Current Environment:


The purpose of this study is to determine the feasibility and acceptability of enhanced preoperative education using a Pediatric Interactive Relational Agent (PIRA), designed for children ages 4 through10 years and their families, compared to the standard preoperative education currently provided. The study will also look at any differences in anxiety between the two educational groups.


Anesthesia, Anesthesia Emergence Delirium, Procedural Anxiety

Recruitment Status


Eligibility Criteria

Inclusion Criteria:

Parents (age 18+) and their children, ages 4 through 10 years old, who are undergoing general anesthesia and elective, outpatient ORL surgery at BCH Waltham
American Society of Anesthesiology (ASA) physical status I or II
Both parents and their children must be fluent in English

Exclusion Criteria:

Parents without reliable internet access through a tablet or computer
Parents of children with diagnosed developmental delays
Parents who have children who have had previous surgical history under general anesthesia
Parents of children involved in other anesthesia-related studies at BCH


Intervention Type

Intervention Name


Pediatric Interactive Relational Agent (PIRA)


Not Applicable



Min Age

4 Years

Max Age

10 Years

Download Date

November 29, 2023

Principal Investigator

Linda Bulich

Primary Contact Information

For more information on this trial, visit


For more information and to contact the study team:

PIRA vs Standard Preoperative Education NCT04586569