Comparison of Usual Care and Distraction (Tablet) in Children 3-5 Years Old

NCT ID: NCT05368961

Last Updated: 2024-04-01

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

137 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-04-07

Study Completion Date

2019-03-08

Brief Summary

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Randomized control trial comparing usual care and distraction (tablet) on anxiety, emergence delirium, sedation/agitation, and vomiting in children 3-5 years old

Detailed Description

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Two group RCT comparing usual care (midazolam) and distraction (tablet) on preoperative anxiety, emergence delirium, sedation/agitation, and vomiting in preschool children 3-5 years old.

Conditions

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Anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Group 1: usual care Group 2: distraction
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Not a blinded study

Study Groups

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Usual care

Usual care (midazolam) is administered pre-operatively

Group Type ACTIVE_COMPARATOR

Usual care

Intervention Type OTHER

Anxiolytic ordered by anesthesiologist is usual care

Distraction

Distraction (interactive tablet) is given to children pre-operatively

Group Type EXPERIMENTAL

Distraction

Intervention Type BEHAVIORAL

Distraction (interactive tablet)

Interventions

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Distraction

Distraction (interactive tablet)

Intervention Type BEHAVIORAL

Usual care

Anxiolytic ordered by anesthesiologist is usual care

Intervention Type OTHER

Other Intervention Names

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Anxiolytic per anesthesia

Eligibility Criteria

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Inclusion Criteria

* 3-5 year old children
* Scheduled for elective surgery
* American Society of Anesthesiologists physical status classification system: I - II

Exclusion Criteria

* Children younger than 3 or older than 6
* Allergy to midazolam
* Cognitive or developmental delays
* American Society of Anesthesiologists physical status classification system: III - VI
* Anesthesia provider determines child is not eligible
* Children that are transferred to ICU after surgery
Minimum Eligible Age

3 Years

Maximum Eligible Age

5 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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The Cleveland Clinic

OTHER

Sponsor Role lead

Responsible Party

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Michelle Levay

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Nancy M Albert, PhD

Role: STUDY_DIRECTOR

The Cleveland Clinic

Locations

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Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Countries

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United States

References

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Seiden SC, McMullan S, Sequera-Ramos L, De Oliveira GS Jr, Roth A, Rosenblatt A, Jesdale BM, Suresh S. Tablet-based Interactive Distraction (TBID) vs oral midazolam to minimize perioperative anxiety in pediatric patients: a noninferiority randomized trial. Paediatr Anaesth. 2014 Dec;24(12):1217-23. doi: 10.1111/pan.12475. Epub 2014 Jul 17.

Reference Type BACKGROUND
PMID: 25040433 (View on PubMed)

Sikich N, Lerman J. Development and psychometric evaluation of the pediatric anesthesia emergence delirium scale. Anesthesiology. 2004 May;100(5):1138-45. doi: 10.1097/00000542-200405000-00015.

Reference Type BACKGROUND
PMID: 15114210 (View on PubMed)

Kain ZN, Caldwell-Andrews AA, Maranets I, McClain B, Gaal D, Mayes LC, Feng R, Zhang H. Preoperative anxiety and emergence delirium and postoperative maladaptive behaviors. Anesth Analg. 2004 Dec;99(6):1648-1654. doi: 10.1213/01.ANE.0000136471.36680.97.

Reference Type BACKGROUND
PMID: 15562048 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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16-511

Identifier Type: -

Identifier Source: org_study_id

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