NCT05257096

Brief Summary

EEG is an important test in the diagnosis epilepsy. The test does not hart, however many electrodes are attached to the child's scalp and situation is stressful. In order to achieve cooperation some use sedative drugs such as Chloralhydrate in young children. The investigetors believe that the integration of medical clowns in the EEG test can distract the children from the stressful environment and encourage them to cooperate. This can prevent the need of using sedation, can improve the quality of the test and improve the child's and parent's experience. One hundred children ages 1-10 years of age performing EEG test at the Bnai Zion medical center will be randomly divided into two groups. One group will the perform the test in the regular practice, and in the other half, medical clowns will be part of the test. The process will be rated by the child, his parents, the EEG technician and the physician reading the EEG. The two groups will be compared in all assessed measures through a statistical analysis.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started May 2019

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2019

Completed
2.8 years until next milestone

First Submitted

Initial submission to the registry

January 30, 2022

Completed
26 days until next milestone

First Posted

Study publicly available on registry

February 25, 2022

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2022

Completed
Last Updated

February 25, 2022

Status Verified

February 1, 2022

Enrollment Period

3 years

First QC Date

January 30, 2022

Last Update Submit

February 16, 2022

Conditions

Keywords

EEG with Periodic AbnormalitiesPlay RoleChild, Only

Outcome Measures

Primary Outcomes (2)

  • Anxiety

    Child anxiety using the modified Yale Preoperative Anxiety Scale ( mYPAS 5-22 points, higher scores reflects anxity) for assessing child anxiety questionnaire.

    2 years

  • EEG quality

    Electroencephalogram (EEG) quality will be evaluated by both technicians and the physicians independently in 1-5 likert sclae (1-best 5- worst). The physician will be blinded to the presence of a medical clown during the test.

    2 years

Secondary Outcomes (2)

  • Parent's satisfaction during EEG procedure

    2 Years

  • Technician's satisfaction during EEG procedure

    2 Years

Study Arms (2)

Medical clown EEG

EXPERIMENTAL

50 Children performing the EEG at the days that the medical clown is available will be included in the study group.

Behavioral: Medical clown

Regular EEG

NO INTERVENTION

50 Children performing the EEG at the days that the medical clown is unavailable will be included in the control group. The EEG will be performed in the traditional way without medical clowns.

Interventions

Medical clownBEHAVIORAL

The medical clown will meet the children in the waiting room for 15-30 minutes and will accompany them through the whole investigation, up to one hour.

Also known as: non
Medical clown EEG

Eligibility Criteria

Age1 Month - 10 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Children age 1-10 years
  • Undergoing EEG test at the Bnai Zion Medical Center.

You may not qualify if:

  • Children younger than 1 year or older than 10 years
  • Children using sedation for the test.
  • A child or a family that refuses to participate initially or during the test.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Bnai Zion Medical Center

Haifa, 3104802, Israel

RECRUITING

Related Publications (24)

  • Bornstein Y. [Medical clowns at hospitals and their effect on hospitalized children]. Harefuah. 2008 Jan;147(1):30-2, 95, 94. Hebrew.

  • Britton JW, Kosa SC. The clinical value of chloral hydrate in the routine electroencephalogram. Epilepsy Res. 2010 Feb;88(2-3):215-20. doi: 10.1016/j.eplepsyres.2009.11.012. Epub 2009 Dec 23.

  • Olson DM, Sheehan MG, Thompson W, Hall PT, Hahn J. Sedation of children for electroencephalograms. Pediatrics. 2001 Jul;108(1):163-5. doi: 10.1542/peds.108.1.163.

  • Sanborn PA, Michna E, Zurakowski D, Burrows PE, Fontaine PJ, Connor L, Mason KP. Adverse cardiovascular and respiratory events during sedation of pediatric patients for imaging examinations. Radiology. 2005 Oct;237(1):288-94. doi: 10.1148/radiol.2371041415.

  • Malviya S, Voepel-Lewis T, Prochaska G, Tait AR. Prolonged recovery and delayed side effects of sedation for diagnostic imaging studies in children. Pediatrics. 2000 Mar;105(3):E42. doi: 10.1542/peds.105.3.e42.

  • Cote CJ, Notterman DA, Karl HW, Weinberg JA, McCloskey C. Adverse sedation events in pediatrics: a critical incident analysis of contributing factors. Pediatrics. 2000 Apr;105(4 Pt 1):805-14. doi: 10.1542/peds.105.4.805.

  • Vagnoli L, Caprilli S, Robiglio A, Messeri A. Clown doctors as a treatment for preoperative anxiety in children: a randomized, prospective study. Pediatrics. 2005 Oct;116(4):e563-7. doi: 10.1542/peds.2005-0466.

  • Golan G, Tighe P, Dobija N, Perel A, Keidan I. Clowns for the prevention of preoperative anxiety in children: a randomized controlled trial. Paediatr Anaesth. 2009 Mar;19(3):262-6. doi: 10.1111/j.1460-9592.2008.02903.x. Epub 2008 Dec 23.

  • Dvory A, Goshen Y, Ruimi S, Bikov S, Halevy R, Koren A. Dream Doctor Intervention Instead of Sedation: Performing Radionuclide Scanning Without Sedation in Young Children: A Study in 142 Patients. J Altern Complement Med. 2016 May;22(5):408-12. doi: 10.1089/acm.2015.0090. Epub 2016 Mar 30.

  • Wassmer E, Carter PF, Quinn E, McLean N, Welsh G, Seri S, Whitehouse WP. Melatonin is useful for recording sleep EEGs: a prospective audit of outcome. Dev Med Child Neurol. 2001 Nov;43(11):735-8. doi: 10.1017/s0012162201001347.

