Does a Photo Diary Decrease Stress and Anxiety in Children Undergoing Magnetic Resonance Imaging? A Randomized, Controlled Study

Hartman, Jane H.; Bena, James; McIntyre, Shannon; Albert, Nancy M.

doi:10.1016/j.jradnu.2009.08.002

Cited by 24 publications

(24 citation statements)

References 10 publications

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“…Given that research protocols typically avoid sedation (used commonly in clinical pediatric imaging) to minimize risk, they must instead rely on behavioral approaches including training in a mock-scanner, [39][40][41] video watching, 42,43 or other child-friendly preparation. 44,45 Maintaining a short scan time will increase the likelihood of obtaining high quality data in pediatric subjects, and should be a major consideration when developing protocols. New approaches such as multi-band acquisition, 46 which excites multiple slices at once resulting in major savings in scan time (e.g.…”

Section: Acquisition Considerationsmentioning

confidence: 99%

A review of diffusion MRI of typical white matter development from early childhood to young adulthood

2017

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Understanding typical, healthy brain development provides a baseline from which to detect and characterize brain anomalies associated with various neurological or psychiatric disorders and diseases. Diffusion MRI is well suited to study white matter development, as it can virtually extract individual tracts and yield parameters that may reflect alterations in the underlying neural micro-structure (e.g. myelination, axon density, fiber coherence), though it is limited by its lack of specificity and other methodological concerns. This review summarizes the last decade of diffusion imaging studies of healthy white matter development spanning childhood to early adulthood (4-35 years). Conclusions about anatomical location, rates, and timing of white matter development with age are discussed, as well as the influence of image acquisition, analysis, age range/sample size, and statistical model. Despite methodological variability between studies, some consistent findings have emerged from the literature. Specifically, diffusion studies of neurodevelopment overwhelmingly demonstrate regionally varying increases of fractional anisotropy and decreases of mean diffusivity during childhood and adolescence, some of which continue into adulthood. While most studies use linear fits to model age-related changes, studies with sufficient sample sizes and age range provide clear evidence that white matter development (as indicated by diffusion) is non-linear. Several studies further suggest that maturation in association tracts with frontal-temporal connections continues later than commissural and projection tracts. The emerging contributions of more advanced diffusion methods are also discussed, as they may reveal new aspects of white matter development. Although non-specific, diffusion changes may reflect increases of myelination, axonal packing, and/or coherence with age that may be associated with changes in cognition.

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Section: Acquisition Considerationsmentioning

confidence: 99%

A review of diffusion MRI of typical white matter development from early childhood to young adulthood

2017

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“…The effect of a photo diary was also investigated by Hartman et al . 15 They found no difference in terms of anxiety reduction between children to whom an illustrated booklet containing detailed information on the MRI procedure was provided and the control group (to whom only standard information was delivered). The above mentioned studies indicate a real need to adopt interventions and strategies to decrease both anxiety and the use of sedation in children undergoing MRI.…”

Section: Introductionmentioning

confidence: 96%

Impact of Psychological Interventions on Reducing Anxiety, Fear and the Need for Sedation in Children Undergoing Magnetic Resonance Imaging

et al. 2015

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Children undergoing magnetic resonance imaging examination frequently experience anxiety and fear before and during the scanning. The aim of the present study was to assess: i) whether and to what extent psychological interventions might reduce anxiety and fear levels; ii) whether the intervention is related to a decrease in the need for sedation. The interventions consisted of three activities: a clown show, dog interaction and live music. The emotional status (anxiety and fear) of the children was evaluated before and after the activities through a rating scale questionnaire. The results showed that the activities had high effectiveness in reducing the level of anxiety and fear and decreased the need for sedation in the experimental group compared to the control group. This approach proved to be a positive patient experience, helping to alleviate children’s anxiety and fear, decreasing the need for sedation, and was cost-effective.

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“…In one MRI study, preparatory education in the form of a photo diary did not result in decreased stress or anxiety before a scan for children undergoing MRI (Hartman et al, 2009). With providing information in the form of a pediatric preparation booklet, there may be issues with compliance.…”

Section: Discussionmentioning

confidence: 97%

Interventions to Reduce Anxiety, Distress, and the Need for Sedation in Pediatric Patients Undergoing Magnetic Resonance Imaging: A Systematic Review

Munn¹,

Jordan²

2013

Journal of Radiology Nursing

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Does a Photo Diary Decrease Stress and Anxiety in Children Undergoing Magnetic Resonance Imaging? A Randomized, Controlled Study

Cited by 24 publications

References 10 publications

A review of diffusion MRI of typical white matter development from early childhood to young adulthood

A review of diffusion MRI of typical white matter development from early childhood to young adulthood

Impact of Psychological Interventions on Reducing Anxiety, Fear and the Need for Sedation in Children Undergoing Magnetic Resonance Imaging

Interventions to Reduce Anxiety, Distress, and the Need for Sedation in Pediatric Patients Undergoing Magnetic Resonance Imaging: A Systematic Review

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