Distraction with a hand-held video game reduces pediatric preoperative anxiety

Anuradha Patel, Thomas Schieble, Melissa Davidson, Minh C J Tran, Catherine Schoenberg, Ellise S. Delphin, Henry Bennett

Research output: Contribution to journalArticle

138 Citations (Scopus)

Abstract

Background: Video games have received widespread application in health care for distraction and behavior modification therapy. Studies on the effect of cognitive distraction during the preoperative period are lacking. We evaluated the efficacy of an interactive distraction, a hand-held video game (VG) in reducing preoperative anxiety in children. Methods: In a randomized, prospective study of 112 children aged 4-12 years undergoing outpatient surgery, anxiety was assessed after admission and again at mask induction of anesthesia, using the modified Yale Preoperative Anxiety Scale (mYPAS). Postoperative behavior changes were assessed with the Posthospital Behavior Questionnaire (PHBQ). Patients were randomly assigned to three groups: parent presence (PP), PP + a hand-held VG, and PP + 0.5 mg·kg-1 oral midazolam (M) given >20 min prior to entering the operating room. Results: There was a statistically significant increase in anxiety (P < 0.01) in groups M and PP at induction of anesthesia compared with baseline, but not in VG group. VG patients demonstrated a decrease in anxiety from baseline (median change in mYPAS -3), the difference compared with PP (+11.8) was significant (P = 0.04). The change in anxiety in the M group (+7.3) was not statistically different from other groups. Sixty-three percent of patients in VG group had no change or decrease in anxiety after treatment, compared with 26% in M group and 28% in PP group (P = 0.01). There was no difference in anxiety changes between female and male patients. Conclusions: A hand-held VG can be offered to most children as a low cost, easy to implement, portable, and effective method to reduce anxiety in the preoperative area and during induction of anesthesia. Distraction in a pleasurable and familiar activity provides anxiety relief, probably through cognitive and motor absorption.

Original languageEnglish (US)
Pages (from-to)1019-1027
Number of pages9
JournalPaediatric Anaesthesia
Volume16
Issue number10
DOIs
StatePublished - Oct 2006
Externally publishedYes

Fingerprint

Video Games
Anxiety
Hand
Pediatrics
Anesthesia
Behavior Therapy
Preoperative Period
Midazolam
Operating Rooms
Masks
Ambulatory Surgical Procedures

Keywords

  • Ambulatory surgery
  • Distraction
  • Midazolam
  • Parental presence
  • Pediatric anxiety
  • Video games

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Pediatrics, Perinatology, and Child Health

Cite this

Patel, A., Schieble, T., Davidson, M., Tran, M. C. J., Schoenberg, C., Delphin, E. S., & Bennett, H. (2006). Distraction with a hand-held video game reduces pediatric preoperative anxiety. Paediatric Anaesthesia, 16(10), 1019-1027. https://doi.org/10.1111/j.1460-9592.2006.01914.x

Distraction with a hand-held video game reduces pediatric preoperative anxiety. / Patel, Anuradha; Schieble, Thomas; Davidson, Melissa; Tran, Minh C J; Schoenberg, Catherine; Delphin, Ellise S.; Bennett, Henry.

In: Paediatric Anaesthesia, Vol. 16, No. 10, 10.2006, p. 1019-1027.

Research output: Contribution to journalArticle

Patel, A, Schieble, T, Davidson, M, Tran, MCJ, Schoenberg, C, Delphin, ES & Bennett, H 2006, 'Distraction with a hand-held video game reduces pediatric preoperative anxiety', Paediatric Anaesthesia, vol. 16, no. 10, pp. 1019-1027. https://doi.org/10.1111/j.1460-9592.2006.01914.x
Patel, Anuradha ; Schieble, Thomas ; Davidson, Melissa ; Tran, Minh C J ; Schoenberg, Catherine ; Delphin, Ellise S. ; Bennett, Henry. / Distraction with a hand-held video game reduces pediatric preoperative anxiety. In: Paediatric Anaesthesia. 2006 ; Vol. 16, No. 10. pp. 1019-1027.
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