The Effect of a Drama-Based Coloring Storybook on Children's Fear, Anxiety, and Pain Management in the Perioperative Process: "Alican's Brave Journey"

NCT07414628 | Not Yet Recruiting

• 1 other identifier: E-33117789-044-163219
• Study Type: interventional
• Target: 72
• Locations: 0 countries
• Sites: N/A

Brief Summary

This randomized controlled study aims to evaluate the effect of a drama-based coloring storybook on children's fear, anxiety, and pain management during the perioperative process. The study will be conducted with children aged 6-9 years who are scheduled for elective surgery. Participants will be randomly assigned to either an intervention group receiving the drama-based coloring storybook or a control group receiving routine preoperative care. Levels of fear, anxiety, and pain will be assessed using validated measurement tools at predefined perioperative time points. The findings are expected to contribute to evidence-based, child-centered perioperative care practices.

Conditions

Preoperative Anxiety; PAİN; Fear

Keywords

Drama; Storybook; Pediatric; Pain; Anxiety

Outcome Measures

Primary Outcomes (3)

• Preoperative Anxiety Level in Children

  Preoperative anxiety will be assessed using the Modified Yale Preoperative Anxiety Scale - Short Form (mYPAS-SF), a validated observational scale consisting of 22 items across five domains: activity, speech, emotional expressivity, state of arousal, and interaction with family members. Total scores range from 23.33 to 100, with higher scores indicating greater anxiety.

  One hour before surgery and 10 minutes before surgery (prior to anesthesia induction)

• Fear Level in Children

  Fear levels will be assessed using the Children's Fear Scale (CFS), a validated self-report scale for children. The scale consists of five facial expressions scored from 0 to 4, with higher scores indicating greater fear.

  One hour before surgery, 10 minutes before surgery (prior to anesthesia induction), and one hour after surgery

• Postoperative Pain Level in Children

  Postoperative pain will be assessed using the Wong-Baker FACES Pain Rating Scale, a validated self-report pain scale for children. The scale ranges from 0 to 5, where 0 indicates no pain and 5 indicates the worst pain. Higher scores indicate greater pain intensity

  One hour after surgery

Study Arms (2)

Drama-Based Coloring Storybook Group

EXPERIMENTAL

Participants in this group receive a drama-based coloring storybook before surgery. The storybook is designed to prepare children for the perioperative process and to reduce fear, anxiety, and perceived pain through age-appropriate narratives and coloring activities.

Behavioral: Drama-Based Coloring Storybook Intervention

Control Group (Routine Care)

NO INTERVENTION

Participants in this group receive routine preoperative care according to hospital protocols, without exposure to the drama-based coloring storybook.

Interventions

Drama-Based Coloring Storybook Intervention BEHAVIORAL

Children aged 6-9 years in the experimental group receive a drama-based coloring storybook before surgery. The storybook, titled "Alican's Brave Journey," is designed to prepare children for the perioperative process through age-appropriate storytelling, coloring activities, and dramatic elements. The intervention is administered once during the preoperative period under the supervision of the researcher and aims to reduce preoperative fear, anxiety, and perceived pain.

Drama-Based Coloring Storybook Group

Eligibility Criteria

• Age: 6 Years - 9 Years
• Gender Eligibility Details: Only male children aged 6-9 years who are scheduled for circumcision are eligible to participate in the study.
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children aged 6-9 years.
• Children scheduled for surgery due to circumcision.
• Children who have not undergone previous surgery.
• Children without vision, hearing, or speech problems.

You may not qualify if:

• Children who have undergone previous surgery.
• Children with vision, hearing, or speech problems.

Sponsors & Collaborators

• Bingol University: lead
• Ataturk University: collaborator

MeSH Terms

Conditions

Pain; Anxiety Disorders

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Yusuf B Budak, PhD Student

CONTACT

+90 545 961 30 33; ybudak@bingol.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants were blinded to group allocation in order to reduce expectation bias. Due to the nature of the intervention, the care provider and the investigator were aware of the assigned groups. Outcome assessments were conducted using standardized self-report scales completed by the participants.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant, Department of Nursing

Model Details: Participants will be randomly assigned to either an intervention group receiving a drama-based coloring storybook or a control group receiving routine preoperative care.

Study Record Dates

• First Submitted: January 22, 2026
• First Posted: February 17, 2026
• Study Start: February 1, 2026
• Primary Completion (Estimated): December 15, 2026
• Study Completion (Estimated): December 15, 2026
• Last Updated: February 17, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share