Smartphone-based behavioural intervention alleviates children's anxiety during anaesthesia induction A randomised controlled trial

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author CUMINO, Debora O.
VIEIRA, Joaquim E. FMUSP-HC
LIMA, Luciana C.
STIEVANO, Livia P.
SILVA, Raquel A. P.
MATHIAS, Ligia A. S. T.
dc.date.issued 2017
dc.identifier.citation EUROPEAN JOURNAL OF ANAESTHESIOLOGY, v.34, n.3, p.169-175, 2017
dc.identifier.issn 0265-0215
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/18723
dc.description.abstract BACKGROUND Preoperative anxiety negatively influences children's anaesthetic and surgical experience, and results in postoperative complications, such as emergence delirium and behavioural changes. Nonpharmacological management using alternative therapies that alleviate psychological stress can be as important as pharmacological ones in reducing children's anxiety. Nevertheless, their validity as an effective anxiety-reducing strategy in children remains controversial. OBJECTIVE(S) To verify whether nonpharmacological strategies, that is, leaflet and distraction with smartphone application presented to parents/guardians and children, respectively, were effective in preventing children's anxiety during anaesthesia induction. DESIGN Randomised clinical trial. SETTING A tertiary care teaching hospital. PATIENTS In total, 84 children (aged 4 to 8 years; American Society of Anesthesiologists I and II) undergoing minor-to-moderate elective surgical procedures and their parents/guardians. INTERVENTIONS Children were randomised into four groups: control group, in which the parent/guardian was verbally informed about the anaesthetic procedure; the informed group, in which the parent/guardian was also provided with an information leaflet about the anaesthetic procedure; the smartphone group, in which the parent/guardian was verbally informed and the child received a smartphone application to play with while in the holding area before entering the operating room and the smartphone and informed group, in which the parent/guardian also received an information leaflet and the child, a smartphone application to play with while in the holding area before entering the operating room. MAIN OUTCOME MEASURES Children's anxiety at two time points: in the holding area of the surgical centre and in the operating room during induction of anaesthesia by facemask. RESULTS Median (IQR) anxiety levels were greater at time point operating room for children in the control group (55.0; range: 30.0 to 68.4) than in the other groups: informed group, 28.4 (23.4 to 45.0); smartphone group, 23.4 (23.4 to 30.0); smartphone and informed group, 23.4 (23.4 to 25.9). CONCLUSION The behavioural distraction strategies using smartphones were effective in preventing an increase in children's anxiety during anaesthesia induction.
dc.language.iso eng
dc.publisher LIPPINCOTT WILLIAMS & WILKINS
dc.relation.ispartof European Journal of Anaesthesiology
dc.rights restrictedAccess
dc.subject.other preoperative anxiety; pediatric anesthesia; prospective cohort; parental presence; surgery; premedication; information
dc.title Smartphone-based behavioural intervention alleviates children's anxiety during anaesthesia induction A randomised controlled trial
dc.type article
dc.rights.holder Copyright LIPPINCOTT WILLIAMS & WILKINS
dc.description.group LIM/08
dc.identifier.doi 10.1097/EJA.0000000000000589
dc.identifier.pmid 28146459
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author VIEIRA, Joaquim E.:FM:MCG
hcfmusp.author.external · CUMINO, Debora O.:Irmandade Santa Casa de Misericordia Sao Paulo, Dept Anesthesiol & Pain, Rua Nilo,35 Ap 113, BR-01533010 Sao Paulo, SP, Brazil
· LIMA, Luciana C.:Fac Pernambucana Saude, Sao Paulo, Brazil
· STIEVANO, Livia P.:Santa Casa Sao Paulo Sch Med Sci, Sao Paulo, Brazil
· SILVA, Raquel A. P.:Santa Casa Sao Paulo Sch Med Sci, Sao Paulo, Brazil
· MATHIAS, Ligia A. S. T.:Santa Casa Sao Paulo Sch Med Sci, Sao Paulo, Brazil
hcfmusp.origem.id 2-s2.0-85013170731
hcfmusp.origem.id WOS:000393960400009
hcfmusp.publisher.city PHILADELPHIA
hcfmusp.publisher.country USA
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dc.description.index MEDLINE
dc.identifier.eissn 1365-2346
hcfmusp.citation.scopus 6
hcfmusp.citation.wos 7
hcfmusp.affiliation.country Brasil


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