Use of Audiobooks as an Environmental Distractor to Decrease State Anxiety in Children Waiting in the Pediatric Emergency Department: A Pilot and Feasibility Study

Duker, Leah I. Stein; Schmidt, Anita R.; Pham, Phung K.; Ringold, Sofronia M.; Nager, Alan L.

doi:10.3389/fped.2020.556805

Cited by 2 publications

(1 citation statement)

References 40 publications

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“…This emphasizes the importance of being attuned to a variety of psychosocial needs that children have when they present for medical care. Interestingly, a small study has previously found that audiobooks can reduce fear and anxiety for children in ED waiting rooms [ 15 ]. Other small studies of child satisfaction in the ED have focused on more general information needs and pain management [ 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments

Ma,

Rahimi,

Rajagopal

et al. 2024

PLoS ONE

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Background Optimizing a child’s emergency department (ED) experience positively impacts their memories and future healthcare interactions. Our objectives were to describe children’s perspectives of their needs and experiences during their ED visit and relate this to their understanding of their condition. Methods 514 children, aged 7–17 years, and their caregivers presenting to 10 Canadian pediatric EDs completed a descriptive cross-sectional survey from 2018–2020. Results Median child age was 12.0 years (IQR 9.0–14.0); 56.5% (290/513) were female. 78.8% (398/505) reported adequate privacy during healthcare conversations and 78.3% (395/504) during examination. 69.5% (348/501) understood their diagnosis, 89.4% (355/397) the rationale for performed tests, and 67.2% (338/503) their treatment plan. Children felt well taken care of by nurses (90.9%, 457/503) and doctors (90.8%, 444/489). Overall, 94.8% (475/501) of children were happy with their ED visit. Predictors of a child better understanding their diagnosis included doctors talking directly to them (OR 2.21 [1.15, 4.28]), having someone answer questions and worries (OR 2.51 [1.26, 5.01]), and older age (OR 1.08 [1.01, 1.16]). Direct communication with a doctor (OR 2.08 [1.09, 3.99]) was associated with children better understanding their treatment, while greater fear/ ‘being scared’ at baseline (OR 0.59 [0.39, 0.89]) or at discharge (OR 0.46 [0.22, 0.96]) had the opposite effect. Interpretation While almost all children felt well taken care of and were happy with their visit, close to 1/3 did not understand their diagnosis or its management. Children’s reported satisfaction in the ED should not be equated with understanding of their medical condition. Further, caution should be employed in using caregiver satisfaction as a proxy for children’s satisfaction with their ED visit, as caregiver satisfaction is highly linked to having their own needs being met.

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Section: Introductionmentioning

confidence: 99%

A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments

Ma,

Rahimi,

Rajagopal

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

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Pediatric Distraction Tools for Prehospital Care of Pain and Distress: A Systematic Review

et al. 2023

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CONTEXT: Distraction therapies are widely used in emergency departments to manage pediatric pain and distress. Little is known about which distraction techniques would translate best into the prehospital environment. OBJECTIVE: To identify emergency department-based distraction techniques for managing pain and/or distress in pediatric patients who may be suitable for the prehospital environment. DATA SOURCES: Ovid Medline, Embase, CINAHL, Cochrane library, World Health Organization Clinical Trials Registry and Google Scholar were searched from their beginning to May 2022. STUDY SELECTION: Studies were included if they reported on: (1) distraction techniques, (2) pediatric ED patients, (3) with pain and/or distress, and (4) used interventional or observational study designs. Studies utilizing interventions not feasible in the prehospital setting were excluded. DATA EXTRACTION: Three authors independently assessed eligibility and completed data extraction. RESULTS: The search yielded 4516 records, and 29 studies were included. Risk of bias across all studies was moderate to high. Children were 3 months to 18 years old. Digital, nondigital, and environmental distractors were tested using 12 pain and 15 distress measurement tools. No significant negative outcomes were reported. Fifteen studies reported reductions in self-reported pain and/or distress. Active, nondigital distractors most consistently reduced pain. There was insufficient evidence to support a distraction type for distress. LIMITATIONS: The heterogeneity in study design, distractors, measurement tools, and reporting restricted statistical analysis. CONCLUSIONS: Distraction tools that effectively reduce pediatric pain and/or distress in the ED exist and could be adapted to the prehospital environment. Further research is required to determine feasibility and effectiveness.

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Use of Audiobooks as an Environmental Distractor to Decrease State Anxiety in Children Waiting in the Pediatric Emergency Department: A Pilot and Feasibility Study

Cited by 2 publications

References 40 publications

A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments

A national survey of children’s experiences and needs when attending Canadian pediatric emergency departments

Pediatric Distraction Tools for Prehospital Care of Pain and Distress: A Systematic Review

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