The Impact of Preprocedural Animation About Echocardiography Display and Kaleidoscope Display on Anxiety in Children
Condition: Anxiety; Child, Only; Echocardiography
MeSH terms: Anxiety Disorders
Study type: Interventional

Summary: 
      Objective: The study was conducted for the purpose of determining the effect of making
      children aged 5 to 12 years watch a cartoon about echocardiography (ECO) procedure before the
      procedure and kaleidoscope during the procedure on their anxiety.

      Material and Method: It is a randomized controlled study. The study was completed with a
      total of 164 children who came to have an ECO and met the sample selection criteria. There
      were four groups in the study which were as follows; the group that was made watch a cartoon
      about the procedure before the procedure, the group that was made watch a kaleidoscope during
      the procedure, the group that was made watch a cartoon about the procedure before the
      procedure and a kaleidoscope during the procedure and the control group in which routine
      applications of clinic were carried out.

      Results: At the end of the study, it was determined that anxiety scores of the cartoon group,
      cartoon+kaleidoscope group and the kaleidoscope group were lower during the procedure than
      before the procedure (p<0,001). In the control group, it was determined that there was no
      significant difference between the anxiety scores before and during the procedure (p>0,05).
    

Detailed description: 
      The study was conducted for the purpose of determining the effect of making children aged 5
      to 12 years watch a cartoon about echocardiography (ECO) procedure before the procedure and
      kaleidoscope during the procedure on their anxiety. It is a randomized controlled study. The
      study was conducted in the Pediatric Cardiology Polyclinic of Afyon Kocatepe University Ahmet
      Necdet Sezer Research and Application Hospital in the Province of Afyonkarahisar between 6
      November 2018-1 February 2019. The study was completed with a total of 164 children who came
      to have an ECO and met the sample selection criteria. There were four groups in the study
      which were as follows; the group that was made watch a cartoon about the procedure before the
      procedure, the group that was made watch a kaleidoscope during the procedure, the group that
      was made watch a cartoon about the procedure before the procedure and a kaleidoscope during
      the procedure and the control group in which routine applications of clinic were carried out.
      Samples were assigned to the groups using permutation block randomization method. In order to
      collect data, an Introductory Information Form and the Child Fear Scale were used. The data
      acquired from the study were evaluated using the IBM SPSS Statistics 24 (Statistical Package
      for Social Sciences) package software. In our study, the experimental and control group
      children were found to be similar in terms of introductory characteristics (age, gender,
      educational level, family structure, number of children in family, illness and hospital
      experiences, information about ECO). At the end of the study, it was determined that anxiety
      scores of the cartoon group, cartoon+kaleidoscope group and the kaleidoscope group were lower
      during the procedure than before the procedure (p<0,001). In the control group, it was
      determined that there was no significant difference between the anxiety scores before and
      during the procedure (p>0,05).
    

Intervention name(s): Cartoon group; Kaleidoscope group; Cartoon+Kaleidoscope group
Intervention type(s): Other; Other; Other
Intervention description(s): The children in the groups were distracted by watching cartoon 5 minutes before echocardiography process.; The children in the groups were distracted by kaleidoscope during echocardiography, until the process was over.; The children in the groups were distracted by watching cartoon 5 minutes before echocardiography process and then the children in the groups were distracted by kaleidoscope during echocardiography, until the process was over.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: This randomized controlled experimental study was carried out with 164 children in the 5-12 age group in the pediatric echocardiography unit of a Training and Research Hospital between February 2019 and November 2018. In the study, nonpharmacological methods were applied to the children in the experimental groups (Cartoon Group (n=41), Kaleidoscope Group (n=41), Cartoon+Kaleidoscope Group (n=41), Control group (Routine echocardiography) (41) . The data were collected using the "Introductory Information Form", "Children's Fear and Anxiety Scale (CFAS)".
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: Child; Anxiety; Echocardiography; Cartoon; Kaleidoscope