Effect of Cartoon Projection and Ball Squeezing on Pain During Venipuncture in Children

NCT07417852 | Not Yet Recruiting

• 1 other identifier: UOB-CON-77-2026
• Study Type: interventional
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to learn which distraction method works better to reduce needle pain in children aged 4-12 years during blood draws. The main questions it aims to answer are:

• Does watching cartoon videos lower children's pain more than squeezing a stress ball?
• Which method do parents prefer for their children? 120 children will be randomly assigned to watch cartoons or squeeze a ball while nurses draw blood. Pain will be measured using a 0-10 pain scale right after the needle. This study will help nurses choose the best way to make blood draws less painful for children.

Conditions

Venipuncture Pain

Keywords

Pediatric pain, venipuncture, distraction, cartoon projection , Ball squeezing

Outcome Measures

Primary Outcomes (1)

• Analogue Scale (VAS) Pain Score (0-10; higher scores = worse pain)

  Child rates pain intensity (0-10 cm scale) immediately after needle insertion

  0-30 seconds post - venipuncture

Secondary Outcomes (1)

• Nurse-Observed Anxiety Level (1-5 scale; higher = worse)

  During venipuncture procedure

Study Arms (2)

Cartoon Projection Arm

EXPERIMENTAL

Children receive immersive cartoon projection distraction during venipuncture

Behavioral: Cartoon Projection Distraction; Behavioral: ball squeezing distraction

ball squeezing arm

EXPERIMENTAL

Children aged 4-12 years receive ball squeezing distraction during venipuncture

Behavioral: ball squeezing distraction

Interventions

Cartoon Projection Distraction BEHAVIORAL

Immersive cartoon videos during venipuncture'

Cartoon Projection Arm

ball squeezing distraction BEHAVIORAL

Stress ball squeezing during venipuncture'

Cartoon Projection Arm; ball squeezing arm

Eligibility Criteria

• Age: 2 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Children aged 4-12 years
• Requiring venipuncture for routine blood testing
• Able to watch cartoon video during procedure
• Parental consent obtained

You may not qualify if:

• Developmental delay preventing cooperation
• Severe anxiety disorder
• Visual impairment
• Non-English/Arabic speaking parents

Sponsors & Collaborators

• University of Baghdad: lead

Study Sites (1)

Karbala Pediatric Teaching Hospital Al-Hussein Medical City Karbala, Iraq

Karbala, Karbala Governorate, 0694, Iraq

Location

Study Officials

• Enas Ahmed, PhD Student

  University of Baghdad College of Nursing

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Enas Ahmed, PhD Student

CONTACT

07806370150; ienas.ahmed1204a@conursing.uobaghdad.edu.iq

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: February 5, 2026
• First Posted: February 18, 2026
• Study Start: March 1, 2026
• Primary Completion (Estimated): December 1, 2026
• Study Completion (Estimated): January 1, 2027
• Last Updated: February 18, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

IR (1)