Article Text

Download PDFPDF

O-143 Effectiveness Of A New Method To Reduce Preoperative Anxiety In Children: Randomised Controlled Trial
  1. F Festini,
  2. S Liguori,
  3. M Stacchini,
  4. D Ciofi,
  5. F Giusti,
  6. N Olivini,
  7. S Bisogni
  1. Nursing Research Unit, Meyer Children Hospital University of Florence, Florence, Italy


Effective methods to reduce children preoperative anxiety (such as giving previous information, organising a tour to the operating room before the intervention and the presence of clown-doctors) are time-consuming and expensive as they require hospital staff to be performed.

Goal To test the effectiveness of "Clickamico", a new IT method to reduce preoperative anxiety in children.

Methods Randomised controlled trial. The experimental intervention was a 6-minute video showing two clown-doctors who visit the operating theatre (OR) and explain each other in a jokingly way what is in it. Subjects were 40 children aged 6 to 11 undergoing a planned surgical intervention and were randomised to 2 groups. In Group A (n = 20), the video was shown to subjects on a tablet the afternoon preceding a planned surgery. In Group B (n = 20) subjects were given usual care (non standardised oral information given by nurses on parents’ request). Anxiety was measured before treatment and before entering OR using the Yale Preoperative Anxiety Scale-modified (m-YPAS)

Results The groups were homogeneous with regards to age, gender, parents’age and% of children previously undergone surgery. Basal mean m-YPAS scores were not statistically different (Group A 37.3 vs Group B 37.1). Mean m-YPAS observed at entering OR were 33.01 in Group A and 48.6 in Group B (p = 0.009). Basal to pre-OR mean m-YPAS score difference was -2.82 in Group A and +10.7 in Group B (p = 0.003).

Conclusion "Clickamico" is effective in reducing preoperative anxiety in children and may substitute staff-provided interventions, allowing possible reductions of Hospital costs.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.