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Evaluation of the Effects of LUNII on Pre-operative Anxiety and on the Post-operative Period in Children With Cleft Lip and Palate Admitted for Alveolar Bone Graft: Pilot Study

Not Applicable
Terminated
Conditions
Cleft Lip and Palate
Interventions
Behavioral: Interactive story teller LUNII
Registration Number
NCT03740841
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Brief Summary

The literature on the effects of various devices on per-operative anxiety is scarce. There is currently no study on the effects of an interactive storyteller on per-operative anxiety in pediatric surgery.

The interactive story teller LUNII (available over the counter in France) would reduce pre-operative anxiety, with post-operative effects on pain and hospitalization time.

Detailed Description

The literature on the effects of various devices on per-operative anxiety is scarce. There is currently no study on the effects of an interactive storyteller on per-operative anxiety in pediatric surgery.

The interactive story teller LUNII (available over the counter in France) would reduce pre-operative anxiety, with post-operative effects on pain and hospitalization time.

Patients admitted for an alveolar bone graft with an iliac donor site as part of the treatment of their cleft lip and palate will be include for two reasons:

1. It is a homogeneous population - same condition, same treatment, same age at surgery, standardized procedure;

2. It is a population with long individual medical histories and, potentially, subjected to significant surgery-related stress.

Patients will be randomized into two groups: with LUNII and without LUNII.

In the LUNII group, the interactive story teller LUNII will be delivered the day before surgery during the pre-operative medical visit.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
15
Inclusion Criteria
  • Children aged 4 to 6 years.
  • Alveolar bone graft with iliac crest donor site in children with unilateral or bilateral cleft lip and palate
  • Primary alveolar bone graft or first side when bilateral cleft
  • Followed at Necker since birth and operated according to the protocol used in the department.
  • Consent signed by the holder (or holders) of parental authority
Exclusion Criteria
  • Medical care different from the usual protocol applied in the service (secondary surgery, age > 7 years)
  • Known psychomotor delay, associated rare syndrome or disease, known psychiatric disorders, other surgical procedures between hard palate closure and alveolar bone graft
  • Possession and/or prior use of LUNII by the child

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
LUNIIInteractive story teller LUNIIThe interactive story teller LUNII is delivered to the child the day before surgery, during the usual pre-operative medical visit.
Primary Outcome Measures
NameTimeMethod
Yale Preoperative Anxiety Scale (mYPAS )At the time of anesthetic induction

Questionnaire, completed in the operating room by an independent observer preferably without knowledge about the child, made of 22 items divided into 5 categories. The score ranges from 5 (minimum anxiety) to 20 (maximum anxiety)

Number of hours spent with the interactive story teller LUNII before surgeryDay of surgery (D0)

Number of hours spent with the interactive story teller LUNII

Secondary Outcome Measures
NameTimeMethod
Analgesic administrationUp to 1 week

Evaluation of analgesic administration after surgery during hospital stay

Visual Analogue pain Scale (EVA)Up to 1 week

Self-assessment of pain by a graduated ruler of 0 (no pain) at 100 millimeters (maximum pain imaginable), twice a day during hospitalization

Duration between the operation and the first surveyUp to 1 week

Duration between the operation and the first survey

Length of hospitalizationUp to 1 week

Length of hospitalization

Trial Locations

Locations (1)

Hôpital Necker-Enfants Malades

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Paris, France

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