{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T21:31:15Z","timestamp":1792099875159,"version":"4.4.0"},"reference-count":29,"publisher":"Scientific Scholar","content-domain":{"domain":["ijmr.org.in"],"crossmark-restriction":true},"short-container-title":["Indian J Med Res"],"abstract":"<jats:sec>\n<jats:title>Background &amp; objectives<\/jats:title>\n<jats:p>Preoperative anxiety affects 40-75 per cent of children undergoing surgery, leading to postoperative complications. While pharmacological methods have limitations, informational videos have shown promise in reducing anxiety. This pilot study aimed to evaluate the impact of a novel Hindi animated Information, Education, and Communication (IEC) video on preoperative anxiety in Indian children undergoing elective surgeries. The study hypothesised that the video would significantly reduce anxiety scores.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Methods<\/jats:title>\n<jats:p>A pilot randomised controlled trial was conducted with 30 children aged 5-10 yr scheduled for elective surgeries under general anaesthesia. Participants were randomly assigned to a video intervention group (VI) or a control group (C). Baseline and preoperative anxiety were measured using the Modified Yale Preoperative Anxiety Scale (m-YPAS), Child Fear Scale (CFS), and State-Trait Anxiety Inventory (STAI) for parents. Postoperative emergence delirium and behavioural changes were assessed using the Paediatric Emergence Delirium (PAED) score and Post-Hospitalisation Behaviour Questionnaire (PHBQ).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Results<\/jats:title>\n<jats:p>Children in the VI group showed significantly lower preoperative anxiety (m-YPAS: 47.9 (10.23) <jats:italic>vs<\/jats:italic>. 77.08 (8.38); <jats:italic>P<\/jats:italic>&lt;0.001) and heart rates compared to the C group. CFS and STAI-S scores were also significantly lower in the VI group. Although the VI group showed reduced anxiety, there was no significant impact on emergence delirium or postoperative behaviour by day 30.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>Interpretation &amp; conclusions<\/jats:title>\n<jats:p>The Hindi animated IEC video effectively reduced preoperative anxiety in children, highlighting the need for culturally and linguistically appropriate interventions. However, its impact on postoperative outcomes requires further investigation with a larger sample size.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/ijmr_1800_2024","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T01:58:41Z","timestamp":1751853521000},"page":"593-599","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of a novel bundled information, education, &amp; communication video on preoperative anxiety in paediatric patients: A randomised controlled trial"],"prefix":"10.25259","volume":"161","author":[{"given":"Rishabh","family":"Jaju","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, All India Institute of Medical Sciences, Deoghar, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pooja","family":"Bihani","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology & Critical Care, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveen","family":"Paliwal","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Dr. S.N. Medical College, Jodhpur, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. Mirthun","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, S.M.S. Medical College, Jaipur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2025,7,7]]},"reference":[{"key":"10.25259\/IJMR_1800_2024\/ref-1","doi-asserted-by":"publisher","first-page":"651","DOI":"10.1542\/peds.2005-2920","article-title":"Preoperative anxiety, postoperative pain, and behavioral recovery in young children undergoing surgery","volume":"118","author":"Kain","year":"2006","journal-title":"Pediatrics"},{"key":"10.25259\/IJMR_1800_2024\/ref-2","doi-asserted-by":"publisher","first-page":"e160533","DOI":"10.1001\/jamapediatrics.2016.0533","article-title":"Effectiveness of an App for reducing preoperative anxiety in children: A randomized clinical trial","volume":"170","author":"Liguori","year":"2016","journal-title":"JAMA Pediatr"},{"key":"10.25259\/IJMR_1800_2024\/ref-3","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1093\/bja\/aew154","article-title":"Introduction of a paediatric anaesthesia comic information leaflet reduced preoperative anxiety in children","volume":"117","author":"Kassai","year":"2016","journal-title":"Br J Anaesth"},{"key":"10.25259\/IJMR_1800_2024\/ref-4","doi-asserted-by":"publisher","first-page":"9828","DOI":"10.3390\/ijerph19169828","article-title":"Research progress on risk factors of preoperative