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Trial registered on ANZCTR
Registration number
ACTRN12622000781741
Ethics application status
Approved
Date submitted
1/04/2022
Date registered
1/06/2022
Date last updated
27/04/2023
Date data sharing statement initially provided
1/06/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Digital buddy for preparation of IV insertion
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Scientific title
Innovation project exploring the utility of a digital tangata (person) in supporting preparation for insertion of intravenous (IV) cannula in tamariki (children) age 7 to 12 years
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Secondary ID [1]
306822
0
none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
anxiety
325905
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Condition category
Condition code
Emergency medicine
323217
323217
0
0
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Other emergency care
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This study is an innovation project to determine the usability of a digital buddy in supporting tamariki and matua prior to insertion of an intravenous cannula when a play specialist is not available.
All children attending out of hours when there is no play specialist available will be offered access to the digital buddy.
The digital buddy provides 1. education on what an intravenous cannula is, 2. breathing exercise for distraction/anxiety management, 3. drawing activity for whakawhanaungatanga, 4. practice in remaining still for intravenous cannula insertion and 5. simple games as a distraction following previous activities.
The digital buddy will be presented by a member of the healthcare team - medical or nursing and will be accessed via a hospital tablet.
The digital buddy will be accessed once, prior to insertion of the intravenous cannula, while waiting on local anaesthetic cream to take effect. The duration is anticipated to be for 30 minutes, but will depend on the time the child wishes to interact for.
Location - Children's Emergency Department of Starship Hospital
Participants and parents will complete a brief questionnaire following use of the digital buddy.
The digital buddy is still in development stage, has not been finalised and will not be implemented until final sign off by the development team AND all ethics, locality and research requirements have been approved.
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Intervention code [1]
323287
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Not applicable
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Comparator / control treatment
Insertion of an IV cannula when a play specialist is not available.
Data will be collected prior to commencing implementation of the digital buddy. However as we are still in the iterative process of developing the digital buddy software we have not undertaken the data collection for the historical group as yet. Expected dates for collection are 1 to 31 June 2022.
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Control group
Active
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Outcomes
Primary outcome [1]
330966
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Change in Tamaiti Self-Reported Rating Procedural Distress
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Assessment method [1]
330966
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Timepoint [1]
330966
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End of procedure
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Secondary outcome [1]
408305
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Matua perception of usefulness of digital buddy - Likert scale
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Assessment method [1]
408305
0
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Timepoint [1]
408305
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End of procedure
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Secondary outcome [2]
409802
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Time to set up digital tablet (minutes) as timed by a staff member using timer.
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Assessment method [2]
409802
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Timepoint [2]
409802
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End of procedure
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Secondary outcome [3]
409803
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Time tamaiti needed for interaction with Digital Buddy (minutes). This will be obtained from screen access time log from within the digital buddy.
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Assessment method [3]
409803
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Timepoint [3]
409803
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End of procedure
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Secondary outcome [4]
409804
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Tamaiti completed interaction with Digital Buddy prior to IV cannula.
Edit for clarity: this is a simple yes no answer and will be available from the digital buddy as there are a number of steps that the tamaiti can complete, if not completed the programme will have a record of this.
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Assessment method [4]
409804
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Timepoint [4]
409804
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End of procedure
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Secondary outcome [5]
409805
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Healthcare Provider perception of usefulness of Digital Buddy by questionnaire - designed specifically for this study.
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Assessment method [5]
409805
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Timepoint [5]
409805
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End of procedure
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Eligibility
Key inclusion criteria
Inclusion Criteria
1. Tamariki admitted to Starship Child Health requiring an IV cannula insertion when play specialist is not available
AND
2. Age 7 to 12 years (7 years 0 days to 12 years 364 days)
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3. Able to interact with digital tablet
AND
4. Has time to complete the korerorero
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Minimum age
7
Years
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Maximum age
12
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion Criteria
• Significant developmental delay
• Does not speak English
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Study design
Purpose
Psychosocial
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Data will be presented as summative data demonstrating the use of the digital buddy as perceived by tamariki, matua and healthcare providers.
