Evidence map›Paper›PMID 29280239›Full record

Trial reportPaediatric anaesthesia2018

On-line preparatory information for children and their families undergoing dental extractions under general anesthesia: A phase III randomized controlled trial.

Corinne Huntington, Christina Liossi, Ana Nora Donaldson, Jonathan Timothy Newton, Patricia A Reynolds, Reham Alharatani, Marie Therese Hosey

Open access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Paediatric anaesthesia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 17% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Article
  8. 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

7 authors at 3 institutions in 2 countries.

Corinne HuntingtonDivision of Population and Patient Health, King's College London Dental Institute, London, UK.
Christina LiossiUniversity of Southampton and Great Ormond Street Hospital for Children NHS Trust, Southampton, UK.
Ana Nora DonaldsonDepartment of Applied Mathematics & Statistics, Stony Brook University, Stony Brook, NY, USA.
Jonathan Timothy NewtonDivision of Population and Patient Health, King's College London Dental Institute, London, UK.
Patricia A ReynoldsDivision of Population and Patient Health, King's College London Dental Institute, London, UK.
Reham AlharataniDivision of Population and Patient Health, King's College London Dental Institute, London, UK.
Marie Therese HoseyDivision of Population and Patient Health, King's College London Dental Institute, London, UK.ORCID 0000-0003-1178-4106
King's College London · GBGreat Ormond Street Hospital · GBStony Brook University · US

Funding

Department of Health PB-PG-1208-17227
6 · The paper itself

Abstract

backgroundFamily-centered interactive on-line games are increasingly popular in healthcare, but their effectiveness for preoperative preparation needs further research. www.scottga.org is the new on-line version of a proven nonweb-based game for children and parents/caregivers.

aimsThe aim of this study was to evaluate if www.scottga.org improved children's anxiety and families' satisfaction compared with controls.

methodsIn this phase III double-blind randomized controlled trial, children/parents/caregivers received (i) www.scottga.org, (ii) standard care, or (iii) a placebo hand-washing game. The intervention and placebo games were available online for home usage and provided again on the ward before surgery. All children were accompanied by parent/caregivers at induction and observed and scored using validated measures. Stratified randomization and generalized linear models were used. An intention-to-treat approach was adopted.

resultsOverall, 52/176 children had baseline "psychological disturbance." Children's anxiety increased preinduction, but there were no differences between groups (Facial Image Scale: video-standard OR = 1.08, P = .82, 95% CI [0.56, 2.1]; video-placebo OR = 0.9, P = .77 95% CI [0.46, 1.8]). There were no differences in induction behavior (visual analog scale: video mean = 3.5; standard care mean = 3.5; placebo mean = 3.7: video-standard OR = 2.0, P = .42, 95% CI [-0.6, 1.3]; video-placebo OR = 1.53, P = .65, 95% CI [-0.8, 1.1]) or induction anxiety (modified Yale Preoperative Anxiety Scale: video-standard OR 1.02, P = .97, 95% CI [0.61, 2.6]; video-placebo OR 1.38, P = .49, 95% CI [0.87, 3.81]). Families favored the intervention regarding the "child handling the visit better" (Treatment Evaluation Inventory: video-standard OR = 12; 95% CI 4.7-32; P < .001; video-placebo OR = 8.2; 95% CI 3-22; P < .001) and "improving the child's ability to cope" (Treatment Evaluation Inventory: video-standard OR = 21; 95% CI 8-56; P < .001 and video-placebo OR = 13; 95% CI 5-34; P < .001).

conclusionFamilies believed that a video-game preparation helped their child's perioperative anxiety, but there were no objective measures of behavioral improvement associated with this intervention.

Indexed as

InternetVideo GamesAnesthesia, GeneralAnxietyChildChild BehaviorChild, PreschoolDouble-Blind MethodFemaleHumansLondonMaleParentsPreoperative CareTooth Extractionanesthesiachildgeneral [*psychology]preoperative caretooth extractionvideo games [psychology]

Identifiers

PMID29280239
PMCPMC5814894
OpenAlexW2776871985

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.