Effectiveness of Play Interventions on Anxiety Among Hospitalized Children

NCT03222063 | Completed DMC

• 1 other identifier: 785
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

The study evaluates the effectiveness of play interventions on anxiety among hospitalized children in selected hospital of Yamuna Nagar, Haryana. Quasi experimental approach was adopted. 60 (30 in experimental and 30 in comparison)hospitalized children were selected by purposive sampling technique.Hospitalized children in experimental group were provided play interventions whereas the children in Comparison group received only usual medical and nursing care.

Conditions

Anxiety

Keywords

Play interventions, anxiety

Outcome Measures

Primary Outcomes (1)

• Structured anxiety rating scale

  It include: * Total 30 items and consists of 4 areas that includes apprehension, Nervousness/tension, discomfort and irritability. * The maximum score is 90 and minimum 0. The level of anxiety were categorized into 4 categories as shown in table no. 3.3 Anxiety among hospitalized children was measured by using structured anxiety rating scale which was categorized as no anxiety(0-23), mild to moderate(24-45), severe(46-68) and panic anxiety(69-90).

  05 minutes

Study Arms (2)

Experimental group

EXPERIMENTAL

Experimental Group: Experimental group consists of 30 hospitalized children.In Experimental group after taking pretest on 1st day play interventions were introduced to the children and instructions regarding the way to play with all the interventions were provided to the children. Though all the children were free to choose the play yet the younger children were given simple and easy play interventions such as drawing, coloring etc. to obtain more sensory experience whereas the older children were offered play interventions such as puzzle, building blocks, ludo etc. with high cognitive demand. The play interventions were administered for 1 hour daily for continuous 5 days.Post test assessment of anxiety was done on 5th day.

Other: Play interventions

Comparison group

NO INTERVENTION

Comparison Group: 30 hospitalized children were selected by purposive sampling in comparison group. Pretest anxiety was measured on 1st day . No intervention was administered. only usual medical and nursing care was administered to the hospitalized children. Post test assessment of anxiety was done on 5th day.

Interventions

Play interventions OTHER

The following play were included in play interventions i.e building blocks, paint, puzzles, crayons, doctor set, ludo, snake and ladder. All hospitalized children in experimental group received play interventions at bed side. Taking into consideration the busy clinical setting, each participant received continuously 1 hour of hospital play interventions each day for continuous 5 days. Although the hospitalized children were free to choose according to their choice but still the younger children would be engaged in play such as doctor set, Drawing etc. to obtain more sensory experience and older children were offered play interventions such as puzzle, building blocks, ludo etc.with high cognitive demand.

Experimental group

Eligibility Criteria

• Age: 6 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• The study include hospitalized children who were:
• aged 6-12 yrs. admitted in the pediatric general medical unit.
• anxious due to hospitalization.
• willing to participate in the study.
• alert, oriented, comprehend and able to speak and understand Hindi language.

You may not qualify if:

• The study exclude hospitalized children who were:
• \. treated as outpatient

Sponsors & Collaborators

• Maharishi Markendeswar University (Deemed to be University): lead

Related Publications (2)

• Potasz C, De Varela MJ, De Carvalho LC, Do Prado LF, Do Prado GF. Effect of play activities on hospitalized children's stress: a randomized clinical trial. Scand J Occup Ther. 2013 Jan;20(1):71-9. doi: 10.3109/11038128.2012.729087. Epub 2012 Oct 18.

  PMID: 23078405 BACKGROUND

• Nabors L, Bartz J, Kichler J, Sievers R, Elkins R, Pangallo J. Play as a mechanism of working through medical trauma for children with medical illnesses and their siblings. Issues Compr Pediatr Nurs. 2013 Sep;36(3):212-24. doi: 10.3109/01460862.2013.812692. Epub 2013 Jul 11.

  PMID: 23845098 BACKGROUND

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Study Officials

• Ms. Eenu Rani, M.Sc.Nursing

  Maharishi Markandeshwar University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Student, M.Sc. Nursing

Study Record Dates

• First Submitted: July 17, 2017
• First Posted: July 19, 2017
• Study Start: November 1, 2016
• Primary Completion: January 1, 2017
• Study Completion: June 1, 2017
• Last Updated: July 19, 2017

Record last verified: 2017-07