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Evaluating the Impact of a Telepresence Robot Intervention on Preoperative Anxiety in Children: A Preliminary Study
Zaid Elsabbagh1, Henry Hyonoo Joo1, Syed Ameen Ahmad1
1The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Insights
The WeGo Telepresence Robotics Program effectively reduced preoperative anxiety in pediatric surgical patients. This virtual tour shows promise as a non-pharmacological intervention to improve patient experience.
Area of Science:
- Pediatric Surgery
- Anesthesiology
- Child Psychology
Background:
- Preoperative anxiety is prevalent in pediatric surgical patients.
- Anxiety is linked to negative perioperative outcomes.
- Non-pharmacological interventions are needed to manage pediatric anxiety.
Purpose of the Study:
- To assess the feasibility of the WeGo Telepresence Robotics Program.
- To evaluate WeGo as a tool for reducing preoperative anxiety in children.
- To explore WeGo's potential as a non-pharmacological intervention.
Main Methods:
- Prospective, single-arm pilot study.
- Fifteen pediatric patients (ages 5-14) undergoing elective surgery.
- Intervention: WeGo virtual tour before surgery.
- Anxiety measured by Modified Yale Preoperative Anxiety Scale (mYPAS).
Main Results:
- Significant decrease in mean mYPAS scores (33.22 to 24.00, P < .001).
- All patients showed reduced or maintained low anxiety levels.
- No significant association between anxiety reduction and patient demographics or history.
Conclusions:
- The WeGo program is feasible for preoperative anxiety reduction in pediatric patients.
- WeGo shows potential as a non-pharmacological tool to improve patient care.
- Further research is needed to confirm efficacy and explore wider applications.
Abstract:
Preoperative anxiety is common among pediatric patients and is associated with adverse perioperative outcomes. This prospective single-arm pilot study evaluated the feasibility of the WeGo Telepresence Robotics Program-a real-time, child-operated virtual tour-as a tool to reduce preoperative anxiety. Fifteen pediatric patients (ages 5-14) undergoing elective surgery participated in a WeGo tour before surgery. Anxiety was measured using the Modified Yale Preoperative Anxiety Scale (mYPAS) before and after the intervention. Mean mYPAS scores significantly decreased from 33.22 ± 12.11 to 24.00 ± 1.76 (P < .001), with no significant associations between anxiety reduction and age, sex, or prior surgery. All patients experienced a reduction or maintenance of low anxiety levels, including those with brief technical interruptions. These findings support the feasibility of implementing WeGo in the preoperative setting and suggest potential benefits as a non-pharmacological tool, with future applications as an adjunct to standard care. Further studies are warranted to validate efficacy and assess broader applications.
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