Can arts-based interventions reduce children’s peri-operative anxiety in paediatrics? A discussion of representative studies | Intellect Skip to content
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Volume 11, Issue 2
  • ISSN: 2049-3010
  • E-ISSN: 2049-3029

Abstract

This narrative literature review aims to provide a broad scope and objective analysis by identifying and summarizing published works surrounding the current research into how different forms of non-pharmaceutical and non-invasive arts-based methods can be used to reduce children’s peri-operative anxiety in paediatrics. While our search focuses on the peri-operative anxiety context, we build on wider research on the role of the arts in paediatrics and include representative studies from the last five to seven years. We highlight the most current findings in non-invasive interventions for hospitalized children, including primarily applied theatre performance in paediatrics followed by digital arts such as video games, virtual reality and music, to gain a better understanding of the current knowledge of how non-pharmaceutical and non-invasive arts-based methods can further be utilized in surgical procedures and treatments in paediatrics, how arts practitioners and hospital staff can better collaborate in such procedures and what further research is needed in relation to such methods for reducing peri-operative anxiety in children.

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2023-12-27
2024-05-03
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References

  1. Aitken, J. C., Wilson, S., Coury, D. and Moursi, A. M. (2002), ‘The effect of music distraction on pain, anxiety and behavior in pediatric dental patients’, Pediatric Dentistry, 24:2, pp. 114–18.
     [Google Scholar]
  2. Ali, R. R., Selim, A. O., Ghafar, M. A. A., Abdelraouf, O. R. and Ali, O. I. (2022), ‘Virtual reality as a pain distractor during physical rehabilitation in pediatric burns’, Burns, 48:2, pp. 203–08, 10.1016/j.burns.2021.04.031.
     [Google Scholar]
  3. Astles, C. (2020), ‘Walk in/walk as my shoes: Puppetry and prosocial empathy in healthcare’, Journal of Applied Arts & Health, 11:1, pp. 29–47, 10.1386/jaah_00016_1.
     [Google Scholar]
  4. Balfour, M., Cattoni, J., Sextou, P., Herbert, A., Seear, L., Lobwein, G., Gibson, M. and Penton, J. (2022), ‘Future stories: Co-designing virtual reality (VR) experiences with young people with a serious illness in hospital’, Research in Drama Education: The Journal of Applied Theatre and Performance, 27:4, pp. 458–74, 10.1080/13569783.2022.2034496.
     [Google Scholar]
  5. Bray, L., Booth, L., Gray, V., Maden, M., Thompson, J. and Saron, H. (2022), ‘Interventions and methods to prepare, educate or familiarise children and young people for radiological procedures: A scoping review’, Insights into Imaging, 13:1, 10.1186/s13244-022-01278-5.
     [Google Scholar]
  6. Chartrand, J., Tourigny, J. and MacCormick, J. (2016) ‘The effect of an educational pre-operative DVD on parents’ and children’s outcomes after a same-day surgery: A randomized controlled trial’, Journal of Advanced Nursing, 73:3, pp. 599–611, 10.1111/jan.13161.
     [Google Scholar]
  7. Cuzzocrea, F., Gugliandolo, M. C., Larcan, R., Romeo, C., Turiaco, N. and Dominici, T. (2013), ‘A psychological preoperative program: Effects on anxiety and cooperative behaviors’, Paediatric Anaesthesia, 23:2, pp. 139–43, 10.1111/pan.12100.
     [Google Scholar]
  8. Dehghan, Z., Reyhani, T., Mohammadpour, V., Aemmi, S. Z, Shojaeian, R. and Nekah, S. M. A. (2016), ‘The effectiveness of dramatic puppet and therapeutic play in anxiety reduction in children undergoing surgery: A randomized clinical trial’, Iranian Red Crescent Medical Journal, 19:3, 10.5812/ircmj.41178.
     [Google Scholar]
  9. Dionigi, A. and Gremigni, P. (2016), ‘A combined intervention of art therapy and clown visits to reduce preoperative anxiety in children’, Journal of Clinical Nursing, 26:5&6, pp. 632–40, 10.1111/jocn.13578.
