Pilot Examination of the Efficacy of the Internet-Delivered, Preoperative, Preparation Program (I-PPP)

Systematic review of the development and effectiveness of digital health information interventions, compared with usual care, in supporting patient preparation for paediatric hospital care, and the impact on their health outcomes

“…Two reviewers screened titles and abstracts for the 730 records for eligibility against the PICOS, resulting in 655 articles for exclusion, 41 articles for stage fulltext screening, and 34 conflicts. After consultation with a third reviewer, 17 (58)(59)(60)(61)(62)(63)(64)(65)(66)(67)(68)(69)(70)(71)(72)(73)(74) articles remained for full paper review. The Cohen's Kappa score (75) for the screened title and abstract was 0.682, with a 95% proportionate agreement, and for the full paper review, a score of 0.907 was obtained, with a 96% proportionate agreement, demonstrating substantial agreement among the reviewers.…”

“…The studies were mostly conducted in developed countries, with three in the United Kingdom (58,65,72), two in Canada (59,62) Except for five studies (63,67,68,73,74), all other studies used usual care in the control group, and this comprised standard verbal information and/or information leaflets. Of those studies using usual care, four were three-arm parallel randomised control trials and involved a comparator, and these were a Child Life Program (CLP) (59), handwashing game (65), voice recording (66), and cartoon strip (72) The setting for the studies was linked to where the intervention DHIs were used.…”

“…Of those studies using usual care, four were three-arm parallel randomised control trials and involved a comparator, and these were a Child Life Program (CLP) (59), handwashing game (65), voice recording (66), and cartoon strip (72) The setting for the studies was linked to where the intervention DHIs were used. The majority were used once in the hospital either on the day before the procedure (64, 69) or on the same day as the (58,62,71) or both at home and in the hospital (65,73), but for all five of these studies, the DHIs could be accessed by children and parents more than once. For the studies where the DHIs could be used at home, one (71) was made available a week before and up to 7 days after the procedure, three (62,65,73) were made available a week before the procedure, and one (58) 3 days before the procedure.…”

“…In total, of the sex breakdown reported, there were 980 males and 718 females. The only studies to report on child ethnicity were Wright et al (62) and Fortier et al (71). Eight studies (58,59,62,64,66,67,69,73) Parents were included in 10 studies (58,59,62,63,65,67,68,70,71,73).…”

Role of information and preparation for improvement of pediatric perioperative care

“…The I‐PPP includes education about the process of day surgery and anesthesia, identification of common experiences and emotions, behavioral training and practice of skills. Compared to regular treatment, I‐PPP have been shown to reduce anxiety an increase compliance in children during induction of anesthesia, but not necessarily for their parents 65 …”