Evidence map›Paper›PMID 26477350›Full record

Trial reportIndian journal of pediatrics2016

MRI Customized Play Therapy in Children Reduces the Need for Sedation--A Randomized Controlled Trial.

Bhavneet Bharti, Prahbhjot Malhi, N Khandelwal

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Indian journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05086263 (Effects of Virtual Reality MRI Preparedness), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% of its field
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.

NCT05086263 nacompletednot on this mapstarted 2022, after this paper: background citation

Effects of Virtual Reality MRI Preparedness

TypeinterventionalSponsorChildren's Hospital Los AngelesRan2022 to 2023Enrolled21ConditionsAnxiety, Educational ProblemsArmsPico G2 4k
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  7. Article
  8. The Influence of Patient-Centered Communication on Children's Anxiety and Use of Anesthesia for MR.International journal of environmental research and public health · 2022
    Article
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  10. Review
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  17. Parent perspectives and preferences for strategies regarding nonsedated MRI scans in a pediatric oncology population.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
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

3 authors at 1 institution in 1 country.

Bhavneet BhartiDepartment of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India. bhavneetb@yahoo.com.
Prahbhjot MalhiDepartment of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
N KhandelwalDepartment of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of an MRI-specific play therapy intervention on the need for sedation in young children.

methodsAll children in the age group of 4-10 y, who were advised an MRI scan over a period of one year were randomized. Exclusion criteria included children with neurodevelopmental disorders impairing cognition and children who had previously undergone diagnostic MRI. A total of 79 children were randomized to a control or an intervention condition. The intervention involved familiarizing the child with the MRI model machine, listing the steps involved in the scan to the child in vivid detail, training the child to stand still for 5 min, and conducting several dry runs with a doll or a favorite toy. The study was approved by the Institute ethical committee.

resultsThe need for sedation was 41 % (n = 16) in the control group and this declined to 20 % (n = 8) in the intervention group (χ(2) = 4.13; P = 0.04). The relative risk of sedation decreased by 49 % in the intervention group as compared to the control group (RR 0.49; 95 % CI: 0.24-1.01) and this difference was statistically significant (P = 0.04). The absolute risk difference in sedation use between intervention and control group was 21 % (95 % CI 1.3 %-40.8 %). Even on adjusting for age, relative risk of sedation remained significantly lower in children undergoing play therapy as compared to the control (RR 0.57, 95 % CI: 0.32-0.98) with P value of 0.04.

conclusionsThe use of an MRI customized play therapy with pediatric patients undergoing diagnostic MRI resulted in significant reduction of the use of sedation.

Indexed as

ChildChild, PreschoolDeep SedationFemaleHumansMagnetic Resonance ImagingMalePlay TherapyRisk AssessmentMRIPlay therapySedation

Identifiers

PMID26477350
OpenAlexW1787811429

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.