NCT04560374

Brief Summary

The main objective of the study was to determine the effect of using crochet octopus in order to reduce the acute pain developed during the process of heel lance in neonates. The hypothesis of the study was "Crochet octopus is rather effective in reducing the acute pain in heel lance process for neonates".

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started May 2020

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

May 1, 2020

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 15, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 15, 2020

Completed
29 days until next milestone

First Submitted

Initial submission to the registry

September 13, 2020

Completed
10 days until next milestone

First Posted

Study publicly available on registry

September 23, 2020

Completed
8 months until next milestone

Results Posted

Study results publicly available

May 18, 2021

Completed
Last Updated

May 18, 2021

Status Verified

April 1, 2021

Enrollment Period

4 months

First QC Date

September 13, 2020

Results QC Date

March 8, 2021

Last Update Submit

April 27, 2021

Conditions

Keywords

neonatepainheel lancedevelopmental care

Outcome Measures

Primary Outcomes (1)

  • Neonate Infant Pain Scale Score

    Neonate Infant Pain Scale score calculated before, durring and after heel lance procedure whom neonates delivered crochet octopus and not delivered crochet octopus. It is a 6-itemed scale developed to assess the pain occuring due to interventions implemented to term and premature infants. The scoring of the scale was realized by assessing five behavioral classification (mimics, crying, movements of arms and legs, wakefulness state) and one physological parameter (type of respiration). It needs too much time and is difficult to assess intubated infants. It is suitable for painful conditions of non-intubated infants . Total score calculated. The lowest score of the scale is 0; the highest one is 7 and 3+ score shows the presence of pain.

    Before the procedure (0th minute), during the procedure, after the procedure (2nd and 10th minutes)

Secondary Outcomes (1)

  • Duration of Crying

    Before the procedure (0th minute), during the procedure, after the procedure (2nd and 10th minutes)

Study Arms (2)

Experimental Group

EXPERIMENTAL

Crochet octopus was delivered to the hands of the neonates in the experimental group 10 minutes before heel lance process and they were contacted with the crochet octopus up to 10 minutes after the procedure.

Device: crochet octopus

Control Group

NO INTERVENTION

Control group neonates were performed all the process without delivering them any crochet octopus.

Interventions

Delivering crochet octopus to the hands of the neonates

Experimental Group

Eligibility Criteria

Age5 Days - 15 Days
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • being a healthy term neonates,
  • being 5-15 days,
  • taking of blood sample for Guthrie test routinely.

You may not qualify if:

  • admitted to the neonatal intensive care units
  • his/her being taken any analgesics prior to the intervention,
  • having any congenital anomalies

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Giresun University Women and Children's Hospital

Giresun, Turkey (Türkiye)

Location

Related Publications (44)

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    PMID: 26242287BACKGROUND
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    PMID: 11177093BACKGROUND
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    PMID: 16357666BACKGROUND
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    PMID: 15136961BACKGROUND
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    PMID: 25459780BACKGROUND
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    PMID: 26505850BACKGROUND
  • Jain S, Kumar P, McMillan DD. Prior leg massage decreases pain responses to heel stick in preterm babies. J Paediatr Child Health. 2006 Sep;42(9):505-8. doi: 10.1111/j.1440-1754.2006.00912.x.

    PMID: 16925535BACKGROUND
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    PMID: 15794326BACKGROUND
  • Johnston CC, Filion F, Campbell-Yeo M, Goulet C, Bell L, McNaughton K, Byron J, Aita M, Finley GA, Walker CD. Kangaroo mother care diminishes pain from heel lance in very preterm neonates: a crossover trial. BMC Pediatr. 2008 Apr 24;8:13. doi: 10.1186/1471-2431-8-13.

    PMID: 18435837BACKGROUND
  • Johnston CC, Stevens B, Pinelli J, Gibbins S, Filion F, Jack A, Steele S, Boyer K, Veilleux A. Kangaroo care is effective in diminishing pain response in preterm neonates. Arch Pediatr Adolesc Med. 2003 Nov;157(11):1084-8. doi: 10.1001/archpedi.157.11.1084.

