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Background <p>Magnetic resonance imaging (MRI) is the diagnostic imaging modality of choice for pediatric patients. However, it can be challenging to scan young children awake while maintaining a high image quality with an efficient, patient-friendly workflow.</p> Objective <p>We investigated if an audio-visual intervention with specially designed pediatric content could reduce MRI-related patient anxiety and workflow-issues in children during an awake MRI.</p> Materials and methods <p>In six European hospitals, children (<i>n</i> = 175; aged 6–12&#xa0;years) were scanned with child-friendly content (intervention) or without (control). Staff recorded children’s stress levels before, during, and after the MRI on a 6-point Likert scale. Scan issues (i.e., repeat scans and interruptions) were recorded by staff and extracted from the MRI logfiles.</p> Results <p>The stress level of young children (aged 6–10&#xa0;years) in the intervention group decreased more strongly from before to after the MRI compared to the control group, <i>F</i><sub>(2,96)</sub> = 7.84, <i>P</i> &lt; 0.001. They also had significantly fewer scan issues as reported by staff, <i>F</i><sub>(1,169)</sub> = 8.36, <i>P</i> = 0.004, Cohen’s <i>d</i> = 0.58, and as logged by the MRI system, <i>F</i><sub>(1,156)</sub> = 8.10, <i>P</i> = 0.005, Cohen’s <i>d</i> = 0.45. The used pediatric content showed no significant effects on older children (aged 10 + years).</p> Conclusion <p>A child-friendly audio-visual intervention can help reduce stress levels of young children (aged 6–10&#xa0;years) and support a smooth workflow.</p> Trial registration number <p>NCT05089955, date: 2021–10-22.</p> Graphical Abstract <p></p>

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Magnetic resonance imaging related anxiety and workflow: impact of a child-friendly audio-visual intervention

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月4日

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  • Sanae van der Vleuten-Chraibi,
  • Sanne Nauts,
  • Dobromiła Barańska,
  • Emilio J. Inarejos Clemente,
  • Jonas Sterup Bovin,
  • Nadia Najafi,
  • Julian A. Luetkens,
  • Marianne Alison,
  • Hilla M. Biermann,
  • Fabian Peckman,
  • Privender Saini

摘要

Background

Magnetic resonance imaging (MRI) is the diagnostic imaging modality of choice for pediatric patients. However, it can be challenging to scan young children awake while maintaining a high image quality with an efficient, patient-friendly workflow.

Objective

We investigated if an audio-visual intervention with specially designed pediatric content could reduce MRI-related patient anxiety and workflow-issues in children during an awake MRI.

Materials and methods

In six European hospitals, children (n = 175; aged 6–12 years) were scanned with child-friendly content (intervention) or without (control). Staff recorded children’s stress levels before, during, and after the MRI on a 6-point Likert scale. Scan issues (i.e., repeat scans and interruptions) were recorded by staff and extracted from the MRI logfiles.

Results

The stress level of young children (aged 6–10 years) in the intervention group decreased more strongly from before to after the MRI compared to the control group, F(2,96) = 7.84, P < 0.001. They also had significantly fewer scan issues as reported by staff, F(1,169) = 8.36, P = 0.004, Cohen’s d = 0.58, and as logged by the MRI system, F(1,156) = 8.10, P = 0.005, Cohen’s d = 0.45. The used pediatric content showed no significant effects on older children (aged 10 + years).

Conclusion

A child-friendly audio-visual intervention can help reduce stress levels of young children (aged 6–10 years) and support a smooth workflow.

Trial registration number

NCT05089955, date: 2021–10-22.

Graphical Abstract