BACKGROUND: @entity148 among @entity1 in a pediatric emergency department (PED) can be significant, but often goes unaddressed. OBJECTIVE: Our aim was to determine whether exposure to @entity1 Life (CL) or @entity580 ( @entity580 ) can reduce @entity148 in @entity1 presenting to a PED. METHODS: @entity1 were randomized to CL, @entity580 , or control and assessed upon entry to examination room (T1), before physician arrival (T2), and during physician examination (T3), using the modified Yale Preoperative @entity148 Scale (m-YPAS). CL and @entity580 interventions occurred for 5 to 10  min before physician entry. Effects were analyzed using mixed analysis of variance. RESULTS: m-YPAS scores ranged from 23 to 59, with a higher score indicating increased @entity148 . Mixed analysis of variance on the study sample (n  =  113) showed a significant interaction between groups (CL, @entity580 , control) and time (p  =  0.02). Additional analyses indicated effect of group only at T2 (CL: mean  =  23.8; 95% confidence interval [CI] 23.2-24.5; @entity580 : mean 25.2; 95% CI 24.2-26.2; control: mean  =  26.1; 95% CI 24.2-27.9; p  =  .02). Subanalysis of @entity1 with T1 m-YPAS score >=  28 (n  =  56) showed a significant interaction between group and time (p  =  0.01). Additional analysis showed effect of group only at T2 (CL: mean 24.4; 95% CI 23.3-25.6; @entity580 : mean 27.0; 95% CI 25.2-28.7; control: mean 29.2; 95% CI 25.6-32.7; p  =  0.003). CONCLUSIONS: CL services can reduce state @entity148 for @entity1 presenting to a PED with heightened @entity148 at baseline. This reduction occurred immediately after CL intervention, but was not observed in @entity1 exposed to @entity580 or during physician examination.

Reducing XXXX in the pediatric emergency department: a  comparative trial.

@entity1 :: ('9606', 'Species') :: ['Child', 'children', 'Patients', 'patients'] @entity148 :: ('MESH:D001008', 'Disease') :: ['Anxiety', 'anxiety'] @entity580 :: ('MESH:D003428', 'Disease') :: ['HC', 'hospital clowning']
@entity148 :: (MESH:D001008,Disease) :: ['anxiety']
