Sanae van der Vleuten-Chraibi, Sanne Nauts, Dobromiła Barańska, Emilio J Inarejos Clemente, Jonas Sterup Bovin, Nadia Najafi, Julian A Luetkens, Marianne Alison, Hilla M Biermann, Fabian Peckman, Privender Saini
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However, it can be challenging to scan young children awake while maintaining a high image quality with an efficient, patient-friendly workflow.</p><p><strong>Objective: </strong>We investigated if an audio-visual intervention with specially designed pediatric content could reduce MRI-related patient anxiety and workflow-issues in children during an awake MRI.</p><p><strong>Materials and methods: </strong>In six European hospitals, children (n = 175; aged 6-12 years) were scanned with child-friendly content (intervention) or without (control). Staff recorded children's stress levels before, during, and after the MRI on a 6-point Likert scale. Scan issues (i.e., repeat scans and interruptions) were recorded by staff and extracted from the MRI logfiles.</p><p><strong>Results: </strong>The stress level of young children (aged 6-10 years) in the intervention group decreased more strongly from before to after the MRI compared to the control group, F<sub>(2,96)</sub> = 7.84, P < 0.001. 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The used pediatric content showed no significant effects on older children (aged 10 + years).</p><p><strong>Conclusion: </strong>A child-friendly audio-visual intervention can help reduce stress levels of young children (aged 6-10 years) and support a smooth workflow.</p><p><strong>Trial registration number: </strong>NCT05089955, date: 2021-10-22.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":"1934-1942"},"PeriodicalIF":2.3000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394259/pdf/","citationCount":"0","resultStr":"{\"title\":\"Magnetic resonance imaging related anxiety and workflow: impact of a child-friendly audio-visual intervention.\",\"authors\":\"Sanae van der Vleuten-Chraibi, Sanne Nauts, Dobromiła Barańska, Emilio J Inarejos Clemente, Jonas Sterup Bovin, Nadia Najafi, Julian A Luetkens, Marianne Alison, Hilla M Biermann, Fabian Peckman, Privender Saini\",\"doi\":\"10.1007/s00247-025-06308-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Magnetic resonance imaging (MRI) is the diagnostic imaging modality of choice for pediatric patients. 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引用次数: 0
摘要
背景：磁共振成像（MRI）是儿科患者首选的诊断成像方式。然而，它可以是具有挑战性的扫描幼儿清醒，同时保持高质量的图像与高效，病人友好的工作流程。目的：我们研究具有特殊设计的儿科内容的视听干预是否可以减少儿童在清醒MRI期间与MRI相关的患者焦虑和工作流程问题。材料和方法：在欧洲6家医院，儿童(n = 175；对6-12岁儿童进行扫描，有儿童友好内容（干预）或无儿童友好内容（对照）。工作人员用6分李克特量表记录了孩子们在核磁共振成像之前、期间和之后的压力水平。扫描问题（即重复扫描和中断）由工作人员记录并从MRI日志文件中提取。结果：干预组幼儿（6 ~ 10岁）的应激水平在MRI前后较对照组下降更明显，F(2,96) = 7.84, P (1,169) = 8.36, P = 0.004, Cohen’s d = 0.58， MRI系统记录F(1,156) = 8.10, P = 0.005, Cohen’s d = 0.45。使用的儿科内容对年龄较大的儿童（10岁以上）没有显著影响。结论：儿童友好型视听干预可以帮助降低幼儿（6-10岁）的压力水平，并支持顺畅的工作流程。试验注册号：NCT05089955，日期：20121-10-22。
Magnetic resonance imaging related anxiety and workflow: impact of a child-friendly audio-visual intervention.
Background: Magnetic resonance imaging (MRI) is the diagnostic imaging modality of choice for pediatric patients. However, it can be challenging to scan young children awake while maintaining a high image quality with an efficient, patient-friendly workflow.
Objective: We investigated if an audio-visual intervention with specially designed pediatric content could reduce MRI-related patient anxiety and workflow-issues in children during an awake MRI.
Materials and methods: In six European hospitals, children (n = 175; aged 6-12 years) were scanned with child-friendly content (intervention) or without (control). Staff recorded children's stress levels before, during, and after the MRI on a 6-point Likert scale. Scan issues (i.e., repeat scans and interruptions) were recorded by staff and extracted from the MRI logfiles.
Results: The stress level of young children (aged 6-10 years) in the intervention group decreased more strongly from before to after the MRI compared to the control group, F(2,96) = 7.84, P < 0.001. They also had significantly fewer scan issues as reported by staff, F(1,169) = 8.36, P = 0.004, Cohen's d = 0.58, and as logged by the MRI system, F(1,156) = 8.10, P = 0.005, Cohen's d = 0.45. The used pediatric content showed no significant effects on older children (aged 10 + years).
Conclusion: A child-friendly audio-visual intervention can help reduce stress levels of young children (aged 6-10 years) and support a smooth workflow.
期刊介绍：
Official Journal of the European Society of Pediatric Radiology, the Society for Pediatric Radiology and the Asian and Oceanic Society for Pediatric Radiology
Pediatric Radiology informs its readers of new findings and progress in all areas of pediatric imaging and in related fields. This is achieved by a blend of original papers, complemented by reviews that set out the present state of knowledge in a particular area of the specialty or summarize specific topics in which discussion has led to clear conclusions. Advances in technology, methodology, apparatus and auxiliary equipment are presented, and modifications of standard techniques are described.
Manuscripts submitted for publication must contain a statement to the effect that all human studies have been reviewed by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in an appropriate version of the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted.
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