SurgeryNCT03075059
Child Life Intervention to Decrease Anxiety in Patients and Caregivers for Outpatient Surgical Intervention
A study testing Child Life in people with Surgery, run by Ann & Robert H Lurie Children's Hospital of Chicago at 1 site in United States.
Trial summary
1. Determine preoperative and postoperative levels of anxiety for pediatric patients ages 6-17 related to outpatient surgical intervention using the validated Psychosocial Risk Assessment in Pediatrics (PRAP) assessment tool, the State-Trait Anxiety Inventory for Adults(STAI-AD), and the State-Trait Anxiety Inventory… Read more about this study
- Who is it for?
- Ages 6 to 17 yearsHealthy volunteers can take part
- Conditions the study is for
- Surgery
- What is being tested?
- Child Life
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 72 participants
- Where
- 1 siteUnited States
- Study dates
- 3 Feb 2016to 31 Dec 2019
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 6 to 17 years
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Participants will be patients ages 6 - 17 and their families/caregivers that are scheduled for outpatient surgical intervention in the division of pediatric surgery of Ann and Robert H. Lurie Children's Hospital of Chicago. Patients receiving low acute, lower risk procedures will be enrolled
Who cannot join
- Patients who may turn 18 during the course of the study will not be eligible for enrollment and will be excluded.
Trial locations and contacts
1 site in 1 country.
United States1 site
Ann & Robert H. Lurie Children's Hospital
Chicago, Illinois, 60611
About this study
- Determine preoperative and postoperative levels of anxiety for pediatric patients ages 6-17 related to outpatient surgical intervention using the validated Psychosocial Risk Assessment in Pediatrics (PRAP) assessment tool, the State-Trait Anxiety Inventory for Adults(STAI-AD), and the State-Trait Anxiety Inventory for Children (STAI-CH)
- Determine preoperative and postoperative levels of anxiety for parent/guardian of pediatric patients ages 6 - 17 related to outpatient surgical intervention using the validate PsychosocialRisk Assessment in Pediatrics (PRAP) assessment tool and the State-Trait Anxiety Inventory for Adults (STAI-AD).
- Assess if additional Child Life intervention offered pre-operatively to one group demonstrates differences in PRAP scores compared to control group
Read the detailed description
This is a prospective, interventional study with two groups of patients scheduled for outpatient surgery at Ann and Robert H. Lurie Children's Hospital of Chicago. Participants eligible for enrollment will be identified and screened upon diagnosis and/or at the time of referral for surgery until patient enrollment is completed. Based on a power analysis, using average scores and norms for the validated tool with a projected difference of four points difference between groups, minimum enrollment is 22 per group, 44 patients total to detect a statistically significant difference based on established parameters.
Potential participants will be identified in the outpatient clinic setting once a physician and family has agreed to pursue surgical invention. The research team will consent either during clinical evaluation or following surgical consent obtainment. All questions will be answered prior to obtaining signed study consent. Once consent is received, Child Life will be paged to observe the patient and caregiver along with the physician provider in order to observe and assess behavior required to complete the PRAP assessment form. Additionally, the patient and parent/guardian will be asked to complete the STAI-CH and STAI-AD assessments as appropriate per age. After the completion of the assessments the patient and family will be randomly assigned to intervention or control group. Only the Child Life Specialist and research staff facilitating the intervention will be unblinded as to which patients are in which group, which is necessary for conducting the study. All other study staff will remain blinded. For patients randomized to the intervention group, the Child Life specialist will reach out via telephone to offer support and expertise in helping prepare their child and themselves for outpatient surgery to help decrease anxiety and increase coping. Concepts covered will include: developmentally appropriate language for explaining surgery and related procedures, potential coping skills to ease separation for caregivers and pediatric patients. Additionally, written materials (attached) covering the same information will be sent via mail or email covering the same information discussed in the phone conversation to serve as a refresher and resource before the day of surgery. On the day of surgery, the patient will receive standard of care (SOC) Child Life Services available to all patients. Patients randomized to the control group will not receive the preoperative phone call or written materials and will only receive SOC Child Life services on the day of surgery.
