Pediatric anesthesia & critical care
The Effect of a Caregiver Preparation Video (Take5) on Child Anxiety During Anesthetic Induction: A Randomized Controlled Trial
Authors' conclusion
The Take5 video, shown to caregivers immediately prior to surgery, did not have any demonstrable effect on child anxiety at induction or on a range of postoperative outcomes; however, caregivers reported a perceived benefit to the child's induction experience.
Study context
- Population
- Children undergoing GA and their caregivers present at inductionchildren and caregivers
- Participants
- 100 children
- Comparison
- Take5 vs Standard preparation
- Primary endpoint
- Child anxiety at induction (Modified Yale Preoperative Anxiety Scale-Short Form, mYPAS-SF)
Methodological detailsInter-rater reliability good to excellent (intraclass correlation coefficient = 0.81 for Modified Yale Preoperative Anxiety Scale-Short Form (mYPAS-SF))
- Inter-rater reliability good to excellent (intraclass correlation coefficient = 0.81 for mYPAS-SF)
Primary result
As reported in the abstract
- Good evidence for no difference between groups
Secondary outcomes
Child postoperative pain (Faces, Legs, Activity, Cry and Consolability (FLACC) scale)
| Mean difference (95% CI) | P value | ||
|---|---|---|---|
| ControlChildren in the control group rated as having more pain | 0.6 (0.04–1.16) | P = 0.037 | |
| −0.500.511.5Difference (linear scale) |
Caregiver procedural behaviour
- Video intervention showed no effect on parental behaviour
Emergence delirium, time to discharge, caregiver satisfaction
- No difference shown
Psychological wellbeing (child health-related quality of life, child behavioural difficulties, parent depression and anxiety) · 3 months
- No differences
Caregiver acceptability (semistructured interviews)
- Caregivers reported the video acceptable and beneficial; many would have preferred to see it in the days prior to the procedure
Original publication
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