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

Johns Hopkins University

Status: Terminated

Conditions: Vesicoureteral Reflux

Treatments: Behavioral: Play therapy; Behavioral: Parental information

Study type: Interventional

Funder types: Other

Identifiers

NCT01578291

NA_00034999

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 21 patients

Sex: All

Ages: 2 to 10 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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21 participants in 3 patient groups

No intervention

No Intervention group

Description:

Parents given routine information by the medical staff.

Parental information

Active Comparator group

Description:

Parents are provided with an educational brochure of the study and the expectations of the discomfort.

Treatment:

Behavioral: Parental information

Behavioral: Play therapy

Play Therapy

Active Comparator group

Description:

Child and the parents will spend time in the office with the child life therapist undergoing play therapy.

Treatment:

Behavioral: Parental information

Behavioral: Play therapy