iPad as a Distraction Tool During Facial Laceration Repair
| Status: | Completed |
|---|---|
| Conditions: | Anxiety |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 2 - 12 |
| Updated: | 4/2/2016 |
| Start Date: | April 2014 |
| End Date: | June 2015 |
| Contact: | Amy Williams, MD |
| Email: | amywilliams@rchsd.org |
| Phone: | 858-966-8036 |
Children aged 2-12 presenting to the Rady Children's Hospital San Diego (RCHSD) emergency
department with facial lacerations requiring suture repair will be eligible to participate
in the study. Participating children will be randomized to standard care versus standard
care plus iPad use during the procedure. Children's anxiety levels assessed using a
validated scale will be measured from video recordings made of the procedure. Parent and
provider satisfaction surveys will be completed following the procedure. The primary study
aim is to determine how iPad use affects children's anxiety levels during facial laceration
repair. The secondary study aim is to determine how iPad use affects parent and provider
satisfaction regarding a child's facial laceration repair. Hypothesis is that iPad use
decreases children's anxiety levels during facial laceration repair and increases parent and
provider satisfaction regarding a child's facial laceration repair.
department with facial lacerations requiring suture repair will be eligible to participate
in the study. Participating children will be randomized to standard care versus standard
care plus iPad use during the procedure. Children's anxiety levels assessed using a
validated scale will be measured from video recordings made of the procedure. Parent and
provider satisfaction surveys will be completed following the procedure. The primary study
aim is to determine how iPad use affects children's anxiety levels during facial laceration
repair. The secondary study aim is to determine how iPad use affects parent and provider
satisfaction regarding a child's facial laceration repair. Hypothesis is that iPad use
decreases children's anxiety levels during facial laceration repair and increases parent and
provider satisfaction regarding a child's facial laceration repair.
Inclusion Criteria:
1. Patients: Male and female children aged 2-12 of all ethnic backgrounds and
socioeconomic levels presenting to the emergency department for laceration repair.
Children sustaining single, uncomplicated facial lacerations, which can be repaired
with basic suture techniques, are eligible for the study. Lacerations repaired using
LET cream, lidocaine injection, and LET cream and lidocaine injection are all
eligible for the study.
2. Parents of enrolled patients.
3. Providers of enrolled patients: Residents, fellows, attendings, and nurse
practitioners serving as the primary provider performing the laceration repair.
Exclusion Criteria:
1. Patients: Lacerations to parts of the body other than the face. Children with
developmental disabilities. Children with laceration repair requiring sedation.
Children with complex lacerations requiring subspecialty repair.
2. Parents and/or providers of children not eligible or enrolled in the study.
3. Providers: Medical students performing the laceration repair.
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