  • Loewy J, Hallan C, Friedman E, Martinez C. Sleep/sedation in children undergoing EEG testing: a comparison of chloral hydrate and music therapy. Am J Electroneurodiagnostic Technol. 2006 Dec;46(4):343-55.

  • Slifer KJ, Avis KT, Frutchey RA. Behavioral intervention to increase compliance with electroencephalographic procedures in children with developmental disabilities. Epilepsy Behav. 2008 Jul;13(1):189-95. doi: 10.1016/j.yebeh.2008.01.013. Epub 2008 Mar 17.

  • Fong CY, Lim WK, Li L, Lai NM. Chloral hydrate as a sedating agent for neurodiagnostic procedures in children. Cochrane Database Syst Rev. 2021 Aug 16;8(8):CD011786. doi: 10.1002/14651858.CD011786.pub3.

  • Goldberg A, Stauber T, Peleg O, Hanuka P, Eshayek L, Confino-Cohen R. Medical clowns ease anxiety and pain perceived by children undergoing allergy prick skin tests. Allergy. 2014 Oct;69(10):1372-9. doi: 10.1111/all.12463. Epub 2014 Aug 4.

  • Meiri N, Ankri A, Hamad-Saied M, Konopnicki M, Pillar G. The effect of medical clowning on reducing pain, crying, and anxiety in children aged 2-10 years old undergoing venous blood drawing--a randomized controlled study. Eur J Pediatr. 2016 Mar;175(3):373-9. doi: 10.1007/s00431-015-2652-z. Epub 2015 Oct 16.

  • Newman N, Kogan S, Stavsky M, Pintov S, Lior Y. The impact of medical clowns exposure over postoperative pain and anxiety in children and caregivers: An Israeli experience. Pediatr Rep. 2019 Sep 24;11(3):8165. doi: 10.4081/pr.2019.8165. eCollection 2019 Sep 24.

  • Ben-Pazi H, Cohen A, Kroyzer N, Lotem-Ophir R, Shvili Y, Winter G, Deutsch L, Pollak Y. Clown-care reduces pain in children with cerebral palsy undergoing recurrent botulinum toxin injections- A quasi-randomized controlled crossover study. PLoS One. 2017 Apr 17;12(4):e0175028. doi: 10.1371/journal.pone.0175028. eCollection 2017.

  • Gjaerde LK, Hybschmann J, Dybdal D, Topperzer MK, Schroder MA, Gibson JL, Ramchandani P, Ginsberg EI, Ottesen B, Frandsen TL, Sorensen JL. Play interventions for paediatric patients in hospital: a scoping review. BMJ Open. 2021 Jul 26;11(7):e051957. doi: 10.1136/bmjopen-2021-051957.

  • Fernandes SC, Arriaga P. The effects of clown intervention on worries and emotional responses in children undergoing surgery. J Health Psychol. 2010 Apr;15(3):405-15. doi: 10.1177/1359105309350231.

  • Lopes-Junior LC, Silveira DSC, Olson K, Bomfim EO, Veronez LC, Santos JC, Alonso JB, Nascimento LC, Pereira-da-Silva G, Lima RAG. Clown Intervention on Psychological Stress and Fatigue in Pediatric Patients With Cancer Undergoing Chemotherapy. Cancer Nurs. 2020 Jul/Aug;43(4):290-299. doi: 10.1097/NCC.0000000000000690.

  • He HG, Zhu L, Chan SW, Klainin-Yobas P, Wang W. The effectiveness of therapeutic play intervention in reducing perioperative anxiety, negative behaviors, and postoperative pain in children undergoing elective surgery: a systematic review. Pain Manag Nurs. 2015 Jun;16(3):425-39. doi: 10.1016/j.pmn.2014.08.011.

  • Godino-Ianez MJ, Martos-Cabrera MB, Suleiman-Martos N, Gomez-Urquiza JL, Vargas-Roman K, Membrive-Jimenez MJ, Albendin-Garcia L. Play Therapy as an Intervention in Hospitalized Children: A Systematic Review. Healthcare (Basel). 2020 Jul 29;8(3):239. doi: 10.3390/healthcare8030239.

  • Koukourikos K, Tzeha L, Pantelidou P, Tsaloglidou A. THE IMPORTANCE OF PLAY DURING HOSPITALIZATION OF CHILDREN. Mater Sociomed. 2015 Dec;27(6):438-41. doi: 10.5455/msm.2015.27.438-441.

  • Jacob G, Einav B, Ashy M, Nofar MA, Aviad S, Ayed M. The beneficial effect of medical clowns on performance of EEG in young children: a randomized controlled study. Eur J Pediatr. 2022 Sep;181(9):3449-3457. doi: 10.1007/s00431-022-04555-z. Epub 2022 Jul 15.

Study Officials

  • Jacob genizi, md

    Bnai Zion Medical Center

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
INVESTIGATOR
Masking Details
The EEG reading will be blinded to the intervention arm
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: The children will be divided to either group randomly according to the day of the test. 1. 50 Children performing the EEG at the days that the medical clown is available will be included in the study group. 2. 50 Children performing the EEG at the days that the medical clown is unavailable will be included in the control group.
Sponsor Type
OTHER GOV
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Director Pediatric Departement

Study Record Dates

First Submitted

January 30, 2022

First Posted

February 25, 2022

Study Start

May 1, 2019

Primary Completion

April 30, 2022

Study Completion

April 30, 2022

Last Updated

February 25, 2022

Record last verified: 2022-02

Data Sharing

IPD Sharing
Will not share

Locations