anxiety in children: A scoping review","volume":"19","author":"Liu","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"10.25259\/IJMR_1800_2024\/ref-5","doi-asserted-by":"publisher","first-page":"504","DOI":"10.1007\/s12098-018-2606-3","article-title":"Predictors of pre-operative anxiety in Indian children","volume":"85","author":"Malik","year":"2018","journal-title":"Indian J Pediatr"},{"key":"10.25259\/IJMR_1800_2024\/ref-6","doi-asserted-by":"publisher","first-page":"783","DOI":"10.1097\/00000539-199710000-00012","article-title":"The yale preoperative anxiety scale","volume":"85","author":"Kain","year":"1997","journal-title":"Anesthesia & Analgesia"},{"key":"10.25259\/IJMR_1800_2024\/ref-7","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1213\/ANE.0000000000000350","article-title":"Development of a short version of the modified Yale preoperative anxiety scale","volume":"119","author":"Jenkins","year":"2014","journal-title":"Anesth Analg"},{"key":"10.25259\/IJMR_1800_2024\/ref-8","doi-asserted-by":"publisher","first-page":"780","DOI":"10.1037\/a0024817","article-title":"Children\u2019s fear during procedural pain: Preliminary investigation of the children\u2019s fear scale","volume":"30","author":"McMurtry","year":"2011","journal-title":"Health Psychology"},{"key":"10.25259\/IJMR_1800_2024\/ref-9","doi-asserted-by":"publisher","first-page":"603","DOI":"10.1177\/0013164402062004005","article-title":"Reliability generalization of scores on the Spielberger state-trait anxiety inventory","volume":"62","author":"Barnes","year":"2002","journal-title":"Educational and Psychological Measurement"},{"key":"10.25259\/IJMR_1800_2024\/ref-10","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1097\/00004703-199302000-00006","article-title":"Research on the effect of experimental interventions on children\u2019s behavior after hospitalization: A review and synthesis","volume":"14","author":"Vernon","year":"1993","journal-title":"J Dev Behav Pediatr"},{"key":"10.25259\/IJMR_1800_2024\/ref-11","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1136\/archdischild-2011-301378","article-title":"Pain and behaviour changes in children following surgery","volume":"97","author":"Power","year":"2012","journal-title":"Arch Dis Child"},{"key":"10.25259\/IJMR_1800_2024\/ref-12","doi-asserted-by":"publisher","first-page":"1138","DOI":"10.1097\/00000542-200405000-00015","article-title":"Development and psychometric evaluation of the pediatric anesthesia emergence delirium scale","volume":"100","author":"Sikich","year":"2004","journal-title":"Anesthesiology"},{"key":"10.25259\/IJMR_1800_2024\/ref-13","doi-asserted-by":"publisher","first-page":"508","DOI":"10.4097\/kjae.2013.65.6.508","article-title":"Effect of behavioral intervention using smartphone application for preoperative anxiety in pediatric patients","volume":"65","author":"Lee","year":"2013","journal-title":"Korean J Anesthesiol"},{"key":"10.25259\/IJMR_1800_2024\/ref-14","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1111\/pan.13846","article-title":"Identifying the core attributes of pediatric communication techniques to be taught to anesthetic trainees","volume":"30","author":"Mann","year":"2020","journal-title":"Paediatr Anaesth"},{"key":"10.25259\/IJMR_1800_2024\/ref-15","first-page":"501","article-title":"Are informational videos good for pediatric patients?","volume":"82","author":"Pabelick","year":"2016","journal-title":"Minerva Anestesiol"},{"key":"10.25259\/IJMR_1800_2024\/ref-16","doi-asserted-by":"publisher","first-page":"e230001","DOI":"10.1001\/jamanetworkopen.2023.0001","article-title":"Effects of an immersive virtual reality intervention on pain and anxiety among pediatric patients undergoing venipuncture: A randomized clinical trial","volume":"6","author":"Wong","year":"2023","journal-title":"JAMA Netw Open"},{"key":"10.25259\/IJMR_1800_2024\/ref-17","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1111\/pan.13300","article-title":"Perioperative experiences of anesthesia reported by children and parents","volume":"28","author":"Perrott","year":"2018","journal-title":"Paediatr Anaesth"},{"key":"10.25259\/IJMR_1800_2024\/ref-18","doi-asserted-by":"publisher","first-page":"713","DOI":"10.4103\/ija.IJA_491_19","article-title":"Premedication and induction of anaesthesia in paediatric patients","volume":"63","author":"Dave","year":"2019","journal-title":"Indian J Anaesth"},{"key":"10.25259\/IJMR_1800_2024\/ref-19","first-page":"534","article-title":"Preoperative informational video reduces preoperative anxiety and postoperative negative behavioral changes in children","volume":"82","author":"Batuman","year":"2016","journal-title":"Minerva