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Related Experiment Video

Updated: Feb 27, 2026

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Tablet-Based Intervention for Reducing Children's Preoperative Anxiety: A Pilot Study.

Cheryl H T Chow1, Ryan J Van Lieshout, Louis A Schmidt

  • 1Departments of *Psychology, Neuroscience & Behaviour, †Psychiatry and Behavioural Neurosciences, ‡Anesthesia, McMaster University, Hamilton, ON, Canada.

Journal of Developmental and Behavioral Pediatrics : JDBP
|June 30, 2017
PubMed
Summary

This pilot study found that the Story-Telling Medicine (STM) tablet application is a feasible and acceptable way to reduce children's preoperative anxiety. STM significantly lowered anxiety scores in children undergoing surgery compared to usual care.

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Area of Science:

  • Pediatric Surgery
  • Child Psychology
  • Health Technology

Background:

  • Preoperative anxiety is a common issue in children undergoing surgery.
  • Effective interventions are needed to manage this anxiety.
  • Tablet-based applications offer a novel approach to patient care.

Purpose of the Study:

  • To assess the feasibility and acceptability of the Story-Telling Medicine (STM) application.
  • To evaluate the effectiveness of STM in reducing preoperative anxiety in children.
  • To compare STM combined with usual care (UC) against UC alone.

Main Methods:

  • A pilot study involving 100 children (aged 7-13) undergoing outpatient surgery.
  • Three waves of study: Waves 1 & 2 focused on feasibility, Wave 3 on acceptability and efficacy.
  • Wave 3 randomly assigned 40 children to STM+UC or UC, measuring anxiety via CPMAS at multiple time points.

Main Results:

  • Feasibility of recruitment and data collection was confirmed, with protocol modifications addressing attrition.
  • Children receiving STM+UC showed significantly greater reductions in preoperative anxiety (CPMAS scores) compared to the UC group.
  • Statistical significance was achieved (p = .015) with a notable confidence interval.

Conclusions:

  • Story-Telling Medicine (STM) is a feasible and acceptable intervention for reducing pediatric preoperative anxiety.
  • The findings support further investigation of STM in a larger randomized controlled trial.
  • STM shows promise as a tool in busy pediatric operative settings.