A Tailored Internet-based Preparation Program for Perioperative Anxiety and Pain

摘要 接受手术的儿童的疼痛和焦虑仍然是一个重大的公共卫生问题。事实上，每一个 300万接受手术的儿童将在手术后遭受巨大的疼痛和高度焦虑 去做手术。世界各地数以百万计的儿童将经历不同程度的手术疼痛和 焦虑。尽管手术前的准备已被证明在改善这些方面是有效的 结果最近几年，这些计划中的大多数都被医院取消了；可能是因为成本 遏制努力。各行各业对互联网的使用激增创造了一个 为正在接受手术的儿童以及他们的儿童提供经济高效、量身定制的准备计划的机会 父母。本应用程序的目的是开发、改进和提供初步证据来证明 数据驱动、基于网络的量身定做的手术准备干预(WebTips)。一项计划评估 将采用两个连续阶段的方法。第一阶段(计划开发和 改进)将包括调查人员与久负盛名的网页设计之间的合作 公司以循证为基础构建量身定制的干预措施。第二阶段(初步成果评价) 将测试对预定义的焦虑和疼痛的主要结果的干预，提供初步的 有效的证据。在此应用程序结束时，我们将有初步数据作为基础 对该计划的有效性和有效性以及其潜在主持人的跟踪全面评估 治疗效果。

Abstract Pain and anxiety in children undergoing surgery continues to be a significant public health issue. Indeed, every year three million children who undergo surgery will suffer significant pain after surgery and high anxiety prior to surgery. Many more millions of children around the world will experience some level of surgical pain and anxiety. Although preoperative preparation for surgery has been shown to be effective in improving these outcomes in recent years most of these programs have been eliminated by hospitals; likely as a result of cost containment efforts. The surge in use of the Internet by all segments of the population has created an opportunity for a cost effective, tailored preparation program for children undergoing surgery as well as their parents. The purpose of this application is to develop, refine, and provide initial evidence for the efficacy of a data-driven web-based tailored intervention in preparation for surgery (WebTIPS). A program evaluation methodology with two consecutive phases will be employed. The first phase (Program development and refinement) will include collaboration between investigators and a well-established and acclaimed web-design company to construct the evidence-based tailored intervention. The second phase (Initial outcomes evaluation) will test the intervention on the predefined primary outcomes of anxiety and pain, providing preliminary evidence of efficacy. At the conclusion of this application, we will have preliminary data on which to base a follow-up full-scale evaluation of the efficacy and effectiveness of this program and potential moderators of its treatment effects.