Anestesiol"},{"key":"10.25259\/IJMR_1800_2024\/ref-20","doi-asserted-by":"publisher","first-page":"640236","DOI":"10.3389\/fped.2021.640236","article-title":"Effects of educational video on pre-operative anxiety in children - A randomized controlled trial","volume":"9","author":"H\u00e4rter","year":"2021","journal-title":"Front Pediatr"},{"key":"10.25259\/IJMR_1800_2024\/ref-21","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1111\/pan.13535","article-title":"The effect of an immersive virtual reality tour of the operating theater on emergence delirium in children undergoing general anesthesia: A randomized controlled trial","volume":"29","author":"Ryu","year":"2019","journal-title":"Paediatr Anaesth"},{"key":"10.25259\/IJMR_1800_2024\/ref-22","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1186\/s12871-023-02055-7","article-title":"Effect of interactive, multimedia-based home-initiated education on preoperative anxiety in children and their parents: A single-center randomized controlled trial","volume":"23","author":"Hou","year":"2023","journal-title":"BMC Anesthesiol"},{"key":"10.25259\/IJMR_1800_2024\/ref-23","doi-asserted-by":"publisher","first-page":"e001854","DOI":"10.1136\/bmjpo-2023-001854","article-title":"Individual cartoon video for alleviating perioperative anxiety and reducing emergence delirium in children: A prospective randomised trial","volume":"7","author":"Tang","year":"2023","journal-title":"BMJ Paediatr Open"},{"key":"10.25259\/IJMR_1800_2024\/ref-24","doi-asserted-by":"publisher","first-page":"376","DOI":"10.4103\/sja.sja_104_24","article-title":"Enhanced perioperative communication elevates patients\u2019 understanding, perception, and satisfaction for anesthesia services: Insights from a survey study","volume":"18","author":"Jaju","year":"2024","journal-title":"Saudi J Anaesth"},{"key":"10.25259\/IJMR_1800_2024\/ref-25","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1111\/j.1365-2753.2008.01082.x","article-title":"A randomized controlled trial of an at-home preparation programme for Japanese preschool children: effects on children\u2019s and caregivers\u2019 anxiety associated with surgery","volume":"15","author":"Wakimizu","year":"2009","journal-title":"J Eval Clin Pract"},{"key":"10.25259\/IJMR_1800_2024\/ref-26","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.pedn.2005.06.004","article-title":"Pediatric anxiety: Child life intervention in day surgery","volume":"21","author":"Brewer","year":"2006","journal-title":"J Pediatr Nurs"},{"key":"10.25259\/IJMR_1800_2024\/ref-27","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1093\/jpepsy\/jsv094","article-title":"Systematic review: Audiovisual interventions for reducing preoperative anxiety in children undergoing elective surgery","volume":"41","author":"Chow","year":"2016","journal-title":"J Pediatr Psychol"},{"key":"10.25259\/IJMR_1800_2024\/ref-28","doi-asserted-by":"publisher","first-page":"693","DOI":"10.4103\/joacp.joacp_373_23","article-title":"Comparison of bolus dose administration of propofol and dexmedetomidine for incidence of emergence delirium in pediatric patients undergoing surgery with general anesthesia: A randomized, double-blind trial","volume":"40","author":"Tharu","year":"2024","journal-title":"J Anaesthesiol Clin Pharmacol"},{"key":"10.25259\/IJMR_1800_2024\/ref-29","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1097\/00000542-200701000-00013","article-title":"Family-centered preparation for surgery improves perioperative outcomes in children: A randomized controlled trial","volume":"106","author":"Kain","year":"2007","journal-title":"Anesthesiology"}],"container-title":["The Indian Journal of Medical Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/ijmr.org.in\/impact-of-a-novel-bundled-information-education-communication-videos-on-preoperative-anxiety-in-paediatric-patients-a-randomised-controlled-trial\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/ijmr.org.in\/impact-of-a-novel-bundled-information-education-communication-videos-on-preoperative-anxiety-in-paediatric-patients-a-randomised-controlled-trial\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T16:27:53Z","timestamp":1754670473000},"score":1,"resource":{"primary":{"URL":"http:\/\/ijmr.org.in\/impact-of-a-novel-bundled-information-education-communication-videos-on-preoperative-anxiety-in-paediatric-patients-a-randomised-controlled-trial\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,7]]},"references-count":29,"alternative-id":["10.25259\/IJMR_1800_2024"],"URL":"https:\/\/doi.org\/10.25259\/ijmr_1800_2024","relation":{},"ISSN":["0971-5916"],"issn-type":[{"value":"0971-5916","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7,7]]},"article-number":"593"}}