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

Kristi D Wright1, Jinsoo Kim2, Chelsy R D Ratcliffe3

  • 1Department of Psychology, University of Regina, Regina, SK, S4S 0A2, Canada. kristi.wright@uregina.ca.

Journal of Clinical Psychology in Medical Settings
|November 28, 2020
PubMed

Insights

Internet-delivered preoperative preparation programs effectively reduce child anxiety and improve anesthesia induction compliance. This digital intervention offers a promising approach for pediatric surgical preparation.

Area of Science:

  • Pediatric Surgery
  • Anesthesiology
  • Digital Health

Background:

  • Limited evidence exists for interactive, Internet-delivered preoperative preparation programs for children.
  • Preoperative anxiety in children undergoing surgery is a significant concern.

Purpose of the Study:

  • To compare an Internet-delivered preoperative program (I-PPP) alone and with parental presence against treatment as usual (TAU) for alleviating child anxiety.
  • To evaluate the impact of the I-PPP on anesthesia induction compliance in pediatric patients.

Main Methods:

  • 104 children undergoing day surgery and their parents participated.
  • The study compared an Internet-delivered preoperative program (I-PPP) with treatment as usual (TAU).
  • Primary outcomes included observer-rated child anxiety and induction compliance.

Main Results:

  • The I-PPP group showed significantly lower observer-rated anxiety at anesthetic induction compared to TAU.
  • The I-PPP demonstrated superior anesthesia induction compliance.
  • An interaction effect was observed between the I-PPP and TAU groups over time.

Conclusions:

  • The Internet-delivered preoperative program (I-PPP) is an effective intervention for reducing preoperative anxiety in children.
  • The I-PPP shows promise for improving pediatric surgical preparation and anesthesia induction.
  • Further research is needed to explore the real-world integration of I-PPP in clinical settings.

Keywords:
ChildrenI-PPPParentsPreoperative anxietymYPAS

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