After the surgical induction or day of the procedure, the Child Life Specialist will complete the PRAP and document in EPIC per SOC procedures. The Child Life Specialist will also attend the postoperative and complete the third PRAP based on feedback from the patient, family/caregiver and providing surgeon. At this postoperative time the patient and parent/guardian will be asked to complete the STAI-CH and STAI-AD assessments as appropriate per age for the second time. Once data is collected, analysis will compare PRAP, STAI-CH, and STAI-AD scores between groups at all three points on the timeline. Information gained may be used to help direct and develop interventions to help decrease patient and family anxiety and increase coping related to surgical intervention
- Conditions
- Surgery
- Being tested
- Child Life
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Child LifeBehavioural
For patients randomized to the intervention group, the Child Life specialist will reach out via telephone to offer support and expertise in helping prepare their child and themselves for outpatient surgery to help decrease anxiety and increase coping. Concepts covered will include: developmentally appropriate language for explaining surgery and related procedures, potential coping skills to ease separation for caregivers and pediatric patients. Additionally, written materials (attached) covering the same information will be sent via mail or email covering the same information discussed in the phone conversation to serve as a refresher and resource before the day of surgery. On the day of surgery, the patient will receive standard of care (SOC) Child Life Services available to all patients.
| Study group | Role | What they receive |
|---|---|---|
| Intervention | Experimental | For patients randomized to the intervention group, the Child Life specialist will reach out via telephone to offer support and expertise in helping prepare their child and themselves for outpatient surgery to help decrease anxiety and increase coping. Concepts covered will include: developmentally appropriate language for explaining surgery and related procedures, potential coping skills to ease separation for caregivers and pediatric patients. Additionally, written materials (attached) covering the same information will be sent via mail or email covering the same information discussed in the phone conversation to serve as a refresher and resource before the day of surgery. On the day of surgery, the patient will receive standard of care (SOC) Child Life Services available to all patients. Receives: Behavioral: Child Life |
| Control | No intervention | Patients randomized to the control group will not receive the preoperative phone call or written materials and will only receive SOC Child Life services on the day of surgery. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Patient and Parent/Guardian State and Trait Anxiety
Patient and Parent/Guardian State and Trait Anxiety is measured using the the State-Trait Anxiety Inventory for Adults (STAI-AD), and the State-Trait Anxiety Inventory for Children (STAI-CH) for children between the ages of 6 and 14
Measured: 6 months
Secondary outcomes (1)
Patient and Parent/Guardian PRAP scores
Patient and Parent/Guardian Anxiety is also measured using the Psychosocial Risk Assessment in Pediatrics (PRAP) assessment tool
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Mar 2017
- Study start3 Feb 2016
- Primary completion31 Dec 2019
- Study completion31 Dec 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for SurgeryStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 72 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ann & Robert H Lurie Children's Hospital of Chicago
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Marleta Reynolds, MD, Ann & Robert H Lurie Children's Hospital of Chicago
- Investigators
- Marleta Reynolds, M.D., Principal investigator, Ann & Robert H Lurie Children's Hospital of Chicago
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03075059
- Sponsor's protocol ID
- 2016-161
- Status last verified
- Apr 2021
- First submitted
- 28 Feb 2017
- Last updated
- 3 May 2021
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 May 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Child Life Intervention to Decrease Anxiety in Patients and Caregivers for Outpatient Surgical Intervention
- ClinicalTrials.gov ID
- NCT03075059
- Acronym / sponsor ID
- 2016-161
- Conditions
- Surgery
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 72 participants (actual)
- Lead sponsor
- Ann & Robert H Lurie Children's Hospital of ChicagoUniversity, hospital or other
- Study start
- 3 Feb 2016 (actual)
- Primary completion
- 31 Dec 2019 (actual)
- Study completion
- 31 Dec 2019 (actual)
- First posted
- 9 Mar 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
- Determine preoperative and postoperative levels of anxiety for pediatric patients ages 6-17 related to outpatient surgical intervention using the validated Psychosocial Risk Assessment in Pediatrics (PRAP) assessment tool, the State-Trait Anxiety Inventory for Adults(STAI-AD), and the State-Trait Anxiety Inventory for Children (STAI-CH)
- Determine preoperative and postoperative levels of anxiety for parent/guardian of pediatric patients ages 6 - 17 related to outpatient surgical intervention using the validate PsychosocialRisk Assessment in Pediatrics (PRAP) assessment tool and the State-Trait Anxiety Inventory for Adults (STAI-AD).
- Assess if additional Child Life intervention offered pre-operatively to one group demonstrates differences in PRAP scores compared to control group
Detailed description
This is a prospective, interventional study with two groups of patients scheduled for outpatient surgery at Ann and Robert H. Lurie Children's Hospital of Chicago. Participants eligible for enrollment will be identified and screened upon diagnosis and/or at the time of referral for surgery until patient enrollment is completed. Based on a power analysis, using average scores and norms for the validated tool with a projected difference of four points difference between groups, minimum enrollment is 22 per group, 44 patients total to detect a statistically significant difference based on established parameters.
