Giving parents written information about children's anesthesia: Are setting and timing important?

Background: Research indicates that parents wish to receive more information and are anxious about anesthesia prior to their child's surgery. Methods: A pilot randomized controlled trial was conducted to ascertain if parents who received a general anesthesia information leaflet by post 1 week following their presurgical assessment clinic visit (n = 19) had greater knowledge, reduced anxiety, or greater satisfaction with anesthetic information on the day of surgery than parents who received the leaflet at the clinic visit (n = 21). Results: Parents had important knowledge deficits on the day of surgery, despite receiving the leaflet in addition to standard verbal communication. Parents who were given the leaflet at the presurgical assessment clinic had a modest 10% increase in knowledge compared with parents who received the leaflet by post. However, parents who received the leaflet within 2 weeks for their child's surgery also had 10% greater knowledge, regardless of the method of delivery. There were no differences in parental anxiety or satisfaction with the information related to method or timing of delivery. Parents appreciated receiving written information and a slight majority of parents (56%) preferred to receive the information at the presurgical assessment clinic visit. Conclusions: Parents have unmet information needs related to children's anesthetic care. Written information may improve parent knowledge and enhance satisfaction, but the setting and timing of information delivery are also important to consider.