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  <titleInfo>
    <title>Audio-assisted guided imagery</title>
    <subTitle>the impact of audio storytelling on anxiety levels in pediatric patients undergoing circumcision</subTitle>
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  <name type="personal">
    <namePart>Benedicto, Dawson C.</namePart>
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    <namePart>Guaren, Iagn Neil L.</namePart>
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  <name type="personal">
    <namePart>Alagao, Elaiza Jenn T.</namePart>
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  <name type="personal">
    <namePart>Amodia, Pia Monica G.</namePart>
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  <name type="personal">
    <namePart>Paclauna, Lovely Joy</namePart>
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  <name type="personal">
    <namePart>Salimbagat, Sairyvone Pearl E.</namePart>
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  <name type="personal">
    <namePart>Viernes, Jowanna Rose T.</namePart>
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    <place>
      <placeTerm type="text">Dumaguete City</placeTerm>
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    <publisher>Foundation University</publisher>
    <dateIssued>2025</dateIssued>
    <dateIssued encoding="marc">2017</dateIssued>
    <issuance>monographic</issuance>
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  <abstract>Abstract
The study aimed to assess how audio-assisted guided imagery using storytelling
could influence the anxiety levels of male children, aged 7 to 12, who were set to
undergo circumcision. The study utilized a randomized controlled trial design, in
which participants were randomly assigned to either control or experimental group.
A total of 60 male pediatric participants were selected and randomly assigned to
control or experimental group. Parental consent and child assent were obtained to
ensure ethical and voluntary participation. The participants were divided into two
groups, with 30 children assigned to the experimental group and 30 to the control
group. The experimental group received usual pre-operative care along with the
audio-assisted storytelling intervention. The control group, on the other hand,
received only standard management. To evaluate anxiety levels before and after
circumcision, the6-Visual Facial Anxiety Scale (6-VFAS) was used as a self-report tool
to interpret anxiety through facial expression cues. Results showed that although
both groups experienced a reduction in anxiety after the procedure, the decrease was
greater and more consistent among those who received the audio-assisted
storytelling. Participants in the control group showed only a minimal decrease, with
some still exhibiting moderate distress, while those in the experimental group
demonstrated a noticeable and significant reduction. These findings suggest that
incorporating audio-assisted storytelling into routine care is more effective in
reducing post-operative anxiety among pediatric patients undergoing circumcision.
Keywords: Audio-assisted guided imagery, storytelling, pediatric circumcision
</abstract>
  <note type="statement of responsibility">by Dawson C. Benedicto, Iagn Neil L. Guaren, Elaiza Jenn T. Alagao and [others].</note>
  <note>Undergraduate thesis (Bachelor of Science in Nursing) - - Foundation University, 2025.</note>
  <note>Includes bibliographical references and appendices.</note>
  <subject>
    <topic>Circumcision</topic>
    <topic>Psychological aspects</topic>
  </subject>
  <subject>
    <topic>Anxiety in children</topic>
  </subject>
  <subject>
    <topic>Guided imagery (Psychology)</topic>
  </subject>
  <subject>
    <topic>Audio storytelling</topic>
  </subject>
  <subject>
    <topic>Pediatric nursing</topic>
  </subject>
  <classification authority="lcc">(CON-Th)  LG 221 D35 N87 A5 N87 2025 D39</classification>
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