A randomized controlled study: The effect of preprocedurals ınformative animation watch about echocardiography and ıntraprocedural kaleidoscope watch on anxiety in children

Molu, Birsel; Açıkgöz, Ayfer

doi:10.1111/jjns.12468

Cited by 6 publications

(3 citation statements)

References 45 publications

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“…Some studies have shown that audiovisual distraction (e.g., cartoons, music, kaleidoscope) before or during medical procedures in young children can improve their behavior and reduce anxiety levels. 3,6,[7][8][9][10][11][15][16][17] Our study observed a significant reduction in anxiety levels measured using VAS-A score after intervention during the echocardiography procedure. The proportion of subjects with VAS-A scores in the "calm and relaxed" and "mild anxiety" ranges were increased post-audiovisual distraction, compared to higher anxiety levels pre-intervention; these results are consistent with those of several studies that have reported that audiovisual distraction can reduce pain.…”

Section: Discussionmentioning

confidence: 84%

“…The proportion of subjects with VAS-A scores in the "calm and relaxed" and "mild anxiety" ranges were increased post-audiovisual distraction, compared to higher anxiety levels pre-intervention; these results are consistent with those of several studies that have reported that audiovisual distraction can reduce pain. 3,6,[7][8][9][10][11][15][16][17] Preschool children commonly enjoy watching animated cartoons, and they become deeply engaged to the point of being oblivious to their surroundings, thereby ignoring verbal and tactile stimuli caused by medical procedures. All children in our study were familiar with audiovisual stimuli from their devices, such as mobile phones and/or television, which may have helped reduce their anxiety during the echocardiography procedure.…”

Section: Discussionmentioning

confidence: 99%

“…3,[6][7][8][9] Listening to classical Mozart music has been found to reduce dental anxiety, measured by the Visual Analogue Scale -Anxiety (VAS-A), in 76.67% of patients. 10 Responses to animated cartoons with children's songs viewed on a mobile phone helped increase compliance in children younger than five years who underwent ultrasound examination. 11 In this study, we attempted to reduce children's anxiety levels using animated cartoons and children's songs during the echocardiography examination.…”

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confidence: 99%

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The efficacy of audiovisual distraction as an anxiety-minimizing technique during echocardiography in preschool children

Yantie,

Gunawijaya,

Windiani

et al. 2023

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Background Echocardiography procedures can cause fear and anxiety in children, especially at preschool age. Audiovisual distraction is a simple, harmless, and low-cost technique that does not interfere with the procedure. Objective To assess the effect of audiovisual distraction on the anxiety levels of children aged 2-5 years during echocardiography. Methods This quasi-experimental study included children aged 2-5 years who were admitted for echocardiography. Patients with hearing or visual impairment, Down syndrome, autism, or attention-deficit/hyperactivity disorder were excluded. We administered anxiety-reducing intervention in the form of cartoon audiovisual media shown on a ceiling-mounted television during the echocardiography procedure. Anxiety levels were assessed using the Visual Analogue Scale - Anxiety (VAS-A) before and after the intervention was given. We compared the subjects’ pre- and post-procedure VAS-A scores and heart rates. Results Of the 43 subjects who underwent echocardiography during the study period, the mean age was 3.2 (SD 0.9) years, with an equal sex distribution. Most subjects had a history of repeated echocardiography procedures and hospitalizations. Thirty-nine (90.6%) of subjects demonstrated anxiety during the echocardiography procedure. There was a significant mean difference of 11.9 (SD 13.2) bpm (95%CI 7.8 to 15.9 bpm, p<0.001) in heart rate pre- vs. post-intervention. Median pre- and post-intervention VAS-A scores were 5 (range 0-10) and 1 (range 0-4), respectively (P=0.001). Post-intervention, almost all (97.7%) subjects had no or mild anxiety. Conclusion Audiovisual content presented on television serves as an effective distraction method to reduce children's anxiety during echocardiography.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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The efficacy of audiovisual distraction as an anxiety-minimizing technique during echocardiography in preschool children

Yantie,

Gunawijaya,

Windiani

et al. 2023

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Effects of Procedural Information, Buzzy, and Multiple Interventions on Pain in Children Undergoing Venipuncture: A Randomized Controlled Trial

KAHRIMAN,

MERAL,

COLAK

et al. 2024

Journal of Nursing Research

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Background Needle-related procedures are commonly performed in childhood and lead to considerable pain. Purpose This randomized controlled study was conducted to compare the effects on venipuncture pain of the Buzzy, an informational animated video, multiple interventions, and standard care in children aged 6–12 years. Methods One hundred eighty children were assigned to the groups using a computerized randomization program. Pain level was evaluated by the children, parents, and their nurses using the Wong–Baker Faces Pain Scale. The level of agreement among the nurse, parents, and children's pain reports was evaluated. Multivariable regression analysis was performed to identify the factors significantly associated with pain score. Results The participants in the Buzzy, video watching, and multiple intervention groups reported lower mean pain scores (child: KW = 28.24, p < .001; parent: KW = 18.51, p < .001; nurse: KW = 44.4, p < .001) than their peers in the control group. Moreover, age was identified as a risk factor affecting pain level (OR = 1.375, 95% CI [1.086, 1.740]; p = .008). Conclusions Buzzy and informational videos are potentially effective methods to facilitate venipuncture-related pain management in children. The use of pain management methods during venipuncture is recommended, especially in children younger than 10 years old.

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Evaluation and comparison of the effectiveness of kaleidoscope and virtual reality goggles to reduce dental anxiety in young children undergoing administration of local anesthesia.

Parakh

Thosar

2023

F1000Res

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Administration of local anesthesia via injection is the main reason for inducing anxiety in children and if not intervened it aggravates the anxiety in subsequent appointments. There are many approaches, including pharmacological and non-pharmacological methods that can be used to reduce children's perception of pain and anxiety. A frequently used non-pharmacological behaviour management method to reduce anxiety and procedure pain is distraction. The rationale of distraction is to shift the attention to avert the brain from receiving unwanted stimulus which induce anxiousness. Many approaches including music, television, portable video games, virtual reality (VR) helmet, and virtual reality audio-visual eyewear, have been implemented so far. Kaleidoscope and virtual reality goggles may help as distraction techniques in reducing the levels of anxiety caused during administration of local anesthesia. By the aid of which the operator may be able to make the dental experience child friendly and ultimately provide quality dental care to anxious children. Non pharmacological measures of reducing pain are cost effective and best means that can be used while performing dental procedures. This is a research protocol for a study aimed to evaluate and compare the effectiveness of kaleidoscope and virtual reality goggles to reduce dental anxiety in young children.

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A randomized controlled study: The effect of preprocedurals ınformative animation watch about echocardiography and ıntraprocedural kaleidoscope watch on anxiety in children

Cited by 6 publications

References 45 publications

The efficacy of audiovisual distraction as an anxiety-minimizing technique during echocardiography in preschool children

The efficacy of audiovisual distraction as an anxiety-minimizing technique during echocardiography in preschool children

Effects of Procedural Information, Buzzy, and Multiple Interventions on Pain in Children Undergoing Venipuncture: A Randomized Controlled Trial

Evaluation and comparison of the effectiveness of kaleidoscope and virtual reality goggles to reduce dental anxiety in young children undergoing administration of local anesthesia.

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