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Journal of Pediatric Psychology 16(2) pp. 193-212, 1991
© 1991 Society of Pediatric Psychology

research-article

Development and Evaluation of a Presurgical Preparation Program1

Philip J. Robinson2 and Ken Kobayashi

Flinders Medical Centre Adelaide, Australia

2All correspondence should be sent to Philip J. Robinson, Division of Child and Adolescent Mental Health Services, Adelaide Children's Hospital, 72 King William Road, North Adelaide,5006, South Australia.

Three presurgical preparation programs were developed and evaluated in an Australian hospital utilizing an additive component design. The component basic to all three preparation programs was modeling. This technique was compared with the additional components of teaching child coping skills and parent coping skills via videotape. Subjects were 28 children between the ages of 4 and 13 years who were scheduled for elective surgery. Anxiety of both the children and parents was assessed by self-report and behavior observation. Results indicated that there was no further anxiety reduction by the addition of child and parent coping skills. Results are discussed in terms of the viability of teaching coping skills via videotape particularly to parents. Methodological difficulties associated with research in this area are examined.

Key words: preparation for pediatric surgery; prehospital preparation; modeling; coping skills; relaxation.


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