The Effects of Vibration and Pressure Interventions

NCT ID: NCT05656066

Last Updated: 2022-12-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

114 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-01

Study Completion Date

2022-10-01

Brief Summary

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This study aimed to evaluate two methods (pressure and vibration intervention) used to reduce pain during IM injections in children.

Detailed Description

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Objectives: This study was conducted to evaluate the effects of the Vibration and Pressure Intervention for reducing pain during intramuscular (IM) injections in children.

Design: The study was conducted via a randomized controlled design. Setting: The study population consisted of children in the five to 10 age group admitted to the emergency department of a public hospital (Samsun Education and Research Hospital) between August 2022 and October 2022 and who received an IM injection as part of the medical treatment in child emergency department.

Interventions: The study data were collected from the children, who were divided into Vibration Intervention group, Pressure Intervention group, and control groups.

Main outcome measures: The children's pre-procedure fear and anxiety levels were evaluated using the Children's Fear Scale (CFS), and Children' Anxiety Meter State. Then, their pain levels during the procedure were evaluated using the Wong-Baker FACES Rating Scale.

Conditions

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Anxiety

Keywords

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anxiety fear pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized, controlled, and experimental design
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants
Participants will not know which group in. Researcher and nurse will know.

Study Groups

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The Vibration Intervention Group (VI)

After the injection area was determined in the VI group, the vibration device was held for 30 seconds in the area to be injected, then the injection was applied by pulling up 3 cm while the device was operating.

Group Type EXPERIMENTAL

The Vibration Intervention

Intervention Type BEHAVIORAL

The vibration frequency of the massager, which accelerates blood circulation, is 6000 / min, it works with a 1.5 volt battery. Can be used easily with one hand. The vibration simulator design is based on the gate-control theory, which allows for a reduction in the perceived amount of pain experienced during injection by closing the pain gate in the spinal cord in creating a stimulus on the skin.

The Pressure Intervention Group

After the injection area was determined in the PI group, 30 seconds light pressure was applied with the thumb and then the injection was given

Group Type EXPERIMENTAL

The Pressure Intervention

Intervention Type BEHAVIORAL

Pressure was placed in the ıntramuscular area properly 30 seconds before injection. Then the injection process was completed.

The Control Group

The routine IM injection was applied to the children in the control group.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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The Vibration Intervention

The vibration frequency of the massager, which accelerates blood circulation, is 6000 / min, it works with a 1.5 volt battery. Can be used easily with one hand. The vibration simulator design is based on the gate-control theory, which allows for a reduction in the perceived amount of pain experienced during injection by closing the pain gate in the spinal cord in creating a stimulus on the skin.

Intervention Type BEHAVIORAL

The Pressure Intervention

Pressure was placed in the ıntramuscular area properly 30 seconds before injection. Then the injection process was completed.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* had no diagnosed physical or mental disability or chronic illness;
* had no communication problems;
* received single injection,
* required seftriakson group of antibiotics for standardization; and received vastus lateralis muscle injection during the study.

Exclusion Criteria

* Parents who were unable to collaborate in the fear and pain evaluation,
* overweight or underweight children (under the third or above the 97th percentile),
* children with any incision or scar tissue in the injection area,
* children who received a sedative, analgesic, or narcotic drugs (based on expert opinion) six hours before the procedure on the basis of parental statements and medical history
Minimum Eligible Age

5 Years

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ondokuz Mayıs University

OTHER

Sponsor Role lead

Responsible Party

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Hatice Uzşen

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Hatice Uzşen

Samsun, Atakum, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Drago LA, Singh SB, Douglass-Bright A, Yiadom MY, Baumann BM. Efficacy of ShotBlocker in reducing pediatric pain associated with intramuscular injections. Am J Emerg Med. 2009 Jun;27(5):536-43. doi: 10.1016/j.ajem.2008.04.011.

Reference Type BACKGROUND
PMID: 19497458 (View on PubMed)

Bilge S, Aydin A, Gun C, Aldinc H, Acar YA, Yaylaci S, Cinar O, Balci V. Comparison of the efficacy of ShotBlocker and cold spray in reducing intramuscular injection-related pain in adults. A prospective, randomized, controlled trial. Saudi Med J. 2019 Oct;40(10):996-1002. doi: 10.15537/smj.2019.10.24322.

Reference Type BACKGROUND
PMID: 31588477 (View on PubMed)

Other Identifiers

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ıntramuscular

Identifier Type: -

Identifier Source: org_study_id