{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T22:06:56Z","timestamp":1766182016049,"version":"build-2065373602"},"reference-count":45,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T00:00:00Z","timestamp":1672099200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: The aim of this study was to inspect the influence of patient-centered communication (PCC) with 4- to 10-year-old children on the use of anesthesia for magnetic resonance imaging exams (MRs). Methods: A total of thirty children received the PCC and pre-simulated the exam with an MR toy. Another 30 children received routine information about the MR and pre-simulated the exam with the toy. Anesthesia use in these two groups was additionally compared with a previously existing group of children (n = 30) who had received only routine information about the exam (CG). Children\u2019s anxiety was assessed with a self-report question plus heartbeat frequency. Children\u2019s satisfaction was assessed through several questions. The analyses were based on group comparisons and regression. Results: A total of two children (7%) in the PCC + simulation group used sedation compared with 14 (47%) in the simulation group and 21 (70%) in the CG. Differences between the PCC + simulation and the other two groups were significant (p &lt; 0.001), although not between the simulation and the CG. The decrease in anxiety was significantly greater (self-reported p &lt; 0.001; heart rate p &lt; 0.05) and satisfaction was higher (p = 0.001) in the PCC + simulation, when compared with the simulation group. Reduced anxiety was associated with less anesthesia use (OR 1.39; CI 1.07\u20131.79; p = 0.013). Conclusions: PCC + simulation was more effective than simulation and routine practice in decreasing children\u2019s anxiety, increasing satisfaction, and reducing the use of anesthesia for MRs.<\/jats:p>","DOI":"10.3390\/ijerph20010414","type":"journal-article","created":{"date-parts":[[2022,12,27]],"date-time":"2022-12-27T04:45:54Z","timestamp":1672116354000},"page":"414","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The Influence of Patient-Centered Communication on Children\u2019s Anxiety and Use of Anesthesia for MR"],"prefix":"10.3390","volume":"20","author":[{"given":"M. Concei\u00e7\u00e3o","family":"Castro","sequence":"first","affiliation":[{"name":"Department of Radiology, Centro Hospitalar Universit\u00e1rio de S\u00e3o Jo\u00e3o\u2013Alameda Professor Hern\u00e2ni Monteiro, 4200-319 Porto, Portugal"}]},{"given":"Isabel","family":"Ramos","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Porto-Alameda Professor Hern\u00e2ni Monteiro, 4200-319 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7981-4442","authenticated-orcid":false,"given":"Irene Palmares","family":"Carvalho","sequence":"additional","affiliation":[{"name":"Department of Clinical Neurosciences and Mental Health, Faculty of Medicine, University of Porto-Alameda Professor Hern\u00e2ni Monteiro, 4200-319 Porto, Portugal"},{"name":"CINTESIS@RISE, Faculty of Medicine, University of Porto-Alameda Professor Hern\u00e2ni Monteiro, 4200-319 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2022,12,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1368","DOI":"10.1007\/s00247-010-1554-5","article-title":"Mock MRI: Reducing the need for anaesthesia in children","volume":"40","author":"Carter","year":"2010","journal-title":"Pediatr. 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