     [Google Scholar]
  10. Dwairej, D. A., Obeidat, H. M. and Aloweidi, A. S. (2019), ‘Video game distraction and anesthesia mask practice reduces children’s preoperative anxiety: A randomized clinical trial’, Journal for Specialists in Pediatric Nursing, 25:1, 10.1111/jspn.12272.
     [Google Scholar]
  11. Franzoi, M. A., Goulart, C. B., Lara, E. O. and Martins, G. (2016), ‘Music listening for anxiety relief in children in the preoperative period: A randomized clinical trial’, Revista Latino-Americana de Enfermagem, 24, https://doi.org/10.1590/1518-8345.1121.2841.
     [Google Scholar]
  12. Giordano, F., Zanchi, B., De Leonardis, F., Rutligliano, C., Esposito, F., Brienza, N. and Santoro, N. (2020), ‘The influence of music therapy on preoperative anxiety in pediatric oncology patients undergoing invasive procedures’, The Arts in Psychotherapy, 68, 10.1016/j.aip.2020.101649.
     [Google Scholar]
  13. Gold, J. I., Annick, E. T., Lane, A. S., Ho, K., Marty, R. T. and Espinoza, J. C. (2021), ‘“Doc McStuffins: Doctor for a Day” virtual reality (DocVR) for pediatric preoperative anxiety and satisfaction: Pediatric medical technology feasibility study’, Journal of Medical Internet Research, 23:4, https://www.jmir.org/2021/4/e25504. Accessed 2 October 2023.
     [Google Scholar]
  14. Härter, V., Barkmann, C., Weissner, C., Rupprecht, M., Reinshagen, K. and Trah, J. (2021), ‘Effects of educational video on pre-operative anxiety in children: A randomized controlled trial’, Frontiers in Pediatrics, 9, 10.3389/fped.2021.640236.
     [Google Scholar]
  15. Hosch, W. L. (2022), ‘Augmented reality’, in Encyclopedia Britannica, 31 August, https://www.britannica.com/technology/augmented-reality. Accessed 25 October 2022.
     [Google Scholar]
  16. Jia, T., Ogawa, Y., Miura, M., Ito, O. and Kohzuki, M. (2016), ‘Music attenuated a decrease in parasympathetic nervous system activity after exercise’, PLoS ONE, 11:2, 10.1371/journal.pone.0148648.
     [Google Scholar]
  17. Jung, M. J., Libaw, J. S., Ma, K., Whitlock, E., Feiner, J. R. and Sinskey, J. L. (2020), ‘Pediatric distraction on induction of anesthesia with virtual reality and perioperative anxiolysis: A randomized controlled trial’, Anesthesia & Analgesia, 132:3, pp. 798–806, 10.1213/ane.0000000000005004.
     [Google Scholar]
  18. Kato, P. M. (2010), ‘Video games in health care: Closing the gap’, Review of General Psychology, 14:2, pp. 113–21, 10.1037/a0019441.
     [Google Scholar]
  19. Kharrati, M., Sadat, S. H. A., Batol, P. A. and Kasemnejad, A. (2019), ‘Effects of singing songs about preoperative care for tonsillectomy on the anxiety of children undergoing tonsillectomy’, Nursing and Health Care, 4:1, pp. 17–20, 10.33805/2573.3877.131.
     [Google Scholar]
  20. Kocherov, S., Hen, Y., Jaworowski, S., Ostrovsky, I., Eidelman, A., Gozal, Y. and Chertin, B. (2016), ‘Medical clowns reduce pre-operative anxiety, post-operative pain and medical costs in children undergoing outpatient penile surgery: A randomised controlled trial’, Journal of Paediatrics and Child Health, 52:9, pp. 877–81, 10.1111/jpc.13242.
     [Google Scholar]
  21. Kostak, Akgün, M., Kutman, G. and Semerci, R. (2021), ‘The effectiveness of finger puppet play in reducing fear of surgery in children undergoing elective surgery: A randomised controlled trial’, Collegian, 28:4, pp. 415–21, 10.1016/j.colegn.2020.10.003.
