Parent Education and Medical Play: A Comparison of Psychological Preparation Strategies for Voiding Cystourethrogram
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Purpose
Hypothesis: The use of parent education and medical play will be able to reduce patient discomfort with potential uncomfortable medical procedures.
Children that have urinary tract infections and those diagnosed with vesicoureteral reflux undergo a procedure called a voiding cystourethrogram (VCUG) to identify and follow vesicoureteral reflux. For many children and parents this can lead to considerable distress. Pre-procedure preparation can potentially reduce anxiety and improve overall experience with the procedure.
| Condition | Intervention | Phase |
|---|---|---|
|
Vesicoureteral Reflux |
Behavioral: Parental information Behavioral: Play therapy |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Bio-equivalence Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Parent Education and Medical Play: A Comparison of Psychological Preparation Strategies for Voiding Cystourethrogram |
- Does Parent Education and Medical play reduce anxiety and discomfort associated with Voiding Cystourethrogam [ Time Frame: 12 months anticipated ] [ Designated as safety issue: No ]Medical play therapy could potentially reduce parental and pateint anxiety when used for preparing children for medical procedures. This study is designed to identify if play therapy can lead to reduction in parental and pateint anxiety with voiding cystourethrogram - a commonly performed test for the evaluation of children with urinary tract infections.
| Estimated Enrollment: | 100 |
| Study Start Date: | December 2011 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | December 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: No intervention
Parents given routine information by the medical staff.
|
|
|
Active Comparator: Parental information
Parents are provided with an educational brochure of the study and the expectations of the discomfort.
|
Behavioral: Parental information
An informational brochure indicating the study details
Other Name: Informational materials.
Behavioral: Play therapy
Play therapy with a child life specialist
Other Names:
|
|
Active Comparator: Play Therapy
Child and the parents will spend time in the office with the child life therapist undergoing play therapy.
|
Behavioral: Parental information
An informational brochure indicating the study details
Other Name: Informational materials.
Behavioral: Play therapy
Play therapy with a child life specialist
Other Names:
|
Detailed Description:
Children that are evaluated medically and found to need a VCUG would be eligible for participation in this study. Children would be randomized to having play therapy or a parental education brochure. The study would have no impact on the child recieving the state of the art medical care.
Play therapy involves having the child play through the process of the study with a child life therapist, in an effort to prepare the child for the procedure. Parents/patients will be given a pre and post procedure evaluation form to objectively categorize the parental/patient perception of the experience with the study.
Eligibility| Ages Eligible for Study: | 2 Years to 10 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Children that have been identified to need a voiding cystourethrogram
Exclusion Criteria:
- Significant medical conditions that preclude child from being able to understand play therapy or have been identified in the past to have so much discomfort from prior studies as to not be able to participate.
Contacts and Locations| Contact: Amanda Moatz | 410 955 3693 | amoatz@jhmi.edu |
| Contact: Ranjiv Mathews, MD | 410 955 3693 | rmathew1@jhmi.edu |
| United States, Maryland | |
| Johns Hopkins Childrens Center | Recruiting |
| Baltimore, Maryland, United States, 21287 | |
| Contact: Amanda Moatz 410-955-3693 amoatz@jhmi.edu | |
| Contact: Ranjiv Mathews, MD 410 955 3693 rmathew1@jhmi.edu | |
| Principal Investigator: | Ranjuv Mathews, MD | Johns Hopkins University |
More Information
No publications provided
| Responsible Party: | Ranjiv Mathews, MD, Clinical Adjunct Associate Professor, Johns Hopkins University |
| ClinicalTrials.gov Identifier: | NCT01578291 History of Changes |
| Other Study ID Numbers: | NA_00034999 |
| Study First Received: | April 10, 2012 |
| Last Updated: | April 13, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Johns Hopkins University:
|
Play therapy Urinary tract infections Children Vesicoureteral reflux |
Additional relevant MeSH terms:
|
Vesico-Ureteral Reflux Urinary Bladder Diseases Urologic Diseases |
ClinicalTrials.gov processed this record on May 23, 2013