Evidence map›Paper›PMID 26476281›Full record

SynthesisJournal of pediatric psychology2016

Systematic Review: Audiovisual Interventions for Reducing Preoperative Anxiety in Children Undergoing Elective Surgery.

Cheryl H T Chow, Ryan J Van Lieshout, Louis A Schmidt, Kathleen G Dobson, Norman Buckley

9 registry-linked trialsAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of pediatric psychology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 9 registered trials, which are not on this map. Cited by 69 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 10 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02687243 nacompletednot on this mapstarted 2019, after this paper: background citation

Assessing the Effects of an Interactive Virtual Reality Intervention in Reducing Preoperative Anxiety in Children Undergoing Elective Surgery: A Randomized Controlled Trial Study Protocol

TypeinterventionalSponsorMcMaster UniversityRan2019 to 2025Enrolled118ConditionsAnxietyArmsInteractive Virtual Application
NCT03172182 nacompletednot on this mapstarted 2017, after this paper: background citation

The Effects of Operating Room Virtual Tour on Preoperative Anxiety, Emergence Delirium and Postoperative Behavioral Changes of Pediatric Patients: Prospective, Randomized, and Controlled Trial

TypeinterventionalSponsorSeoul National University Bundang HospitalRan2017 to 2017Enrolled86ConditionsPreoperative Care, Anxiety, Emergence Delirium, Postoperative ComplicationsArmsa 360-degree VR video tour
NCT03387033 naterminatednot on this mapstarted 2018, after this paper: background citation

Role of Virtual Reality (VR) in Decreasing Pain and Anxiety in Patients With Sickle Cell Disease (SCD)

TypeinterventionalSponsorDuke UniversityRan2018 to 2019Enrolled20ConditionsSickle Cell Disease, Virtual Reality, Anxiety, DepressionArmsRelaxation response and virtual reality (VR) session
NCT03578393 nacompletednot on this mapstarted 2019, after this paper: background citation

Efficacy of a Preoperative Virtual Reality Intervention as a Paediatric Anxiety Improvement Strategy

TypeinterventionalSponsorServei Central d'AnestesiologiaRan2019 to 2022Enrolled241ConditionsAnxiety, Virtual RealityArmsVirtual Reality Educational Program
NCT03888690 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Randomized Controlled Trial Evaluating the Effectiveness of the Virtual Reality Distraction Compared to Current Practice, on Reducing Procedural Pain in Children and Adolescents Supported in Pediatric Onco-Hematology Unit.

TypeinterventionalSponsorCentral Hospital, Nancy, FranceRan2019 to 2020Enrolled96ConditionsProcedural Pain, Procedural Anxiety, Virtual RealityArmsVirtual Reality Headset
NCT04174404 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Developing and Testing the Effectiveness of Intelligent Customer-driven Solution for Pediatric Surgery Care on the Improvement of Outcomes of Parents and Their Children Undergoing Circumcision

TypeinterventionalSponsorHE Hong-GuRan2019 to 2020Enrolled160ConditionsCircumlocution, Children, Surgery, ParentsArmsICory-Circumcision, Routine care
NCT04268914 nasuspendednot on this map

Effectiveness of Virtual Reality to Reduce Pre-Operative Anxiety

TypeinterventionalSponsorChildren's Hospital Los AngelesRan2015 to 2026Enrolled450ConditionsVirtual Reality, Augmented Reality, IV Stick, Mask InductionArmsOculus Go VR, Mira Prism VR
NCT04796077 nacompletednot on this mapstarted 2020, after this paper: background citation

Efficacy of an Educational Pop-Up Book in Preparing Children for Anesthesia: A Randomized Controlled Trial

TypeinterventionalSponsorChildren's Healthcare of AtlantaRan2020 to 2020Enrolled148ConditionsPediatric Preoperative Anxiety, Pediatric CopingArmsPop-Up Book
NCT05285995 nacompletednot on this mapstarted 2019, after this paper: background citation

The Effect of Two Distraction Strategies in Reducing Preoperative Anxiety in Children：A Randomized Controlled Trial

TypeinterventionalSponsorCentral South UniversityRan2019 to 2019Enrolled181ConditionsAttention-Distributing Strategies, Preoperative AnxietyArmsMusic Intervention, The animation intervention
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. [Clinical practice guideline for perioperative pain management in pediatric low-temperature plasma tonsillectomy].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026
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  12. Television decreases intra-operative hypertensive events in cataract surgery: a randomized clinical trial.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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  16. [Comparison of clinical effects and safety of remidazolam and esketamine for preoperative sedation in children].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2023
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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cheryl H T ChowMiNDS Neuroscience Graduate Program, chowcht@mcmaster.ca.
Ryan J Van LieshoutMiNDS Neuroscience Graduate Program, Department of Psychiatry & Behavioral Neurosciences.
Louis A SchmidtMiNDS Neuroscience Graduate Program, Department of Psychology, Neuroscience & Behavior.
Kathleen G DobsonDepartment of Clinical Epidemiology & Biostatistics, and.
Norman BuckleyDepartment of Anesthesia, McMaster University, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the effectiveness of Audiovisual (AV) interventions at reducing preoperative anxiety and its associated outcomes in children undergoing elective surgery.

methodsA systematic review of randomized controlled trials (RCTs) and nonrandomized studies where the primary outcome was children's preoperative anxiety was conducted. Secondary outcomes included postoperative pain, behavioral changes, recovery, induction compliance, satisfaction, and cost-effectiveness. The risk of bias of each study was assessed.

resultsIn all, 18 studies were identified. A meta-analytic approach and narrative synthesis of findings were used to summarize the results of the studies.

conclusionsThis systematic review suggests that AV interventions can be effective in reducing children's preoperative anxiety. Videos, multi-faceted programs, and interactive games appear to be most effective, whereas music therapy and Internet programs are less effective. While AV interventions appear potentially useful, adequately powered RCTs are required to conclusively pinpoint the components and mechanisms of the most effective AV interventions and guide practice.

Indexed as

Audiovisual AidsPreoperative PeriodAnxietyAttentionChildChild, PreschoolElective Surgical ProceduresFemaleHumansInternetMaleMusic TherapyPlay and PlaythingsPreoperative CareRandomized Controlled Trials as Topicanxietychildreneducational interventionsmeta-analysisrandomized controlled trialsystematic review

Identifiers

PMID26476281
PMCPMC4884908

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 3 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.