Abstract
The purpose of this work is to help the little patients of the Paediatric Onco-Haematology Department of the “Monica and Luca Folonari” bone-marrow Transplant Centre to tackle their anxiety and worries when subjected to Magnetic Resonance Imaging (MRI) clinical examinations, in order to reduce the period of time between the arrival of a patient in the Diagnostics Department and the actual exam execution. To do so, following the principles of the Medical Play Therapy, a user-centred role play called JUNIOR-MRI has been developed. The game is addressed at children between the ages of 5 and 10 and consists of a scaled model of a real MRI machine, with a gurney, a patient doll and a control station. A tablet application has also been developed to simulate the procedure of the clinic exam, reproduce the real sounds of a MRI through a loudspeaker placed on the scale MRI and show some fake images of the investigation carried out on the doll. The child plays the role of the doctor, getting acquainted with the exam procedure and instrumentation and learning not to fear the clinic exam. The experimental phase of the game has begun, and the JUNIOR-MRI is now used in the Pediatric Diagnostics Department of the Spedali Civili di Brescia, following an ad-hoc clinic protocol.
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References
Carter, A.J., Greer, M.C., Gray, S.E., Ware, R.S.: Mock MRI: reducing the need for anaesthesia in children. Pediatr. Radiol. 40, 1368–1374 (2010)
De Amorim e Silva, C.J., Mackenzie, A., Hallowell, L.M., Stewart, S.E., Ditchfield, M.R.: Practice MRI: reducing the need for sedation and general anaesthesia in children undergoing MRI. Australas. Radiol. 50(4), 319–323 (2006)
De Bie, H.M.A., Boersma, M., Wattjes, M.P., Adriaanse, S., Vermeulen, R.J., Oostrom, K.J., Huisman, J., Veltman, D.J., Delemarre-Van de Waal, H.A.: Preparing children with a mock scanner training protocol results in high quality structural and functional MRI scans. Eur. J. Pediatr. 169(9), 1079–1085 (2010)
Tornqvist, E., Mansson, A., Hallstrom, I.: Children having magnetic resonance imaging: a preparatory storybook and audio/visual media are preferable to anesthesia or deep sedation. J. Child Health Care 19(3), 359–369 (2015)
Edwards, D.A., Arthurs, O.J.: Paediatric MRI under sedation: is it necessary? What is the evidence for the alternatives? Pediatr. Radiol. 41, 1353–1364 (2011)
Axline, M.V.: Play Therapy trad. It. Play Therapy – ed. La Meridiana, Bari (2009)
Lawrence, C.: Rubin Handbook of Medical Play Therapy and Child Life: Interventions in Clinical and Medical Settings, 15 December 2017
Cromwell, J.A.: An Amended Form of The Observation Scale of Behavioural Distress. A Portfolio of Academic, Clinical and Research Work, Clinical Psychology, University of Surrey (1997)
Bana, L., Bruno, I., Geraraduzzi, T., Biasotto, E., Giuseppin, I., Berti, I., Zanazzo, G., Rabusin, M., Vecchi, R., Barbi, E., Sarti, A., Tamaro, P., Ventura, A.: Sedazioni profonde e ripetute in emato-oncologia: vissuto dei bambini affetti da leucemia e delle loro famiglie. Medico e Bambino pagine elettroniche 7(11) (2004). https://www.medicoebambino.com/?id=RI0411_10.html
Kerstulovich, L.: La venipuntura nel bambino: il processo informativo e la sua ricaduta su ansia e dolore. Tesi di laurea, Università degli Studi di Padova, dipartimento di medicina, Corso di laurea in Infermieristica, anno accademico (2014/2015)
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The research work reported here was made possible by Gilead Italia, through the Community Award Program.
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Paderno, D., Piana, E.A., Bodini, I., Villa, V. (2020). Medical Play Therapy: Development of the JUNIOR-MRI Role Play. In: Cavas-Martínez, F., Sanz-Adan, F., Morer Camo, P., Lostado Lorza, R., Santamaría Peña, J. (eds) Advances in Design Engineering. INGEGRAF 2019. Lecture Notes in Mechanical Engineering. Springer, Cham. https://doi.org/10.1007/978-3-030-41200-5_24
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