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Decreasing pediatric patient anxiety about radiology imaging tests: prospective evaluation of an educational
Annette J Johnson1, Jennifer Steele, Gregory B Russell
1Department of Radiology, Wake Forest University Baptist Medical Center, Winston Salem, NC 27157, USA. anjohnso@wfubmc.edu
Insights
A coloring book (CB) did not significantly reduce anxiety in pediatric radiology patients. However, parents found the CB informative, and a trend toward lower patient anxiety was observed in families with high initial parental anxiety.
Area of Science:
- Pediatric Radiology
- Child Psychology
- Healthcare Education
Background:
- Pediatric patients undergoing radiology tests often experience anxiety.
- Child-friendly hospital initiatives may be reducing overall anxiety levels.
- Previous interventions have explored various methods to mitigate this anxiety.
Purpose of the Study:
- To investigate the effect of an educational coloring book (CB) on anxiety levels in pediatric patients before radiology imaging.
- To assess parental anxiety in conjunction with pediatric patient anxiety.
- To evaluate parental satisfaction with the provided educational material.
Main Methods:
- A randomized controlled trial involving pediatric patients aged 3-10 years and their parents.
- An intervention group reviewed an educational coloring book (CB) before radiology tests.
- Anxiety levels were measured using surveys in both control and intervention groups.
Main Results:
- Overall anxiety levels were low in both groups compared to prior literature.
- Reviewing the CB was not significantly associated with reduced patient or parental anxiety.
- A trend toward lower patient anxiety was noted in the intervention subgroup with higher baseline parental anxiety.
Conclusions:
- The educational coloring book (CB) did not demonstrate a significant anxiolytic effect in this pediatric radiology population.
- Parents perceived the CB as informative and helpful in reducing worry.
- Further research may explore targeted interventions for subgroups with elevated parental anxiety.
Abstract:
This trial investigated anxiety levels and effect of an educational coloring book (CB) among pediatric patients about to undergo radiology imaging tests. Control group (N = 101) and intervention group (N = 175) children ages 3-10 years and their parents were surveyed to determine anxiety levels before the imaging test, with the intervention group being surveyed after patient and parental review of the CB. Anxiety was low for all subjects overall compared with findings from previously published literature, perhaps related to systemic measures to make children's hospitals more child friendly in recent years. Review of the CB was not associated with decreased anxiety among patients or parents. However, among a subgroup with higher baseline parental anxiety, there was a trend toward lower patient anxiety in the intervention group. Most parents indicated that the CB was informative and helped them and their child be less worried, and that they were pleased to have received the CB.
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