NCT07127081

Brief Summary

The study was a randomised controlled trial showing the effect of watching cartoons and squeezing a stress ball on pain and fear in children admitted for intravenous catheter insertion. Hypotheses of the Study Hypothesis 1: Children who watch cartoons during intravenous catheter insertion have lower pain and fear scores than the control group. Hypothesis 2: The pain and fear of children who squeeze a stress ball during intravenous catheter insertion are lower than the control group Hypothesis 3: There is a difference between the pain and fear scores of children who watch cartoons and squeeze a stress ball.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
90

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Sep 2025

Shorter than P25 for not_applicable

Status
not yet recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 4, 2025

Completed
13 days until next milestone

First Posted

Study publicly available on registry

August 17, 2025

Completed
15 days until next milestone

Study Start

First participant enrolled

September 1, 2025

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2026

Completed
3 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2026

Completed
Last Updated

August 27, 2025

Status Verified

August 1, 2025

Enrollment Period

5 months

First QC Date

August 4, 2025

Last Update Submit

August 20, 2025

Conditions

Keywords

Childrenintravenous catheterstress ballcartoonsnursing

Outcome Measures

Primary Outcomes (2)

  • Wong-Baker Pain Scale

    It is the most frequently used pain assessment method. Facial expressions are considered as reliable and unbiased markers. It was developed by Donna Wong and Connie Morain Baker in 1981 and revised in 1983. It is suitable to be applied at the age of three years and above. The pain level of the faces on the scale is explained to the child: "0= no pain.......10= unbearably severe pain". According to the scoring; 0-4 indicates mild pain, 5-6 indicates moderate pain, 7-8 indicates severe pain, 9-10 indicates unbearably severe pain. The administration time of the measurement tool is approximately 2 minutes \[9,10,11\].

    22 weeks

  • Children's Fear Scale

    It evaluates pain-related fear in children. The Child Fear Scale (CFS), developed by McMurty et al. (2011) and validated in Turkish by Özalp-Gerçeker et al. (2018), consists of five drawn facial expressions ranging from neutral expression (0=no anxiety) to frightened face (4=severe anxiety). In the validity-reliability study, the CQI value for the scale was found to be 0.89. The test-retest reliability (0.99) was found to be quite high. The scale cut-off point is 2 and scores of 2 and above are characterised as high level of fear. The Child Fear Scale is a valid and reliable measurement tool. The administration time of the measurement tool is approximately 2 minutes \[12,13\].

    22 weeks

Study Arms (3)

Stress ball

EXPERIMENTAL

Stress ball will be applied

Behavioral: Stress ball

Cartoons

EXPERIMENTAL

Cartoons will be applied

Behavioral: Cartoons

Control

NO INTERVENTION

No intervention will be made to this group.

Interventions

Stress ballBEHAVIORAL

The study was a randomised controlled trial showing the effect of watching cartoons and squeezing a stress ball on pain and fear in children admitted for intravenous catheter insertion.

Stress ball
CartoonsBEHAVIORAL

The study was a randomised controlled trial showing the effect of watching cartoons and squeezing a stress ball on pain and fear in children admitted for intravenous catheter insertion.

Cartoons

Eligibility Criteria

Age6 Years - 12 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Those who were admitted to Toros State Hospital, Child service on 01 September 2025- 01.02.2026,
  • Children aged 6 to 12 years,
  • Children scheduled for intravenous catheterisation,
  • Children without mental and developmental retardation,
  • Children who can speak and understand Turkish,
  • Children and parents who signed an informed consent form.

You may not qualify if:

  • Children who cannot speak or communicate in Turkish,
  • Children whose first attempt to insert an intravenous catheter failed,
  • Children and parents who did not sign the informed consent form.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Central Study Contacts

Behire Sançar, Dr. PhD

CONTACT

Zühal Artuvan, Dr. PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: There will be tree groups (2 intervention, 1 control
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assist. Prof. Dr.

Study Record Dates

First Submitted

August 4, 2025

First Posted

August 17, 2025

Study Start

September 1, 2025

Primary Completion

February 1, 2026

Study Completion

May 1, 2026

Last Updated

August 27, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will not share