharmacological and non-invasive methods (technological distraction through video games and animated cartoons) that seem to be effective in reducing preoperative anxiety and its postoperative repercussions. Much studies show the benefits of preoperative distraction method to reduce children's anxiety, such as cartoons, video games, puzzles.

It is now necessary to understand the processes underlying the relationship between the preoperative anxiety and distraction method.

Video games and cartoons are supposed to foster a high level of cognitive engagement in children, which would allow them to focus less on the anxiogenic elements of the operating context and thus reduce their preoperative anxiety. This state of cognitive engagement is called flow. Flow is defined as a state in which person is so involved in an activity that nothing else matters.

Within the paediatric anaesthesia department of the University Hospital Rennes Sud, the playful video game "Le Héros C'est Toi" is systematically offered to children aged 3 to 10 years to accompany them throughout the course of care during outpatient surgery. This has been a standard practice since 2014.

In this project, the aim is to examine the links between the state of flow, generated by a playful application on tablet or animated cartoon, and the preoperative anxiety of children.

Protocol :

The day of the intervention surgery, the study is proposed to the parents and the children on their arrival. If the participants are in favor, the consent documents are given to them. Patient inclusion is ongoing, after verification of inclusion criteria, parental consent and signed consent. The attribution to the game-video or cartoon group is carried out according to a randomization by block " week ".

At their arrival in ambulatory care service, when child is in the room a first video recording is made in order to examine the anxiety of the child. Then tablet with the video game or animated cartoon is made available to the child. The tablet is available to the child until anesthetic induction.

Four others video recording are made :

- before the child leaves for the waiting room to examine the flow state of the child until the separation with the parents to examine the anxiety of the child,

- when the child is in the waiting room to examine the flow state of the child

- and during the anesthetic induction to examine the anxiety of the child.

While the children are in the operating room, parents must complete questionnaires to evaluate anxiety-trait of the children and anxiety-state of the parent.

The pain's score and the emergence delirium of the child on waking are recorded.

The day after the intervention, a call is made to parents to examine the postoperative behavioral changes of the children. Two other calls are made a week after and a month after.

Materials:

To examine the anxiety-state of the child on video recording we use an observational grid, the mYPAS To examine the anxiety-trait of the child we use the questionnaire PAS-R To examine the anxiety-state of the parents we use the questionnaire STAI-S To examine the pain of the child on waking we use an observational grid FLACC To examine the emergence delirium of the child on waking we use an observational grid, the EPAD To examine the flow state on video recording of the child, we use an observational grid. This tool is currently psychometrically tested.

To examine the postoperative behavioral change, we use the questionnaire PHBQ

Study Design

Conditions

Children

Intervention

Video game, Animated cartoon

Location

Centre Hospitalier Universitaire de Rennes
Rennes
France
35000

Status

Active, not recruiting

Source

Rennes University Hospital

Results (where available)

View Results

Links

Published on BioPortfolio: 2019-09-11T01:53:30-0400

Clinical Trials [919 Associated Clinical Trials listed on BioPortfolio]

Evaluation of the Animated Cartoon-aided Teaching of Intranasal Corticosteroid Allergic Rhinitis

Correct methods and compliance of intranasal corticosteroid (INCS) is very important for the treatment of allergic rhinitis (AR). The animated cartoon-aided teaching of INCS administration...

Animated Cartoons and Cooperation in Young Children Receiving Inhaled Medications

Up to 50% of infants and young children cry during the administration of their inhaled treatment for their asthma. This results in decreased lung deposition, and thus decreased effectivene...

Active Video-game Playing and Food Intake in Children

The purpose of this experiment is to investigate the effect of active video game playing for 30 minutes on food intake and subjective appetite. The investigators hypothesize that video gam...

Active Video Games and Sustainable Physical Activity

The purpose of this study is to test the effect of active video game play on physical activity of 9-13 year old children in their natural home environments. We observe how much physical a...

Trial of a Video Game Intervention to Recalibrate Physician Heuristics: A Followup Study

The objective of this study is to measure the duration of two different types of interventions to change physician decision making in trauma triage: a video game and an educational program...

PubMed Articles [7315 Associated PubMed Articles listed on BioPortfolio]

DEVELOPMENT AND PRELIMINARY EVALUATION OF IRD-1-2-3: AN ANIMATED VIDEO TO INFORM TRANSPLANT CANDIDATES ABOUT INCREASED RISK DONOR KIDNEYS.

Current educational interventions about increased risk donors (IRDs) are less effective in improving knowledge among African American (AA) kidney transplant candidates compared to other races. We aime...

Do children's food choices go with the crowd? Effects of majority and minority peer cues shown within an audiovisual cartoon on children's healthy food choice.

Studies show that the presentation of healthy foods within media does not lead to healthier food choices in children. A persuasive strategy is needed. We investigated how healthy peer cues shown in an...

Gaming With Stigma: Analysis of Messages About Mental Illnesses in Video Games.

Video game playing is a daily activity for many youths that replaces other media forms (eg, television); it serves as an important source of knowledge and can potentially impact their attitudes and be...

A digital movement in the world of inactive children: favourable outcomes of playing active video games in a pilot randomized trial.

This parallel randomized controlled trial was aimed to evaluate whether parameters as physical fitness, reaction times, self-perception and enjoyment levels, as well as parental and children perspecti...

Addictive Video Game Use: An Emerging Pediatric Problem?

The excessive use of video games is an emerging problem that has been studied in the context of addictive behaviors. The aim of this study was to determine the prevalence of use of addictive video ga...

Medical and Biotech [MESH] Definitions

Used with articles which include video files or clips, or for articles which are entirely video.

Theoretical construct used in applied mathematics to analyze certain situations in which there is an interplay between parties that may have similar, opposed, or mixed interests. In a typical game, decision-making "players," who each have their own goals, try to gain advantage over the other parties by anticipating each other's decisions; the game is finally resolved as a consequence of the players' decisions.

Endoscopic surgical procedures performed with visualization via video transmission. When real-time video is combined interactively with prior CT scans or MRI images, this is called image-guided surgery (see SURGERY, COMPUTER-ASSISTED).

A form of interactive entertainment in which the player controls electronically generated images that appear on a video display screen. This includes video games played in the home on special machines or home computers, and those played in arcades. (McGraw Hill Encyclopedia of Science & Technology, 7th ed, v19, p223)

A game in which a round inflated ball is advanced by kicking or propelling with any part of the body except the hands or arms. The object of the game is to place the ball in opposite goals.

More From BioPortfolio on "Analysis of the Link Between Flow State and Preoperative Anxiety in Children Undergoing Playful Distraction"

Quick Search

Relevant Topics

Mental Health
Adhd Anorexia Depression Dyslexia Mental Health Psychiatry Schizophrenia Stress Mental health, although not being as obvious as physical health, is very important, causing great unhappiness to those affected, causing add...

Pediatrics
Pediatrics is the general medicine of childhood. Because of the developmental processes (psychological and physical) of childhood, the involvement of parents, and the social management of conditions at home and at school, pediatrics is a specialty. With ...

Pharmacy
Pharmacy is the science and technique of preparing as well as dispensing drugs and medicines. It is a health profession that links health sciences with chemical sciences and aims to ensure the safe and effective use of pharmaceutical drugs. The scope of...


Searches Linking to this Trial