Use of Hand Puppets and Image Watching and Coloring Books for Children in During Blood Collection Procedures

NCT07044713 | Recruiting

• 1 other identifier: Hand Puppets, Image Watching
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study was to compare a hand puppet with image viewing and a coloring book for children in reducing children's pain and fear during blood collection.

Conditions

Blood Collection

Keywords

blood collection; fear; child; pain; hand puppet; Tracing and Painting the Image

Outcome Measures

Primary Outcomes (3)

• Patient Identification Form

  It is a form consisting of 7 questions in total, including the child's age, gender, previous hospital experience, if any, how many times the child has been hospitalized, whether the parents have prepared for the blood collection process beforehand, experience of having blood drawn in the last six months, and reactions to the blood collection process. It was prepared by researchers in accordance with the literature.

  Baseline

• Wong Baker Face Pain Scale

  Children between the ages of three and eight can express many pain areas and their severity. In this study, the Wong-Baker Pain Inventory will be used in combination with the Visual Analog Scale, since face scales are more appropriate. The Wong Baker Face Pain Scale was developed by Donna Wong and Connie Moran Baker in 1981. The scale is suitable for children between the ages of three and eighteen. The scale includes facial expressions that the child can enjoy and enjoy. For this reason, it has been stated that it gives more accurate results. The scale has scores of "0", "2", "4", "6", "8", and "10". A score of "0" indicates no pain and a score of "10" indicates the highest pain. This scale does not have a Cronbach's alpha score. It has been reported that reliability studies have not been conducted on such scales. In our study, the child will be shown the facial expressions on the pain scale and asked which one it is, and the score co

  Baseline and up to 4 weeks

• Child Fear Scale

  The Turkish validity of this scale, developed by McMurtry and colleagues, was done by Gerçeker and colleagues. The changes in the facial muscles of the frightened expression were drawn by a graphic artist from a photograph of a frightened face. It can be used by the parent, child or researcher to scale the child's fear. The scale, which has facial expressions scored from 0 to 4, is shown to the child. A score of 4 indicates that the child is very frightened, and a score of 0 indicates that the child is not frightened. It is accepted that a score of "0" indicates a neutral expression (no fear), a score of "1" indicates a very low level of fear, a score of "2" indicates a little fear, a score of "3" indicates a greater level of fear, and a score of 4 indicates that the level of fear is at the highest level. This scale can be used to measure fear before and during the procedure. In our study, the child will be shown the facial expressions on the

  Baseline and up to 4 weeks

Study Arms (2)

Control Group

NO INTERVENTION

Routine clinical care will be applied to the control group. No action will be taken.

Experimental Group

EXPERIMENTAL

Before blood collection, the child will be shown games with hand puppets and will be asked to watch the image and color with the Coloring Book.

Other: Hand Puppet; Other: The Visual Viewing and Coloring Book

Interventions

Hand Puppet OTHER

Children who come to the hospital's blood collection unit and meet the research criteria will be randomly assigned to the hand puppet group. The scales will be filled out by the nurse and the child five minutes before the blood collection. The researcher will benefit from the experiences of the child development specialist and preschool teacher before the research on puppet scenarios. In the interview room outside the blood collection unit, the child's parent will be asked to tell the researcher about the things the child enjoys and likes. The researcher will show the child puppet characters on various themes and the child will be asked to choose the puppet character he/she wants before the blood collection. The puppet scenarios will be improvised in light of the information received from the child's mother and father during the demonstration and will be shaped according to the child's wishes. In this way, the child will turn the scary hospital environment into an entertaining environm

Experimental Group

The Visual Viewing and Coloring Book OTHER

Children who come to the hospital's blood collection unit and meet the research criteria will be randomly assigned to the coloring group. The scales will be filled out by the nurse and the child five minutes before the blood is drawn. The Visual Viewing and Coloring Book consists of pictures that require coloring. The children will be given a book before the blood is drawn and will be asked to draw or color a picture as they prefer during the procedure. The fear scale will be assessed by the nurse and the child five minutes before, during, and five minutes after the procedure. The pain scale will be assessed by the nurse and the child during and five minutes after the procedure. The child will be shown the facial expressions on both the fear scale and the pain scale and asked which one it is, and the score corresponding to the facial expression he/she indicates will be recorded. Mothers will stay with their children during the treatment proce

Experimental Group

Eligibility Criteria

• Age: 3 Years - 6 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Being between 3-6 years old
• Taking blood samples at once
• No visual-auditory and speech disorders
• Being open to communication and
• Being accompanied by a parent.

You may not qualify if:

• Having a chronic disease
• Having a visual-auditory and speech disorder
• History of sedative, analgesic or narcotic substance use within 24 hours before admission
• Children whose parents do not agree to participate in the study.

Sponsors & Collaborators

• Artvin Coruh University: lead

Study Sites (1)

Kilis Prof. Dr. Alaeddin Yavaşca State Hospital

Kilis, Central, 79000, Turkey (Türkiye)

RECRUITING

Related Publications (1)

• Oluc T, Sarialioglu A. The effect of a hand puppet-based therapeutic play for preschool children on the fear and pain associated with blood collection procedure. J Pediatr Nurs. 2023 Sep-Oct;72:e80-e86. doi: 10.1016/j.pedn.2023.06.012. Epub 2023 Jun 15.

  PMID: 37330277 BACKGROUND

Related Links

• Randomized Controlled Trial

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Gamze AKAY, 1

  Artvin Coruh University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Gamze AKAY, 1

CONTACT

+905314536661; gamzeakay_25@artvin.edu.tr

Elif Simay KOÇ, 2

CONTACT

+903488142666; elifsimay.koc@kilis.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: June 24, 2025
• First Posted: July 1, 2025
• Study Start: July 1, 2025
• Primary Completion: October 1, 2025
• Study Completion: January 1, 2026
• Last Updated: July 1, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)