     [Google Scholar]
  22. Le May, S., Hupin, M., Khadra, C., Ballard, A., Paquin, D., Beaudin, M., Bouchard, S., Cotes-Turpin, C., Noel, M., Guingo, E., Hoffmam, H. G., Déry, J., Hung, N. and Perreault, I. (2021), ‘Decreasing pain and fear in medical procedures with a pediatric population (dream): A pilot randomized within-subject trial’, Pain Management Nursing, 22:2, pp. 191–97, 10.1016/j.pmn.2020.10.002.
     [Google Scholar]
  23. Liguori, S., Stacchini, M., Ciofi, D., Olivini, N., Bisogni, S. and Festini, F. (2016), ‘Effectiveness of an app for reducing preoperative anxiety in children’, JAMA Pediatrics, 170:8, 10.1001/jamapediatrics.2016.0533.
     [Google Scholar]
  24. Lowood, H.E. (2022), ‘Virtual reality’, in Encyclopedia Britannica, 8 September, https://www.britannica.com/technology/virtual-reality. Accessed 25 October 2022.
     [Google Scholar]
  25. Millett, C. R. and Gooding, L. F. (2017), ‘Comparing active and passive distraction-based music therapy interventions on preoperative anxiety in pediatric patients and their caregivers’, Journal of Music Therapy, 54:4, pp. 460–78, 10.1093/jmt/thx014.
     [Google Scholar]
  26. Olbrecht, V. A., O’Conor, K. T., Williams, S. E., O Boehmer, C., Marchant, G. W., Glynn, S. M., Geisler, K. J., Ding, L., Yang, G. and King, C. D. (2021), ‘Guided relaxation–based virtual reality for acute postoperative pain and anxiety in a pediatric population: Pilot observational study’, Journal of Medical Internet Research, 23:7, 10.2196/26328.
     [Google Scholar]
  27. Patel, A., Schieble, T., Davidson, M., Tran, M. C. J., Schoenberg, C., Delphin, E. and Bennett, H. (2006), ‘Distraction with a hand-held video game reduces pediatric preoperative anxiety’, Pediatric Anesthesia, 16:10, pp. 1019–27, 10.1111/j.1460-9592.2006.01914.x.
     [Google Scholar]
  28. Pelander, T. and Leino-Kilpi, H. (2010), ‘Children’s best and worst experiences during hospitalisation’, Scandinavian Journal of Caring Sciences, 24:4, pp. 726–33, 10.1111/j.1471-6712.2010.00770.x.
     [Google Scholar]
  29. Rice, M., Glasper, A., Keeton, D. and Spargo, P. (2008), ‘The effect of a preoperative education programme on perioperative anxiety in children: An observational study’, Paediatric Anaesthesia, 18:5, pp. 426–30, 10.1111/j.1460-9592.2008.02490.x.
     [Google Scholar]
  30. Rostami, E., Khanjari, S., Haghani, H. and Amirian, H. (2022), ‘Effect of video games on preoperative anxiety in 3- to-6-year-old of a sample of Iranian children undergoing elective surgery’, Journal of Education and Health Promotion, 11:35, 10.4103/jehp.jehp_455_21.
     [Google Scholar]
  31. Ryu, J.-H., Park, J.-W., Nahm, F. S., Jeon, Y.-T., Oh, A.-Y., Lee, H. J., Kim, J.-H. and Han, S.-H. (2018), ‘The effect of gamification through a virtual reality on preoperative anxiety in pediatric patients undergoing general anesthesia: A prospective, randomized, and controlled trial’, Journal of Clinical Medicine, 7:9, 10.3390/jcm7090284.
     [Google Scholar]
  32. Sajeev, M. F., Kelada, L., Yahya Nur, A. B., Wakefield, C. E., Wewege, M. A., Karpelowsky, J., Akimana, B., Darlington, A. S. and Signorelli, C. (2021), ‘Interactive video games to reduce paediatric procedural pain and anxiety: A systematic review and meta-analysis’, British Journal of Anaesthesia, 127:4, pp. 608–19, 10.1016/j.bja.2021.06.039.