Potential participants will be identified in the outpatient clinic setting once a physician and family has agreed to pursue surgical invention. The research team will consent either during clinical evaluation or following surgical consent obtainment. All questions will be answered prior to obtaining signed study consent. Once consent is received, Child Life will be paged to observe the patient and caregiver along with the physician provider in order to observe and assess behavior required to complete the PRAP assessment form. Additionally, the patient and parent/guardian will be asked to complete the STAI-CH and STAI-AD assessments as appropriate per age. After the completion of the assessments the patient and family will be randomly assigned to intervention or control group. Only the Child Life Specialist and research staff facilitating the intervention will be unblinded as to which patients are in which group, which is necessary for conducting the study. All other study staff will remain blinded. For patients randomized to the intervention group, the Child Life specialist will reach out via telephone to offer support and expertise in helping prepare their child and themselves for outpatient surgery to help decrease anxiety and increase coping. Concepts covered will include: developmentally appropriate language for explaining surgery and related procedures, potential coping skills to ease separation for caregivers and pediatric patients. Additionally, written materials (attached) covering the same information will be sent via mail or email covering the same information discussed in the phone conversation to serve as a refresher and resource before the day of surgery. On the day of surgery, the patient will receive standard of care (SOC) Child Life Services available to all patients. Patients randomized to the control group will not receive the preoperative phone call or written materials and will only receive SOC Child Life services on the day of surgery.
After the surgical induction or day of the procedure, the Child Life Specialist will complete the PRAP and document in EPIC per SOC procedures. The Child Life Specialist will also attend the postoperative and complete the third PRAP based on feedback from the patient, family/caregiver and providing surgeon. At this postoperative time the patient and parent/guardian will be asked to complete the STAI-CH and STAI-AD assessments as appropriate per age for the second time. Once data is collected, analysis will compare PRAP, STAI-CH, and STAI-AD scores between groups at all three points on the timeline. Information gained may be used to help direct and develop interventions to help decrease patient and family anxiety and increase coping related to surgical intervention
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention | Experimental | Behavioral: Child LifeFor patients randomized to the intervention group, the Child Life specialist will reach out via telephone to offer support and expertise in helping prepare their child and themselves for outpatient surgery to help decrease anxiety and increase coping. Concepts covered will include: developmentally appropriate language for explaining surgery and related procedures, potential coping skills to ease separation for caregivers and pediatric patients. Additionally, written materials (attached) covering the same information will be sent via mail or email covering the same information discussed in the phone conversation to serve as a refresher and resource before the day of surgery. On the day of surgery, the patient will receive standard of care (SOC) Child Life Services available to all patients. |
| Control | No intervention | –Patients randomized to the control group will not receive the preoperative phone call or written materials and will only receive SOC Child Life services on the day of surgery. |
Who may qualify
- Ages
- 6 to 17 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (1 listed)
- Participants will be patients ages 6 - 17 and their families/caregivers that are scheduled for outpatient surgical intervention in the division of pediatric surgery of Ann and Robert H. Lurie Children's Hospital of Chicago. Patients receiving low acute, lower risk procedures will be enrolled
Key exclusion criteria (1 listed)
- Patients who may turn 18 during the course of the study will not be eligible for enrollment and will be excluded.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Child LifeFor patients randomized to the intervention group, the Child Life specialist will reach out via telephone to offer support and expertise in helping prepare their child and themselves for outpatient surgery to help decrease anxiety and increase coping. Concepts covered will include: developmentally appropriate language for explaining surgery and related procedures, potential coping skills to ease separation for caregivers and pediatric patients. Additionally, written materials (attached) covering the same information will be sent via mail or email covering the same information discussed in the phone conversation to serve as a refresher and resource before the day of surgery. On the day of surgery, the patient will receive standard of care (SOC) Child Life Services available to all patients. | Behavioural | Intervention |
Primary outcome
Patient and Parent/Guardian State and Trait Anxiety
Time frame: 6 months
Patient and Parent/Guardian State and Trait Anxiety is measured using the the State-Trait Anxiety Inventory for Adults (STAI-AD), and the State-Trait Anxiety Inventory for Children (STAI-CH) for children between the ages of 6 and 14
1 secondary outcome
Patient and Parent/Guardian PRAP scores
Time frame: 6 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 May 2021.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Marleta Reynolds, M.D. principal investigator
Ann & Robert H Lurie Children's Hospital of Chicago
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Child Life in people with Surgery, run by Ann & Robert H Lurie Children's Hospital of Chicago at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 May 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Patient and Parent/Guardian State and Trait Anxiety (time frame: 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 May 2021.