![]() ![]() Studies conducted in an adult population or where it was not possible to separate out the child data (aged 5–16 years)Ĭhildren and young people undergoing a planned diagnostic radiological procedureĬhildren and young people undergoing urgent or emergency radiological proceduresĪny intervention/method (of any type) designed to directly prepare/familiarise or educate children prior to their radiological procedure ![]() Previous reviews have focussed on children being informed and prepared for surgery or invasive procedures such as blood tests and systematic reviews to examine methods to distract or support children during procedures but no review has focussed specifically on mapping the different types of interventions and outcomes used in studies examining children’s preparation and education prior to radiological procedures. Therefore, this scoping review aimed to examine the evidence of non-invasive interventions and methods to prepare, educate and familiarise children and young people for radiological procedures within a healthcare setting.Ĭhildren and young people aged 5–16 years The concept of health literacy has been used to understand the education and decision-making of parents of children undergoing radiological procedures and of adult patients undergoing radiological scans but has not been used as a framework to examine interventions to prepare, educate and familiarise children prior to undergoing radiological procedures. Health literacy is gaining increasing traction as a lens through which to understand the individual as well as familial and contextual factors which can influence how a person accesses information, gains knowledge and applies that knowledge to influence their health and healthcare. Studies developing and evaluating interventions to prepare, educate and familiarise patients before procedures and health interactions are frequently discussed within the frame of health literacy. Despite significant interest and investment in the development of different mediums and forms of preparatory and educational information, the use and provision of preparatory interventions can be ad hoc and there is a lack of evidence of which methods of delivery work best for children and have the best outcomes. There is increasing evidence that children having radiological procedures have an improved experience during the procedure and better short- and long-term outcomes if they are prepared and informed about the procedure they are due to have and are supported and distracted throughout. Children can often feel anxious, worried and uncertain when they attend hospital for a radiological procedure, due to the unfamiliar environment, noises, sounds and having to keep very still for a good quality image. Many of these radiological procedures are conducted within adult departments as opposed to dedicated children’s hospitals. Children and young people undergo over 150,000 MRI scans and 50,000 CT scans each year. Simple radiological procedures such as plain radiographs are often the first encounter children have with health services with approximately 2 million plain radiographs being conducted on children under 14 years in 2019/2020. There is a need for consistency on the outcomes measured and for these measures to include child-centred outcomes alongside scan quality and length of radiological procedure.Ĭhildren frequently undergo a range of diagnostic radiological procedures including plain radiographs, ultrasound (US), magnetic resonance imaging (MRI) and computed tomography (CT). This review highlights that there is a need to further understand which specific elements of the non-invasive interventions ‘work best’ for children. ![]() The outcomes used to evaluate the value and impact of the interventions are wide, varied and inconsistently applied making it difficult to judge which interventions offer the optimal impact on scan quality, scan completion and children’s experiences. Studies investigated a range of radiological procedures (MRI, plain radiographs, CT, fluoroscopy and Micturating cystourethrogram) using a wide range of interventions (smartphone applications, storybooks, videos, mock scanners) which varied by method, mode of delivery and target audience. ![]() A narrative synthesis approach was adopted to make sense of the key findings. A comprehensive search strategy identified 36 articles. This scoping review aimed to locate and examine the evidence relating to non-invasive interventions and methods to prepare, educate and familiarise children for radiological procedures within a healthcare setting. The preparation and education of children before clinical procedures has been shown to have a positive influence on procedural outcomes. Children attending hospital for radiological procedures can experience uncertainty, anxiety and distress this can result in sub-optimal experiences for children, poor scan quality and the need for radiological procedures to be rescheduled or sedation to be used. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |