title: The Effects of Tonsillectomy Education Using Smartphone Text Message for Mothers and Children Undergoing Tonsillectomy: A Randomized Controlled Trial.
abstract: Tonsillectomy is the most common type of surgical procedure performed in preschool children. Due to short period of hospitalization, mothers are expected to manage their children's care at home. However, they are rarely provided with sufficient information about postoperative management. This study aims to determine the effectiveness of providing caregivers with information on tonsillectomy care by smartphone text messaging in increasing their mothers' knowledge, reducing the anxiety, and improving the sick-role behavior of pediatric tonsillectomy patients.
  
  
  
  A sample of 61 pediatric patients and their mothers was recruited. Participants were randomly assigned into either the experimental group (n = 27) or the control group (n = 34). The control group was given information about the tonsillectomy by conventional textual and verbal means, whereas the experimental group received the same information in the form of 10 text messages during the period from hospitalization to their first follow-up visits.
  
  
  
  Results of mixed design, two-way analysis of variance indicated significant interaction effects between time points and groups for mothers' knowledge (F = 4.26, p = 0.043) and children's anxiety (F = 3.32; p = 0.037). Thus, the results do support the effectiveness of tonsillectomy education using smartphone text messaging in increasing mothers' knowledge and reducing children's anxiety.
  
  
  
  These results can be applied to preoperative and postoperative interventions for children not only for tonsillectomy but also for many other operations. The development of various educational programs using smartphone text messaging for postoperative patient management would also be valuable.
authors.affiliation: 1 Graduate School of Public Administration, Kyung Hee University , Seoul, Korea.
authors.forename: Ji Yeon
authors.initials: JY
authors.lastname: Yang
authors.affiliation: 2 Department of Nursing, Graduate School, Kyung Hee University, Seoul, Korea.
authors.forename: Hanna
authors.initials: H
authors.lastname: Lee
authors.affiliation: 2 Department of Nursing, Graduate School, Kyung Hee University, Seoul, Korea.
authors.forename: Yongai
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: 2 Department of Nursing, Graduate School, Kyung Hee University, Seoul, Korea.
authors.forename: Ji Uhn
authors.initials: JU
authors.lastname: Lee
authors.affiliation: 2 Department of Nursing, Graduate School, Kyung Hee University, Seoul, Korea.
authors.forename: Jun Hee
authors.initials: JH
authors.lastname: Park
authors.affiliation: 3 College of Nursing Science, Kyung Hee University, Seoul, Korea.
authors.forename: Eun Kyoung
authors.initials: EK
authors.lastname: Yun
mesh_terms: D000328:Adult; D001007:Anxiety / Q000517:prevention & control / Q000523:psychology; D002648:Child; D002652:Child Behavior / Q000523:psychology*; D002675:Child, Preschool; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D009035:Mothers / Q000523:psychology*; D010353:Patient Education as Topic / Q000379:methods*; D000068997:Smartphone; D060145:Text Messaging; D014068:Tonsillectomy
keywords: education; m-health; otolaryngology/otology; telenursing