The effect of educational interventions with siblings of hospitalized children.
OBJECTIVE
Research has demonstrated that siblings of chronically ill children can experience significant emotional and behavior changes; however, few studies have looked at the specific impact of pediatric hospitalization on the nonhospitalized child. Studies also indicate that children who receive age-appropriate information are better equipped to handle the stress and anxiety often associated with hospitalization.This study explored whether siblings of hospitalized children who received educational interventions had lower anxiety levels compared to siblings who did not receive interventions.


METHODS
A pretest-posttest experimental design was used with 50 subjects, ages 6-17 years, recruited from a children's hospital within a university medical center. Subjects were matched according to age, sex, and race, with 25 siblings each in the experimental and control groups. Siblings assigned to the experimental group received interventions from a standardized educational intervention protocol developed by the researcher. Interventions focused on teaching the sibling about hospitalization, illness or injury, and treatment for the patient, based on cognitive stages of development. All interventions were conducted by child life specialists on staff at the hospital with extensive training and experience in preparation and procedural teaching.


RESULTS
Results shows that siblings who received educational interventions had significantly lower anxiety levels after interventions, compared to siblings who did not receive interventions.


CONCLUSIONS
These findings have significant impact on children's health care and supporting family needs when a child is hospitalized.
Child Life Program, The Bristol-Myers Squibb Children's Hospital at Robert Wood Johnson University Hospital, New Brunswick, New Jersey 08903-2601, USA. barbara.gursky@rwjuh.edu
Barbara
B
Gursky
D000046:Academic Medical Centers; D000223:Adaptation, Psychological; D000293:Adolescent; D001008:Anxiety Disorders / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology; D002648:Child; D002653:Child Behavior Disorders / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology; D002673:Child, Hospitalized / Q000523:psychology*; D005260:Female; D006266:Health Education; D006776:Hospitals, Pediatric; D006801:Humans; D008297:Male; D016555:Matched-Pair Analysis; D012307:Risk Factors; D035781:Siblings / Q000523:psychology*