Our goal in this study is to investigate the feasibility and acceptability of virtual parental presence of parents on anxiety in children at induction of anesthesia at Cincinnati Children's Hospital, an institution whose use of parental presence on induction is deeply ingrained in our culture, and to determine the impact of coaching of parents either prior to arrival at the hospital vs. on the day of surgery on efficacy of virtual parental presence on induction. Our primary hypothesis is that virtual PPIA is both feasibile for the smooth induction of general anesthesia and is acceptable to parents, patients, and anesthesia providers at our isntutition. Our secondary hypothesis is that the coaching of parents prior to virtual PPIA enhances the effect of video parental presence at induction of anesthesia on children's anxiety and that coaching prior to arrival at the hospital will allow for increased ease and use of this technique.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
85
Families will be able to use Facetime with their child when the child is taken to the operating room
Cincinnati Childrens Hospital Medical Center
Cincinnati, Ohio, United States
Hospital for Sick Children
Toronto, Ontario, Canada
Virtual presence cause delays in operating room
Based off operating room scheduled time vs actual start time
Time frame: During procedure
Parent satisfaction with virtual presence
Parent will complete a satisfaction form which is 6 questions rating experience. Ratings are rated Excellent to Poor.
Time frame: Immediately after induction
Operating room provider satisfaction
NASA Task Load Index questionnaire. The NASA task load index (NASA TLX) is a tool for measuring and conducting a subjective mental workload (MWL) assessment. It allows you to determine the MWL of a participant while they are performing a task. It rates performance across six dimensions to determine an overall workload rating.
Time frame: Immediately after procedure
Operating room provider satisfaction
System Usability Scale. It consists of a 10 item questionnaire with five response options for respondents; from Strongly agree to Strongly disagree.
Time frame: Immediately after procedure
Operating room induction nurse satisfaction
NASA Task Load Index questionnaire. The NASA task load index (NASA TLX) is a tool for measuring and conducting a subjective mental workload (MWL) assessment. It allows you to determine the MWL of a participant while they are performing a task. It rates performance across six dimensions to determine an overall workload rating.
Time frame: Immediately after procedure
Operating room induction nurse satisfaction
System Usability Scale. It consists of a 10 item questionnaire with five response options for respondents; from Strongly agree to Strongly disagree.
Time frame: Immediately after procedure
Assessment of parental presence with either Facetime, Skype or Teams
Parent and child will use one of three applications during the induction process
Time frame: During patients induction, assessed immediately
Anxiety of child
Use of modified Yale Preoperative Anxiety Scale (mYPAS) measures anxiety at anesthesia induction. It looks at activity, facial expression, alertness and arousal, vocalization and interaction with adults.
Time frame: Prior to induction
Anxiety of child
Use of modified Yale Preoperative Anxiety Scale (mYPAS) measures anxiety at anesthesia induction. It looks at activity, facial expression, alertness and arousal, vocalization and interaction with adults.
Time frame: During induction process, assessed immediately
Child behavior induction compliance
Child Behavior Induction Assessment is an observational scale, used to describe the compliance of a child during induction of anesthesia.
Time frame: During induction, assessed immediately
Parent anxiety
State-Trait Anxiety Inventory assesses anxiety in adults. Responses are rated "Not at All" to "Very Much So"
Time frame: Prior to patient moving to operating room
Patient previous induction experience
Parent will complete form regarding previous experience. Will use a likert scale to compare previous experience to virtual presence experience
Time frame: After induction complete, assessed immediately
Parental Coaching - Prior
Parents will review a standard video and handout for a week prior to surgery. Both will outline desired behaviors to support child during induction process.
Time frame: One week prior to surgery date
Parental Coaching - Day
Parents will review a standard video and handout the day of surgery. Both will outline desired behaviors to support child during induction process.
Time frame: 1-2 hours before procedure
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