Effect of Child Preference for Parental Selection During Induction

Study Overview
=================
Brief Summary
-----------------
Induction of anesthesia can be distressing both for children and their parents. Nonpharmacological behavioral interventions can reduce the anxiety of children without significant adverse effects as seen with sedative drugs. has not been documented. The aim of this study will be to evaluate the effect of children's preference on parental selection during the induction of anesthesia on children and parental anxiety during the perioperative period.

Detailed Description
-----------------
Anesthetic induction can be one of the most stressful experiences for the child during the perioperative period, with almost 50% of the children showing significant anxiety. . To minimize the effect of anxiety, several methods have been adopted, such as the introduction of day-case surgery, parental presence at the induction of anesthesia, distractions and the use of pharmacological agents like midazolam to reduce anxiety. Although the effect of parental presence on the anxiety of children and parents was studied in various studies. Whether the children's choice of parental selection affects anxiety is not studied yet. In this study, we will evaluate the anxiety of children by using mYPAS .

Official Title
-----------------
Effect of Child Preference for Parental Selection During Induction in Children Undergoing Elective Day Case Surgery

Conditions
-----------------
Anxiety State, Child Behavior

Intervention / Treatment
-----------------
* Procedure: Selection of parent(mother or father) according to children preference
* Procedure: Selection of parent(mother or father) according to randomization


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: 80 children of both sex, aged 4-15 years with ASA physical Status I-II will be enrolled Exclusion Criteria: Mentally challenged Deaf Child Cerebral Palsy Premedicated Child Language Problem Unco-operative Previous surgery or anesthesia history

Ages Eligible for Study
-----------------
Minimum Age: 4 Years
Maximum Age: 15 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Group Child Preference<br>The children will prefer parents (mother or father) who will accompany them in the preoperative holding area and at induction. | Procedure: Selection of parent(mother or father) according to children preference<br>* The parent who will accompany the child during the perioperative period will be determined by children preference<br>|
| Group None<br>The parent of the children who will accompany them during the perioperative period will be determined according to randomization. | Procedure: Selection of parent(mother or father) according to randomization<br>* The parent who will accompany the child during the perioperative period will be determined by randomization.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Modified Yale Preoperative Anxiety Scale (mYPAS) of the children undergoing elective surgery under general anesthesia. | The mYPAS will be used to evaluate the anxiety level of children. The mYPAS is an observational measure of preoperative anxiety consisting of 27 items in 5 domains (activity, emotional expressivity, state of arousal, vocalization, and use of parents). The adjusted mYPAS total score ranges from 22.9 to 100, with higher scores indicating greater anxiety. | Perioperative period | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
day- case surgery, anxiety, children