The utility of digital buddy will be compared with baseline data obtained prior to the study from routine clinical care using the Child Self-Reported Rating Procedural Distress: Visual Analogue Scale/Numerical Rating Scale (0-10) during standard care out of hours, i.e. no digital buddy or play specialist.
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data collected is being analysed
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Reason for early stopping/withdrawal
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
6/06/2022
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Actual
15/09/2022
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Date of last participant enrolment
Anticipated
31/12/2022
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Actual
29/01/2023
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Date of last data collection
Anticipated
31/12/2022
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Actual
29/01/2023
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Sample size
Target
260
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Accrual to date
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Final
8
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Recruitment outside Australia
Country [1]
24702
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New Zealand
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State/province [1]
24702
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Auckland
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Funding & Sponsors
Funding source category [1]
311154
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Charities/Societies/Foundations
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Name [1]
311154
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Starship Foundation
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Address [1]
311154
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c/o Starship Child Health
Grafton Road
Auckland
1010
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Country [1]
311154
0
New Zealand
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Primary sponsor type
Individual
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Name
Dr Michael Shepherd
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Address
c/o Starship Child Health
Grafton Road
Auckland
1010
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Country
New Zealand
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Secondary sponsor category [1]
312507
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None
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Name [1]
312507
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none
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Address [1]
312507
0
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Country [1]
312507
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
310682
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Northern A Health and Disability Ethics Committee
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Ethics committee address [1]
310682
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NZHDEC MoH 133 Molesworth Street Wellington 6011
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Ethics committee country [1]
310682
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New Zealand
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Date submitted for ethics approval [1]
310682
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16/08/2021
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Approval date [1]
310682
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23/03/2022
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Ethics approval number [1]
310682
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21/NTA/163
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Summary
Brief summary
Tamariki admitted to hospital commonly need intravenous (IV) access for administration of fluids or medication (often antibiotics/analgesia). Insertion of IV cannulae is potentially distressing for tamariki and matua (parents). During daytime hours a play specialist is often available to provide preparation and support to tamariki and matua. However, there are no play specialists out of hours and preparation is provided by clinical staff with multiple other tasks requiring concurrent attention. This study is an innovation project to determine the usability of a digital buddy in supporting tamariki and matua prior to insertion of an IV cannula when a play specialist is not available.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
118502
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Dr Jo Hegarty
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Address
118502
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Douglas Starship Simulation Programme
Starship Child Health
Grafton Road
Auckland
1010
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Country
118502
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New Zealand
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Phone
118502
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+64930725697
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Fax
118502
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Email
118502
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[email protected]
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Contact person for public queries
Name
118503
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Jo Hegarty
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Address
118503
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Douglas Starship Simulation Programme
Starship Child Health
Grafton Road
Auckland
1010
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Country
118503
0
New Zealand
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Phone
118503
0
+6493074949
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Fax
118503
0
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Email
118503
0
[email protected]
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Contact person for scientific queries
Name
118504
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Jo Hegarty
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Address
118504
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Douglas Starship Simulation Programme
Starship Child Health
Grafton Road
Auckland
1010
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Country
118504
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New Zealand
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Phone
118504
0
+6493074949
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Fax
118504
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Email
118504
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Time to set up digital tablet (<5 – 10 minutes). Time needed for interaction with digital buddy (15 - 20 minutes). Ability to complete interaction with digital buddy prior to IV cannula (Yes/No. If no – why not). Tamaiti Self-Reported Rating Procedural Distress: Visual Analogue Scale/Numerical Rating Scale (0-10). Matua perception of usefulness of digital buddy: Likert scale (0-5). Healthcare Provider perception of usefulness of Digital Buddy Likert scale (0-5).
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When will data be available (start and end dates)?
From publication of results and available for 5 years after publication
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Available to whom?
case-by-case basis at the discretion of Primary Sponsor
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Available for what types of analyses?
only to achieve the aims in the approved proposal
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How or where can data be obtained?
Access subject to approvals by Principal Investigator:
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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