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Trial registered on ANZCTR
Registration number
ACTRN12621001569897
Ethics application status
Approved
Date submitted
13/10/2021
Date registered
18/11/2021
Date last updated
18/11/2021
Date data sharing statement initially provided
18/11/2021
Date results provided
18/11/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effects of recorded parental voice on emergence agitation and pain in children after general anesthesia: A cluster randomized controlled trial
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Scientific title
Effects of recorded parental voice on emergence agitation and pain in children after general anesthesia: A cluster randomized controlled trial
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Secondary ID [1]
305548
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
emergence agitation
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pain
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Condition category
Condition code
Mental Health
321454
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0
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Other mental health disorders
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Anaesthesiology
321644
321644
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0
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Before the operation, parents were instructed by the research and nurses to record the words in a quiet environment in their usual voice and intonation they used to talk with their children. They were informed that there was no restriction of the recording content and length. The details of the collected recording files (n = 98) in the intervention group.
The intervention group received the recorded voice files. Emergence agitation (EA) generally occurs about 15 minutes after intubation removal. Therefore, it is very important to take intervention measures after intubation removal to pacify children and reduce the occurrence of EA. Thus, the children were transferred to the PACU after the operation and were assigned the corresponding recording files to start the intervention immediately after removing their intubation (i.e., pre-treatment). The recorded voice was played on repeat from removing of the intubation until children were moved out of the PACU (i.e., post-treatment), this could range from 15-30 minutes. Both the EA and pain were collected at these two-time points.
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Intervention code [1]
321945
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Treatment: Other
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Comparator / control treatment
The control group, as well as the intervention group, continued to receive routine therapy and anesthetic nursing measures. However, the control group did not receive any intervention from the project in addition to this.
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Control group
Active
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Outcomes
Primary outcome [1]
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Emergence agitation assessed by the Sedation-Agitation Scale (SAS)
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Assessment method [1]
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Timepoint [1]
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pre-treatment: at the moment pediatric patients under general anesthesia removed their intubation
post-treatment: at the moment pediatric patients under general anesthesia moved out of PACU
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Secondary outcome [1]
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pain assessed by the Face, Legs, Activity, Cry and Consolability Scale (FLACC)
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Assessment method [1]
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Timepoint [1]
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pre-treatment: at the moment pediatric patients under general anesthesia removed their intubation
post-treatment: at the moment pediatric patients under general anesthesia moved out of PACU
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Eligibility
Key inclusion criteria
Participants were included in this study if they were children (aged 1-6 years) with an American Society of Anesthesiologic (ASA) physical status of I or II, who underwent general anesthesia with endotracheal intubation, transferred to the PACU after the operation, had normal hearing, and had no consciousness and mental disorders.
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Minimum age
1
Years
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Maximum age
6
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
The exclusion criteria included the following: (a) developmental delays or neurological or psychiatric diseases; (b) autism; (c) a recent history (within a month) of receiving general anesthesia or surgery; (d) congenital or other genetic conditions thought to influence brain development; and (e) intubation removal before transferring to the PACU.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation was not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
After being screened for eligibility and providing signed informed consent by participants’ parents. Children were randomized to the control and intervention groups using the random cluster method with the help of a nurse. Randomization was stratified according to children’s operation time (i.e., morning or afternoon of each day), and clusters were assigned in a 1:1 ratio to either the intervention group (i.e., recorded parental voice group) or the control group (i.e., routine nursing group) using a sortition randomization method.
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/12/2016
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Date of last participant enrolment
Anticipated
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Actual
1/02/2017
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Date of last data collection
Anticipated
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Actual
31/05/2017
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Sample size
Target
220
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Accrual to date
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Final
220
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Recruitment outside Australia
Country [1]
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China
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State/province [1]
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Shandong
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Meiling Qi
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Address [1]
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Shandong University, 44 Wenhua Road, Jinan, Shandong, China, 250012
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Country [1]
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China
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Primary sponsor type
Individual
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Name
QIaomei Sun
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Address
Shandong University, 44 Wenhua Road, Jinan, Shandong, China, 250012
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Country
China
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Secondary sponsor category [1]
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Individual
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Name [1]
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Meiling Qi
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Address [1]
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Shandong University, 44 Wenhua Road, Jinan, Shandong, China, 250012
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Country [1]
310945
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China
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Shandong University Human Research Ethics Committee
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Ethics committee address [1]
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44 Wenhua Road, Jinan, Shandong, China, 250012
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Ethics committee country [1]
309634
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China
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Date submitted for ethics approval [1]
309634
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Approval date [1]
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15/10/2016
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Ethics approval number [1]
309634
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Summary
Brief summary
The aim of this study was to examine the effectiveness of recorded voice provided by both parents and grandparents on emergence agitation and pain in pediatric patients under general anesthesia with endotracheal intubation. A cluster randomized controlled trial was applied in this study, with 220 pediatric patients aged 1-6 years recruited and randomly assigned to an intervention (n = 104) or control group (n = 116). Both groups receive routine nursing, while participants in the intervention group received recorded parental voice immediately after intubation removal (i.e., pre-treatment) and completed at the time of leaving PACU (i.e., post-treatment). Both emergence agitation and pain scores were collected at pre-treatment and post-treatment.
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Trial website
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Trial related presentations / publications
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Public notes
More than 70% of the recording providers were their mothers and almost 20% of the recorded voice provider were grandparents. The recording contents included nursery rhymes and encouraging words (90%). Both nursery rhymes and encouraging words were recorded by their parents themselves. Almost all the recording files lasts less than 90 seconds, with half of them were less than 30 seconds.
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Contacts
Principal investigator
Name
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Dr Meiling Qi
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Address
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School of Nursing and Rehabilitation, Shandong University, 44 Wenhua Road, Jinan, Shandong, China, 250012
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Country
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China
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Phone
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+86 19953101313
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Ping li
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Address
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School of Nursing and Rehabilitation, Shandong University, 44 Wenhua Road, Jinan, Shandong, China, 250012
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Country
114851
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China
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Phone
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+86 18853115050
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Fax
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Email
114851
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[email protected]
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Contact person for scientific queries
Name
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Ping li
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Address
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School of Nursing and Rehabilitation, Shandong University, 44 Wenhua Road, Jinan, Shandong, China, 250012
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Country
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China
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Phone
114852
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+86 18853115050
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Fax
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Email
114852
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
all of the individual participant data underlying published results only
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When will data be available (start and end dates)?
The data will be available immediately following publication, and available for 5 years after publication.
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Available to whom?
only researchers who provide a methodologically sound proposal
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Available for what types of analyses?
only to achieve the aims in the approved proposal
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How or where can data be obtained?
access subject to approvals by Principal Investigator (Prof Ping Li email at
[email protected]
)
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
13552
Statistical analysis plan
[email protected]
382948-(Uploaded-13-10-2021-20-12-51)-Study-related document.docx
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF