Evidence map›Paper›PMID 35049507›Full record

ArticleJMIR serious games2022

Developing a Health Game to Prepare Preschool Children for Anesthesia: Formative Study Using a Child-Centered Approach.

Brynja Ingadottir, Elina Laitonen, Adalheidur Stefansdottir, Anna Olafia Sigurdardottir, Berglind Brynjolfsdottir, Heidi Parisod, Johanna Nyman, Karitas Gunnarsdottir, Katrín Jónsdóttir, Sanna Salanterä and 1 more

Open access · goldAbstract read
In one paragraph

Article in JMIR serious games, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

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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

11 authors at 5 institutions in 2 countries.

Brynja IngadottirFaculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland.ORCID https://orcid.org/0000-0003-0743-8200
Elina LaitonenDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0001-9009-313X
Adalheidur StefansdottirCity of Reykjavik, Reykjavik, Iceland.ORCID https://orcid.org/0000-0003-3919-5848
Anna Olafia SigurdardottirFaculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland.ORCID https://orcid.org/0000-0003-3836-5112
Berglind BrynjolfsdottirChildren's Hospital, Landspitali University Hospital, Reykjavik, Iceland.ORCID https://orcid.org/0000-0001-6733-1187
Heidi ParisodDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0002-5865-2509
Johanna NymanDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0002-5380-7604
Karitas GunnarsdottirChildren's Hospital, Landspitali University Hospital, Reykjavik, Iceland.ORCID https://orcid.org/0000-0002-2825-9546
Katrín JónsdóttirLandspitali University Hospital, Reykjavik, Iceland.ORCID https://orcid.org/0000-0002-3764-0082
Sanna SalanteräDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0003-2529-6699
Anni PakarinenDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0002-9077-1663
University of Turku · FINational University Hospital of Iceland · ISReykjavík University · ISReykjavík Energy (Iceland) · ISUniversity of Iceland · IS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvery year, millions of children undergo medical procedures that require anesthesia. Fear and anxiety are common among young children undergoing such procedures and can interfere with the child's recovery and well-being. Relaxation, distraction, and education are methods that can be used to prepare children and help them cope with fear and anxiety, and serious games may be a suitable medium for these purposes. User-centered design emphasizes the involvement of end users during the development and testing of products, but involving young, preschool children may be challenging.

objectiveOne objective of this study was to describe the development and usability of a computer-based educational health game intended for preschool children to prepare them for upcoming anesthesia. A further objective was to describe the lessons learned from using a child-centered approach with the young target group.

methodsA formative mixed methods child (user)-centered study design was used to develop and test the usability of the game. Preschool children (4-6 years old) informed the game design through playful workshops (n=26), and usability testing was conducted through game-playing and interviews (n=16). Data were collected in Iceland and Finland with video-recorded direct observation and interviews, as well as children's drawings, and analyzed with content analysis and descriptive statistics.

resultsThe children shared their knowledge and ideas about hospitals, different emotions, and their preferences concerning game elements. Testing revealed the high usability of the game and provided important information that was used to modify the game before publishing and that will be used in its further development.

conclusionsPreschool children can inform game design through playful workshops about health-related subjects that they are not necessarily familiar with but that are relevant for them. The game's usability was improved with the participation of the target group, and the game is now ready for clinical testing.

Indexed as

anesthesiachild-centred designchildrendigital healtheducational gameshealth gameshospitalpatient educationserious gamessurgeryuser-centred designvideo games

Identifiers

PMID35049507
PMCPMC8814931
OpenAlexW4205355873

What OpenQuestion holds

Textmetadata
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.