     [Google Scholar]
  33. Sextou, P. (2016), Theatre for Children in Hospital: The Gift of Compassion, Bristol: Intellect.
     [Google Scholar]
  34. Sextou, P. (2022), ‘Theatre in paediatrics: Can participatory performance mitigate educational, emotional and social consequences of missing out school during hospitalisation?’, Research in Drama Education: The Journal of Applied Theatre and Performance, 27:1, pp. 88–105, 10.1080/13569783.2021.1940914.
     [Google Scholar]
  35. Sextou, P. (2023), Applied Theatre in Paediatrics: Children, Stories and Synergies of Emotions, London: Routledge.
     [Google Scholar]
  36. Stunden, C., Stratton, K., Zakani, S. and Jacob, J. (2021), ‘Comparing a virtual reality-based simulation app (VR-MRI) with a standard preparatory manual and Child Life Program for improving success and reducing anxiety during pediatric medical imaging: Randomized clinical trial’, Journal of Medical Internet Research, 23:9, 10.2196/22942.
     [Google Scholar]
  37. Tennant, M., Youssef, G. J., McGillivray, J., Clark, T-J., McMillan, L. and McCarthy, M. C. (2020), ‘Exploring the use of immersive virtual reality to enhance psychological well-being in pediatric oncology: A pilot randomized controlled trial’, European Journal of Oncology Nursing, 48, 10.1016/j.ejon.2020.101804.
     [Google Scholar]
  38. Teruel, J., Stafford, G., Brown, J., Jones, B., Hopkins, M., Johnson, A., Edenfield, J., Guo, A., Schammel, C., Renfro, S. and Nisonson, A. (2021), ‘Reduction of perioperative anxiety using a hand-held video game device: A randomized study’, Perioperative Care and Operating Room Management, 24, 10.1016/j.pcorm.2021.100203.
     [Google Scholar]
  39. Thompson, J. (2015), ‘Towards an aesthetics of care’, Research in Drama Education: The Journal of Applied Theatre and Performance, 20:4, pp. 430–41, 10.1080/13569783.2015.1068109.
     [Google Scholar]
  40. Van der Heijden, M. J., Araghi, S. O., van Dijk, M., Jeekel, J. and Hunink, M. G. M. (2015), ‘The effects of perioperative music interventions in pediatric surgery: A systematic review and meta-analysis of randomized controlled trials’, PLoS ONE, 10:8, 10.1371/journal.pone.0133608.
     [Google Scholar]
  41. Wang, Y., Guo, L. and Xiong, X. (2022), ‘Effects of virtual reality-based distraction of pain, fear, and anxiety during needle-related procedures in children and adolescents’, Frontiers in Psychology, 13, 10.3389/fpsyg.2022.842847.
     [Google Scholar]
  42. Willer, B. (2022), ‘Virtual reality as a perioperative teaching tool for families’, National Library of Medicine, https://clinicaltrials.gov/study/NCT05008107?id=NCT05008107&rank=1. Accessed 2 November 2022.
     [Google Scholar]
  43. Winterberg, A. V., Lane, B., Hill, L. and Varughese, A. M. (2022), ‘Optimizing pediatric induction experiences using human-centered design’, Journal of PeriAnesthesia Nursing, 37:1, pp. 48–52, 10.1016/j.jopan.2021.03.001.
     [Google Scholar]
  44. Yun, O. B., Kim, S.-J. and Jung, D. (2015), ‘Effects of a clown-nurse educational intervention on the reduction of postoperative anxiety and pain among preschool children and their accompanying parents in South Korea’, Journal of Pediatric Nursing, 30:6, 10.1016/j.pedn.2015.03.003.e99.
     [Google Scholar]
  45. Zhang, Y., Yang, Y., Lau, W. Y. T, Garg, S. and Lao, J. (2016), ‘Effectiveness of pre-operative clown intervention on psychological distress: A systematic review and meta-analysis’, Journal of Paediatrics and Child Health, 53:3, pp. 237–45, 10.1111/jpc.13369.
     [Google Scholar]
http://instance.metastore.ingenta.com/content/journals/10.1386/atr_00081_1
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  • Article Type: Article
Keyword(s): arts and paediatrics; music and paediatrics; peri-operative anxiety; theatre and paediatrics; video games and paediatrics; VR technology and paediatrics

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