Animation-Based Video and Brochure-Based Education

NCT07737041 | Completed

• 1 other identifier: OMU-ECHO-2026
• Study Type: interventional
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

This study was designed as a three-arm, parallel-group, randomized controlled trial to evaluate the effects of animation-based training versus brochure-based training before echocardiography on children's anxiety, fear, and physiological parameters. Research Hypotheses H1: Children aged 7-10 who receive animation-based educational videos prior to the echocardiography (ECHO) procedure will have lower levels of anxiety and fear compared to children receiving routine care. H2: Children aged 7-10 who receive brochure-based education before the ECHO procedure will have lower levels of anxiety and fear compared to children receiving routine care. H3: The effects of animation-based education and brochure-based education on children's anxiety and fear levels before the ECHO procedure differ. H4: In groups that received cartoon/video-based education and brochure-based education before the ECHO procedure, parents' satisfaction with nursing care is higher than in the routine care group.

Conditions

Effects of Animation Based Video Education and Brochure Based Education Before the Echocardiography Procedure

Keywords

Echocardiography, children, fear, anxiety, procedural education

Outcome Measures

Primary Outcomes (1)

• Children's anxiety

  The CAS-D, on the other hand, is a visual analog scale developed by Ersig et al. that assesses state anxiety in children aged 4-10; it resembles a thermometer with a bulb and horizontal lines spaced in ascending intervals. The scale is scored on a 0-10 scale, with higher scores indicating higher levels of anxiety.

  5 minutes before echocardiography

Secondary Outcomes (1)

• Children's Fear Scale (CFS)

  5 minutes before echocardiography

Study Arms (3)

Animation-Based Video Education

EXPERIMENTAL

In the animated based video group, in addition to the routine procedure, animated videos titled "Ipek's Echocardiography Adventure" (a character suitable for the 7-year-old age group) and "Can's Echocardiography Adventure" (a character suitable for the older age group)-each approximately four minutes long-were shown to the children via computer. A parent and a researcher were present with the child during the video viewing. The researcher answered any questions the children asked.

Other: Animated based video education

Brochure Based Education

ACTIVE COMPARATOR

In the brochure group, in addition to the routine procedure, children received standardized education about the echocardiography procedure using age-appropriate brochures prepared by the researchers. During the education session, the researcher answered the children's questions.

Other: Brochure based education

Control Group

NO INTERVENTION

In the control group, however, no educational or preparatory interventions were administered to the children beyond the routine care provided at the echocardiography clinic. As part of the routine procedure, the children were taken to a room located directly across from the outpatient clinic room where the echocardiogram would be performed. The room contained a computer, three chairs, a stretcher, and an echocardiography machine. The children were given an explanation such as, "Now, the doctor is going to perform an echocardiogram on you; you'll lie down on this stretcher and open your shirt. This is our machine…" while the echocardiography machine was shown to them.

Interventions

Animated based video education OTHER

In the animated based video educaton group, in addition to the routine procedure, animated videos titled "Ipek's Echocardiography Adventure" (a character suitable for the 7-year-old age group) and "Can's Echocardiography Adventure" (a character suitable for the older age group)-each approximately four minutes long-were shown to the children via computer. A parent and a researcher were present with the child during the video viewing. The researcher answered any questions the children asked.

Animation-Based Video Education

Brochure based education OTHER

In the brochure group, in addition to the routine procedure, children received standardized education about the echocardiography procedure using age-appropriate brochures prepared by the researchers. During the education session, the researcher answered the children's questions.

Brochure Based Education

Eligibility Criteria

• Age: 7 Years - 10 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Be between the ages of 7 and 10
• Be under follow-up at a pediatric cardiology outpatient clinic with a diagnosis of congenital heart disease, such as ASD, VSD, or PDA
• Be scheduled to undergo a transthoracic echocardiogram for follow-up
• Be able to speak Turkish
• The child and parent must have the cognitive ability to communicate
• Not having previously received the educational materials used in the study, even if the child has had an echocardiogram before
• Obtaining written informed consent from the parent and voluntary consent from the child

You may not qualify if:

• Situations requiring emergency ECHO Need for sedation
• Inability to watch the video due to a hearing or visual impairment
• Inability to respond to the scales due to a developmental or neurological disorder
• Hemodynamic instability

Sponsors & Collaborators

• Merve Koyun: lead

Study Sites (1)

Ondokuz Mayıs University

Samsun, Atakum, 55139, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer Doctor

Study Record Dates

• First Submitted: July 26, 2026
• First Posted: July 30, 2026
• Study Start: March 15, 2024
• Primary Completion: June 22, 2025
• Study Completion: May 6, 2026
• Last Updated: July 30, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)