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The Effect of Watching Animation-Assisted Information Video on Fear and Anxiety in Children Before an Endoscopy
Merve Koyun1,2,3,4, Hatice Uzsen1,2,3,4, Esra Tural Buyuk1,2,3,4
1About the authors: Merve Koyun, PhD, Department of Pediatric Nursing, Faculty of Health Sciences, Ondokuz Mayis University, Samsun, Turkey.
Insights
Watching a video about their upcoming endoscopy significantly reduced children's fear and anxiety. This simple intervention, using a video for pediatric endoscopy preparation, offers a valuable tool for healthcare providers.
Area of Science:
- Pediatric Gastroenterology
- Child Psychology
- Medical Education
Background:
- Endoscopic procedures can induce significant fear and anxiety in children.
- Standard preparation often involves verbal explanations, which may not fully alleviate distress.
Purpose of the Study:
- To evaluate the impact of a video intervention on reducing pre-procedure anxiety and fear in children undergoing endoscopy.
- To compare the effectiveness of video preparation versus standard verbal explanation.
Main Methods:
- A randomized controlled trial involving 46 children (aged 6-12) undergoing endoscopy.
- Experimental group watched a procedure video; control group received verbal explanation.
- Fear and anxiety assessed using Children's Fear Scale and Children's Anxiety Meter-State (child, parent, observer reports).
Main Results:
- Statistically significant reductions in fear and anxiety scores were observed in the video group compared to the control group.
- Improvements were noted across child, maternal, and observer evaluations.
- The video intervention demonstrated a clear benefit in mitigating pre-procedure distress.
Conclusions:
- Pre-procedure video information effectively alleviates children's fears and anxieties associated with endoscopy.
- This age-appropriate video preparation strategy can be adapted for diverse patient populations.
- Video-based education is a valuable tool for enhancing pediatric procedural preparedness.
Abstract:
The purpose of this study was to evaluate the impact of children watching a video about their upcoming procedure on reducing anxiety and fear before endoscopy. This randomized controlled trial included 46 children aged between 6 and 12 years who underwent endoscopy in the pediatric gastroenterology unit of a hospital in the Black Sea Region of Turkey. Children were randomly assigned to the experimental group or the control group. Children in the experimental group (n = 22) watched video about their procedure, whereas children in the control group (n = 24) received a verbal explanation about the procedure in line with standard clinical practice. The children's pre-procedure fear levels were evaluated using the Children's Fear Scale, and anxiety levels were evaluated using the Children's Anxiety Meter-State measure. Parents and observers also completed the fear and anxiety level measures. Data were analyzed via SPSS version 25.0. A statistically significant difference was found between the fear and anxiety scores of the children in the experimental and control groups before and after watching the video, according to the evaluations of children, mothers, and nurses. We conclude that providing children with information about the endoscopy procedure beforehand can alleviate their associated fears and anxieties. This concern is equally important for older clients as well and suggested to be adapted to be age-appropriate for any population.
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