Performance of EEG in Children With Medical Clowns
MECLEES
Can Medical Clowns Prevent the Usage of Sedation During the Performance of EEG in Young Children
1 other identifier
interventional
100
1 country
1
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started May 2019
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2019
CompletedFirst Submitted
Initial submission to the registry
January 30, 2022
CompletedFirst Posted
Study publicly available on registry
February 25, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
April 30, 2022
CompletedFebruary 25, 2022
February 1, 2022
3 years
January 30, 2022
February 16, 2022
Conditions
Keywords
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
EXPERIMENTAL50 Children performing the EEG at the days that the medical clown is available will be included in the study group.
Regular EEG
NO INTERVENTION50 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
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.
Eligibility Criteria
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
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.
PMID: 18300620RESULTBritton 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.
PMID: 20031374RESULTOlson 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.
PMID: 11433070RESULTSanborn 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.
PMID: 16183936RESULTMalviya 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.
PMID: 10699144RESULTCote 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.
PMID: 10742324RESULTVagnoli 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.
PMID: 16199685RESULTGolan 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.
PMID: 19143948RESULTDvory 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.
PMID: 27028874RESULTWassmer 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.
PMID: 11730146RESULTLoewy 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.
PMID: 17285817RESULTSlifer 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.
PMID: 18348911RESULTFong 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.
PMID: 34397100RESULTGoldberg 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.
PMID: 24943088RESULTMeiri 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.
PMID: 26475347RESULTNewman 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.
PMID: 31579203RESULTBen-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.
PMID: 28414728RESULTGjaerde 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.
PMID: 34312210RESULTFernandes 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.
PMID: 20348361RESULTLopes-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.
PMID: 30801267RESULTHe 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.
PMID: 26025800RESULTGodino-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.
PMID: 32751225RESULTKoukourikos 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.
PMID: 26889107RESULTJacob 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.
PMID: 35838778DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Jacob genizi, md
Bnai Zion Medical Center
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
- 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