Parent Education and Medical Play: A Comparison of Psychological Preparation Strategies for Voiding Cystourethrogram



Status:Terminated
Conditions:Urology
Therapuetic Areas:Nephrology / Urology
Healthy:No
Age Range:2 - 10
Updated:12/13/2017
Start Date:December 2011
End Date:January 2013

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Hypothesis: The use of parent education and medical play will be able to reduce patient
discomfort with potential uncomfortable medical procedures.

Children that have urinary tract infections and those diagnosed with vesicoureteral reflux
undergo a procedure called a voiding cystourethrogram (VCUG) to identify and follow
vesicoureteral reflux. For many children and parents this can lead to considerable distress.
Pre-procedure preparation can potentially reduce anxiety and improve overall experience with
the procedure.

Children that are evaluated medically and found to need a VCUG would be eligible for
participation in this study. Children would be randomized to having play therapy or a
parental education brochure. The study would have no impact on the child recieving the state
of the art medical care.

Play therapy involves having the child play through the process of the study with a child
life therapist, in an effort to prepare the child for the procedure. Parents/patients will be
given a pre and post procedure evaluation form to objectively categorize the parental/patient
perception of the experience with the study.

Inclusion Criteria:

- Children that have been identified to need a voiding cystourethrogram

Exclusion Criteria:

- Significant medical conditions that preclude child from being able to understand play
therapy or have been identified in the past to have so much discomfort from prior
studies as to not be able to participate.
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