The Effect of Watching Cartoons and Playing Games as Distraction Method During Peripheral Intravenous Cannula Placement on Pain and Fear in Children Aged 6-9 Years

NCT06371599 | Completed

• 1 other identifier: MersinU*GUGUCU_003
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

Active and passive distraction methods are frequently used in the nursing management of procedural pain in children. There are no studies comparing the effects of watching cartoon (passive) and playing game (active) as distraction methods on pain and fear associated with peripheral intravenous cannula placement in children aged 6-9 years. This study aimed to compare the effects of playing game (active distraction) and watching cartoon (passive distraction) techniques on pain and fear during peripheral intravenous cannula placement in children aged 6-9 years.

Conditions

Procedural Pain; Fear of Pain

Keywords

pain; fear; children

Outcome Measures

Primary Outcomes (2)

• Pain assesed by Wong-Baker FACES

  The Wong-Baker FACES (WB-FACES) Pain Rating Scale used. This scale uses in children aged 3 and older to rate pain severity. This numeric rating scale ranges from 0 to 10. Faces show emotions from smiling (0 = very happy/ no pain) to crying (10 = hurts worst).

  during the the peripheral intravenous cannula placement

• Fear by Children's Fear Scale

  The Child Fear Scale was used.This one-item scale measures procedure-related fear in children, consists of five sex-neutral faces, ranges from 0 (no fear) to 4 (extreme fear). Higher scores mean a worse outcome.

  during the the peripheral intravenous cannula placement

Secondary Outcomes (2)

• Pain assesed by Wong-Baker FACES

  at 3rd minutes after the the peripheral intravenous cannula placement

• Fear by Children's Fear Scale

  at 3rd minutes after the the peripheral intravenous cannula placement

Study Arms (2)

Playing game

EXPERIMENTAL

The children will be asked which game they want to play before the procedure. They will start to play the game 3 minutes before the procedure.

Behavioral: Playing game

Watching cartoon

ACTIVE COMPARATOR

The children will be asked which cartoon they want to watch before the procedure. They will start to watch the cartoon 3 minutes before the procedure.

Behavioral: Watching cartoon

Interventions

Playing game BEHAVIORAL

Active Distraction Methods

Playing game

Watching cartoon BEHAVIORAL

Passive Distraction Methods

Watching cartoon

Eligibility Criteria

• Age: 6 Years - 9 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Child aged 6-9 years
• Child with need or plan for the peripheral intravenous cannula placement (antecubital fossa of arm, superficial dorsal venous of hand)

You may not qualify if:

• Child with a neurodegenerative disease, mental retardation, vision and hearing problems, chronic, life-threatening (sepsis, shock, respiratory / cardiac arrest) or genetic disease
• Child with use of opioids, narcotics, analgesics or sedatives in the last 24 hours before the procedure

Sponsors & Collaborators

• Mersin University: lead

Study Sites (1)

Mersin University

Mersin, Yenişehir, 33343, Turkey (Türkiye)

Location

Related Publications (1)

• Uysal DA, Polat OG, Ugucu G, Karakul A, Olcay AZ, Tuzun O, Yigit R. A comparison of watching cartoons versus playing games as a distraction method on pain and fear of pain during peripheral intravenous cannula placement in children aged 6-9 years: A randomized experimental study. J Pediatr Nurs. 2025 Jan-Feb;80:161-166. doi: 10.1016/j.pedn.2024.11.023. Epub 2024 Nov 30.

  PMID: 39616818 RESULT

MeSH Terms

Conditions

Pain, Procedural; Pain

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Guzide UGUCU, PhD, MScN

  Mersin University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: The children and their parents will be blinded to the groups. The principal researchers (R1, R2) will be blinded to the research hypotheses. The opaque envelopes are stored in a locked cabinet by the researcher who performed the randomization. Data entries will be performed using the codes A and B. Codes will be shared with the researchers after statistical analyses are conducted and the research report is written.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: April 14, 2024
• First Posted: April 17, 2024
• Study Start: May 1, 2024
• Primary Completion: July 7, 2024
• Study Completion: July 7, 2024
• Last Updated: February 10, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)