Child-centered Communication and Anesthesia Use for MRI

Study Overview
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Brief Summary
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The goal of this project is to study the influence of child-centered communication on children's anxiety, satisfaction and the use of anesthesia for MRI

Detailed Description
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This study seeks to inspect the influence of a child-centered communication (CCC) on anesthesia use in magnetic resonance imaging (MRI) exams among four- to 10-year-old children. Children's levels of anxiety and satisfaction with the interaction also are assessed. Children are divided into three groups by order of arrival. Group 1 receives routine information about the MRI and simulates it with an MRI toy (EG1). Group 2 simulates the exam with the toy and receives the CCC. These two groups are compared with a third group of children who had received only the routine information about the exam and who served as a comparison group (CG).

Official Title
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The Influence of Child-centered Communication on Children's Anxiety and Use of Anesthesia for MRI

Conditions
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Behavioral Problem of Child, Anxiety

Intervention / Treatment
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* Behavioral: Child-centered communication


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Ages between four and 10 years old Having a medical request for the MRI in the hospital The MRI performed for the first time Exclusion Criteria: Presenting cognitive, psychiatric or neurological conditions that prevented the understanding of communication Having any intra-body devices that impeded performance of the MRI exam

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 10 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Parallel assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Child-centered communication<br>The child's preparation for the MRI scanning is conducted using a child-centered communication type of interaction | Behavioral: Child-centered communication<br>* The child is asked for ideas, fears and concerns regarding the magnetic resonance imaging exam and responses are tailored to these individual needs<br>|
| Active Comparator: Magnetic Resonance Imaging (MRI) Simulation Toy<br>The child's preparation for the MRI scanning is conducted through provision of general information about the MRI exam simulated with an MRI toy | Behavioral: Child-centered communication<br>* The child is asked for ideas, fears and concerns regarding the magnetic resonance imaging exam and responses are tailored to these individual needs<br>|
| No Intervention: General information about the Magnetic Resonance Imaging (MRI) exam<br>The child's preparation for the MRI scanning is based on the provision of routine information about the MRI exam | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Anesthesia count | Number of children who perform the Magnetic Resonance Imaging exam using anesthesia | 30 minutes (after the Magnetic Resonance Imaging) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in self-reported anxiety | Change in anxiety levels before and after preparation for the Magnetic Resonance Imaging, assessed through a self-report question responded on a 1 (very calm) to 5 (very scared) scale | 20 minutes (before and after the child's preparation) | 
| Change in heart rate frequency | Change in anxiety levels before and after preparation for the Magnetic Resonance Imaging assessed through heart rate frequency | 20 minutes (before and after the child's preparation) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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patient-centered communication, children, MRI, anesthesia, toy simulation