    PMID: 14609899BACKGROUND
  • Johnston C, Campbell-Yeo M, Fernandes A, Inglis D, Streiner D, Zee R. Skin-to-skin care for procedural pain in neonates. Cochrane Database Syst Rev. 2014 Jan 23;(1):CD008435. doi: 10.1002/14651858.CD008435.pub2.

    PMID: 24459000BACKGROUND
  • Kahraman A, Basbakkal Z, Yalaz M, Sozmen EY. The effect of nesting positions on pain, stress and comfort during heel lance in premature infants. Pediatr Neonatol. 2018 Aug;59(4):352-359. doi: 10.1016/j.pedneo.2017.11.010. Epub 2017 Nov 13.

    PMID: 29248383BACKGROUND
  • Kostandy RR, Ludington-Hoe SM, Cong X, Abouelfettoh A, Bronson C, Stankus A, Jarrell JR. Kangaroo Care (skin contact) reduces crying response to pain in preterm neonates: pilot results. Pain Manag Nurs. 2008 Jun;9(2):55-65. doi: 10.1016/j.pmn.2007.11.004.

    PMID: 18513662BACKGROUND
  • Kucukoglu S, Kurt S, Aytekin A. The effect of the facilitated tucking position in reducing vaccination-induced pain in newborns. Ital J Pediatr. 2015 Aug 21;41:61. doi: 10.1186/s13052-015-0168-9.

    PMID: 26293573BACKGROUND
  • Liu M, Zhao L, Li XF. Effect of skin contact between mother and child in pain relief of full-term newborns during heel blood collection. Clin Exp Obstet Gynecol. 2015;42(3):304-8.

    PMID: 26151998BACKGROUND
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    PMID: 18955228BACKGROUND
  • Losacco V, Cuttini M, Greisen G, Haumont D, Pallas-Alonso CR, Pierrat V, Warren I, Smit BJ, Westrup B, Sizun J; ESF Network. Heel blood sampling in European neonatal intensive care units: compliance with pain management guidelines. Arch Dis Child Fetal Neonatal Ed. 2011 Jan;96(1):F65-8. doi: 10.1136/adc.2010.186429.

    PMID: 21177753BACKGROUND
  • Meek J, Huertas A. Cochrane review: Non-nutritive sucking, kangaroo care and swaddling/facilitated tucking are observed to reduce procedural pain in infants and young children. Evid Based Nurs. 2012 Jul;15(3):84-5. doi: 10.1136/ebnurs-2011-100453. Epub 2012 Mar 12. No abstract available.

    PMID: 22411160BACKGROUND
  • Morrow C, Hidinger A, Wilkinson-Faulk D. Reducing neonatal pain during routine heel lance procedures. MCN Am J Matern Child Nurs. 2010 Nov-Dec;35(6):346-54; quiz 354-6. doi: 10.1097/NMC.0b013e3181f4fc53.

    PMID: 20926970BACKGROUND
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  • Erkut Z, Yildiz S. The Effect of Swaddling on Pain, Vital Signs, and Crying Duration during Heel Lance in Newborns. Pain Manag Nurs. 2017 Oct;18(5):328-336. doi: 10.1016/j.pmn.2017.05.007. Epub 2017 Aug 2.

MeSH Terms

Conditions

Pain, ProceduralPain

Condition Hierarchy (Ancestors)

Neurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Dr. Çağrı Çövener Özçelik
Organization
Marmara University Faculty of Health Sciences Department of Pediatric Nursing

Study Officials

  • Cagri Covener Ozcelik, PhD

    Marmara University

    STUDY CHAIR
  • Özge Eren, MSN

    Marmara University

    PRINCIPAL INVESTIGATOR
  • Nagihan Sabaz, MSN

    Marmara University

    PRINCIPAL INVESTIGATOR
  • Muhammet Bulut, MD

    Giresun University

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: Randomized controlled study
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

September 13, 2020

First Posted

September 23, 2020

Study Start

May 1, 2020

Primary Completion

August 15, 2020

Study Completion

August 15, 2020

Last Updated

May 18, 2021

Results First Posted

May 18, 2021

Record last verified: 2021-04

Data Sharing

IPD Sharing
Will not share

Locations