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Journal of Pediatric Psychology 9(4) pp. 439-456, 1984
© 1984 Society of Pediatric Psychology

research-article

Developing Cost-Effective Presurgical Preparation: A Comparative Analysis1

Lizette Peterson2, Robyn Ridley-Johnson, Katy Tracy and Larry L. Mullins

University of Missouri-Columbia

2All correspondence should be sent to Lizette Peterson, Psychology Department, 210 McAiester Hall, University of Missouri-Columbia, Columbia, Missouri 65211.

A hierarchical comparative analysis was performed which contrasted three additive components of presurgical preparation for children. The influence of the most commonly used preparation technique in the United States-a narrative hospital tour- was compared with the additional influence of a puppet modeling + tour procedure and a coping skills + modeling + tour procedure. Parents, nurses, and blind observers found children in the modeling + tour and the coping skills + modeling + tour procedure to have lower ratings of distress and fewer maladaptive behaviors before and after surgery in comparison to the tour-only prepared children. The results are discussed in terms of the importance of demonstrating cost-effective preparation for the continuation of presurgical preparation programs and the role comparative research may play in this demonstration.

Key words: primary prevention; preparation for surgery; prehospital preparation; modeling; hospital tours.


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