Effect of a Preoperative Preparation Video on Preoperative Anxiety Among Children Undergoing Dental Treatment Under General Anesthesia
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 84
- Locations
- 1
- Primary Endpoint
- modified Yale Preoperative Anxiety Scale
Study Overview
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.
Study Design
- Study Type
- Interventional
- 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.
Eligibility Criteria
- Ages
- 4 Years to 7 Years (Child)
- Sex
- All
- Accepts 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.
Arms & Interventions
Standard of care
Participants received the standard care provided upon arrival and being admitted to the hospital, involving only a verbal explanation of the anaesthesia induction process.
Preoperative preparation video
On the night before the surgery, participants 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.
Intervention: Preoperative preparation video (Behavioral)
Outcomes
Primary Outcomes
modified Yale Preoperative Anxiety Scale
Time Frame: 1 day
Observational anxiety scale, values (23.3-100) with higher scores indicating higher levels of anxiety
Visual Facial Anxiety Scale
Time Frame: 1 day
Self-report anxiety scale, values (0-10) with higher scores indicating higher levels of anxiety
Secondary Outcomes
- Face, Legs, Activity, Cry, Consolability scale(1 day)
- Pediatric Anesthesia Emergence Delirium scale(1 day)