title: Improving Pediatric Radiography Patient Stress, Mood, and Parental Satisfaction Through Positive Environmental Distractions: A Randomized Control Trial.
abstract: To evaluate how a positive environmental distraction intervention impacted pediatric radiography patient behavioral stress-responses, mood states, and parental satisfaction.
  
  
  METHODS
  Behavioral observation, rating scales, surveys on 182 pediatric patients and their parents randomly assigned to three positive distraction levels (minimum, light, light and animation).
  
  
  RESULTS
  Under interventional conditions, patients exhibited less low-stress coping behaviors (ps<0.001-0.007) and more verbal behaviors indicating positive affect (p=0.003); parents more favorably rated environmental pleasantness (ps<0.001), sense of environmental control (ps=0.002), and willingness to return and recommend the facility (ps=0.001-0.005).
  
  
  CONCLUSIONS
  The intervention improved pediatric radiography experience but needs further investigation in more stressful settings.
authors.affiliation: The Center for Health Design, Concord, CA. Electronic address: xquan@healthdesign.org.
authors.forename: Xiaobo
authors.initials: X
authors.lastname: Quan
authors.affiliation: Clemson University, Clemson, SC.
authors.forename: Anjali
authors.initials: A
authors.lastname: Joseph
authors.affiliation: HKS, Dallas, TX.
authors.forename: Upali
authors.initials: U
authors.lastname: Nanda
authors.affiliation: Nemours Children's Clinic, Jacksonville, FL.
authors.forename: Olgamari
authors.initials: O
authors.lastname: Moyano-Smith
authors.affiliation: Ball State University Muncie, IN.
authors.forename: Shireen
authors.initials: S
authors.lastname: Kanakri
authors.affiliation: The Center for Health Design, Concord, CA.
authors.forename: Catherine
authors.initials: C
authors.lastname: Ancheta
authors.affiliation: Nemours Children's Clinic, Jacksonville, FL.
authors.forename: Eric A
authors.initials: EA
authors.lastname: Loveless
mesh_terms: D000339:Affect; D001007:Anxiety / Q000517:prevention & control*; D002648:Child; D002652:Child Behavior / Q000523:psychology; D002675:Child, Preschool; D004777:Environment; D005260:Female; D006272:Health Facility Environment; D006801:Humans; D008297:Male; D010290:Parents; D017060:Patient Satisfaction; D010372:Pediatrics; D011859:Radiography / Q000523:psychology*; D013315:Stress, Psychological / Q000517:prevention & control*
keywords: Pediatric radiography environment; Perception of physical environment; Positive distractions; Stress; Willingness to return and recommend