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Pediatr Radiol (2016) 46:17441750 DOI 10.1007/s00247-016-3661-4
http://crossmark.crossref.org/dialog/?doi=10.1007/s00247-016-3661-4&domain=pdf
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Web End = ORIGINAL ARTICLE
Animated educational video to prepare children for MRI without sedation: evaluation of the appeal and value
http://orcid.org/0000-0003-4867-6977
Web End = Szofia Szeszak1 & Rachel Man2 & Andrew Love2 & Gill Langmack3 & Heather Wharrad3 &
Robert A. Dineen1,4
Received: 7 December 2015 /Revised: 6 April 2016 /Accepted: 21 June 2016 /Published online: 27 August 2016 # Springer-Verlag Berlin Heidelberg 2016
AbstractBackground MRI scans can be distressing for children and often require sedation. Educating children about what to expect reduces anxiety and increases likelihood of successful non-sedated MRI scans. Multimedia tools are a popular means of education. Animated video could provide a free, accessible method of preparing children for MRI scans.
Objective To evaluate a new animation video for preparing children for MRI, specifically for decreasing in-scanner motion and examination failure.
Materials and methods We recruited 24 healthy children ages 511 years. Participants underwent pre- and post-viewing questionnaires and structured interviews. We then compared median Likert scale score changes between pre- and post-animation questions and analyzed the interview framework. Participants were filmed viewing the animation to calculate
time spent looking at the screen to assess how well the video retained childrens attention.
Results There were significant improvements in median scores regarding what to expect, checking for metal and keeping still. There were no significant changes in other knowledge-based topics. There were significant improvements in median scores for anxiety-based topics. On average, children watched the screen for 98.9% of the 174-s animation. Conclusion The animation improved knowledge, reduced anxiety, retained attention and was enjoyed by participants. It can be accessed freely via the Internet to help prepare children ages 511 for having an MRI scan.
Keywords Child . Education . Magnetic resonance imaging . Multi-media . Preparation
Introduction
Studies have found that a number of factors contribute to anxiety felt by children undergoing MRI scans, including the confined space, the need to be still for a prolonged period of time and the loud noises produced by the MRI scanner [1, 2]. A lack of compliance with the procedural requirements often leads to poor-quality or non-diagnostic studies. As a result, younger children are often sedated. However, risks and complications have been associated...