Cognitive-Behavioral Care for Port Needle Insertion
Cognitive-Behavioral Intervention Package for Port Catheter Needle Insertion: Effects on Pain, Anxiety, and Fear in Children With Cancer
Cognitive-Behavioral Intervention Package for Port Catheter Needle Insertion: Effects on Pain, Anxiety, and Fear in Children With Cancer
Sponsor study identifier
interventional
54
1 country
1
Study Start
September 16, 2024
Actual (reported)Primary Completion
July 18, 2025
Actual (reported)Study Completion
August 15, 2025
Actual (reported)This study aims to determine the effect of the Cognitive-Behavioral Intervention Package (CBIP) applied during port catheter needle insertion on pain, anxiety, and fear levels in children aged 6-18 years diagnosed with oncology. Research Hypotheses Between the Cognitive-Behavioral Intervention Package group (G1) and the control group (G2): H1: There is a difference in the mean scores of the Wong-Baker FACES Pain Rating Scale (WB-FPRS) between the groups. H2: There is a difference in the mean scores of the Children's Anxiety Scale between the groups. H3: There is a difference in the mean scores of the Children's Fear Scale between the groups. Prior to the intervention, researchers will administer the scales to the intervention group, followed by the implementation of the CBIP. After the port catheter needle insertion, the scales will be re-administered to evaluate the final levels of pain, anxiety, and fear.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
August 15, 2025
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
September 16, 2024
Actual (reported)July 18, 2025
Actual (reported)August 15, 2025
Actual (reported)August 19, 2025
Actual (reported)September 12, 2025
Actual (reported)Sociodemographic Characteristics Form (SCF)
The form was developed by the researchers based on the literature. It consists of 11 questions addressing the sociodemographic characteristics of parents and children, as well as the status of port catheter needle insertion.
At baseline, prior to intervention (Day 1)
Wong-Baker FACES Pain Rating Scale (WB-FPRS)
Pain will be assessed using the Wong-Baker FACES Pain Rating Scale (WB-FPRS) and completed by the child before and after the port catheter needle insertion. Scores range from 0 to 5, where 0 indicates no pain and 5 indicates unbearable pain.
Before and after port catheter needle insertion (Day 1).
Children's Fear Scale (CFS)
Fear will be assessed using the Children's Fear Scale (CFS) by the child, parent, and researcher before and after the port catheter needle insertion. Scores range from 0 to 4, where 0 indicates no fear and 4 indicates extreme fear.
Before and after port catheter needle insertion (Day 1).
Before the procedure, children's pain, anxiety, and fear were assessed by the child, parent, and researcher. In the CBIP group, preparation, briefing, and implementation stages were conducted. The researcher met with the child and parent for preparation and briefing. A volunteer parent was trained to support the child during the procedure (e.g., sitting next to the child, holding hands, talking). Port catheter needle insertion was performed according to unit routine by the same nurse with 5 years' experience, using a single attempt. After the procedure, children rated pain (WB-FPRS), fear (CFS), and anxiety (CAS); the observing parent and researcher also completed CFS and CAS.
In the study, children in the control group will receive the routine clinical procedure prior to the intervention, followed by port catheter needle insertion.
Before the procedure, the researcher initiated social interaction with the child (cognitive distraction). Next, suggestions regarding the procedure were provided (guidance). A volunteer parent sat beside the child, providing support by holding the child's non-procedural hand. While the nurse performed the port catheter insertion, the researcher applied one of the behavioral distraction techniques chosen by the child during the pre-procedure phase, such as counting, singing, reading a poem, or answering questions (behavioral distraction). Upon completion of the procedure, the researcher provided positive reinforcement by praising the child ("Well done!" and "You were very brave!") and rewarding the child with a star and smiley face sticker on the collar (positive reinforcement).
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Kocaeli University Faculty of Health Sciences
İzmit, Kocaeli, Turkey (Türkiye)
54 participants (actual enrollment reported by the registry).
First Submitted
August 19, 2025
First Posted
September 12, 2025
Study Start
September 16, 2024
Actual (reported)Children's Anxiety Scale-State (CAS-S)
Anxiety will be assessed using the Children's Anxiety Scale-State (CAS-S) as reported by the child, parent, and researcher before and after the port catheter needle insertion. Scores range from 0 to 5, where 0 indicates no anxiety and 5 indicates extreme anxiety.
Before and after port catheter needle insertion (Day 1).
Contact the study team to confirm eligibility.
Primary Completion
July 18, 2025
Actual (reported)Study Completion
August 15, 2025
Actual (reported)Last Updated
September 18, 2025
Record last verified: 2025-09
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Source: ClinicalTrials.gov.
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