Use of a Preanesthetic Video for Facilitation of Parental Education and Anxiolysis Before Pediatric Ambulatory Surgery

Joseph F. Cassady · Timothy Wysocki · Dawn D. Cancel · Neil Izenberg

124 citations0/0 files storedAnesthesia & Analgesia

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Music Therapy and Health Anesthesia and Sedative Agents Pediatric Pain Management Techniques

Abstract

UNLABELLED: In this study, we evaluated the effects of viewing an educational videotape about pediatric anesthesia on measures of parental knowledge of anesthesia and preoperative anxiety using a randomized, controlled design. During their routine preoperative visit, 85 parents of children scheduled to undergo ambulatory surgical procedures under general anesthesia were randomized to view either the experimental videotape about pediatric anesthesia or a control videotape with no medical content. Before and immediately after viewing the assigned videotape, parents completed measures of situational anxiety (State-Trait Anxiety Inventory-State), preoperative anxiety and need for information (Amsterdam Preoperative Anxiety and Information Scale), and anesthesia knowledge (Standard Anesthesia Learning Test). Repeated-measures analyses of variance showed that parents who viewed the experimental videotape showed a significant increase in anesthesia knowledge (P < 0.022) and a significant reduction in their state of anxiety (P < 0.031), anesthesia-specific anxiety, and need for information (P < 0.0001) compared with the control group. These results demonstrated that viewing a preoperative educational videotape about pediatric anesthesia can provide immediate educational and anxiolytic benefits for parents of children undergoing ambulatory surgery. The duration of these benefits remains to be determined. IMPLICATIONS: In this study, we demonstrated the benefits of viewing an educational videotape about pediatric anesthesia on measures of parental knowledge of anesthesia and preoperative anxiety using a randomized, controlled design. We found that videotape viewing facilitated preoperative preparation and lessened preoperative anxiety.

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1996Preoperative Anxiety in Children 1996The Amsterdam Preoperative Anxiety and Information Scale (APAIS)

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2000Social adaptability, cognitive abilities, and other predictors for children’s reactions to surgery 2017Levels of anxiety in parents in the 24 hr before and after their child's surgery: A descriptive study 2016Introduction of a paediatric anaesthesia comic information leaflet reduced preoperative anxiety in children 2007The effect of videotaped preoperative information on parental anxiety during anesthesia induction for elective pediatric procedures 2019A systematic review of technology-based preoperative preparation interventions for child and parent anxiety 2013Parental anxiety and stress before pediatric anesthesia: A pilot study on the effectiveness of preoperative clown intervention 2007The Amsterdam Preoperative Anxiety and Information Scale (APAIS) - the first trial of a German version.1999Validation of Measures of Parents' Preoperative Anxiety and Anesthesia Knowledge

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