Use of Hand Puppets and Image Watching and Coloring Books for Children in During Blood Collection Procedures

NCT ID: NCT07044713

Last Updated: 2025-07-01

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

RECRUITING

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-01

Study Completion Date

2026-01-01

Brief Summary

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The aim of this study was to compare a hand puppet with image viewing and a coloring book for children in reducing children's pain and fear during blood collection.

Detailed Description

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Ninety volunteer children aged 3-6 coming for blood collection will be randomly divided into three groups: hand puppet, viewing and painting the image, and control group. Children will be assessed before, during, and after the procedure. Pain related to blood collection will be assessed with the Wong-Baker Faces Pain Scale, and fear will be assessed with the Child Fear Scale. In addition, children's demographic data will be recorded in the Information Form.

Conditions

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Blood Collection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Control Group

Routine clinical care will be applied to the control group. No action will be taken.

Group Type NO_INTERVENTION

No interventions assigned to this group

Experimental Group

Before blood collection, the child will be shown games with hand puppets and will be asked to watch the image and color with the Coloring Book.

Group Type EXPERIMENTAL

Hand Puppet

Intervention Type OTHER

Children who come to the hospital's blood collection unit and meet the research criteria will be randomly assigned to the hand puppet group. The scales will be filled out by the nurse and the child five minutes before the blood collection. The researcher will benefit from the experiences of the child development specialist and preschool teacher before the research on puppet scenarios. In the interview room outside the blood collection unit, the child's parent will be asked to tell the researcher about the things the child enjoys and likes. The researcher will show the child puppet characters on various themes and the child will be asked to choose the puppet character he/she wants before the blood collection. The puppet scenarios will be improvised in light of the information received from the child's mother and father during the demonstration and will be shaped according to the child's wishes. In this way, the child will turn the scary hospital environment into an entertaining environm

The Visual Viewing and Coloring Book

Intervention Type OTHER

Children who come to the hospital's blood collection unit and meet the research criteria will be randomly assigned to the coloring group. The scales will be filled out by the nurse and the child five minutes before the blood is drawn. The Visual Viewing and Coloring Book consists of pictures that require coloring. The children will be given a book before the blood is drawn and will be asked to draw or color a picture as they prefer during the procedure. The fear scale will be assessed by the nurse and the child five minutes before, during, and five minutes after the procedure. The pain scale will be assessed by the nurse and the child during and five minutes after the procedure. The child will be shown the facial expressions on both the fear scale and the pain scale and asked which one it is, and the score corresponding to the facial expression he/she indicates will be recorded. Mothers will stay with their children during the treatment proce

Interventions

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Hand Puppet

Children who come to the hospital's blood collection unit and meet the research criteria will be randomly assigned to the hand puppet group. The scales will be filled out by the nurse and the child five minutes before the blood collection. The researcher will benefit from the experiences of the child development specialist and preschool teacher before the research on puppet scenarios. In the interview room outside the blood collection unit, the child's parent will be asked to tell the researcher about the things the child enjoys and likes. The researcher will show the child puppet characters on various themes and the child will be asked to choose the puppet character he/she wants before the blood collection. The puppet scenarios will be improvised in light of the information received from the child's mother and father during the demonstration and will be shaped according to the child's wishes. In this way, the child will turn the scary hospital environment into an entertaining environm

Intervention Type OTHER

The Visual Viewing and Coloring Book

Children who come to the hospital's blood collection unit and meet the research criteria will be randomly assigned to the coloring group. The scales will be filled out by the nurse and the child five minutes before the blood is drawn. The Visual Viewing and Coloring Book consists of pictures that require coloring. The children will be given a book before the blood is drawn and will be asked to draw or color a picture as they prefer during the procedure. The fear scale will be assessed by the nurse and the child five minutes before, during, and five minutes after the procedure. The pain scale will be assessed by the nurse and the child during and five minutes after the procedure. The child will be shown the facial expressions on both the fear scale and the pain scale and asked which one it is, and the score corresponding to the facial expression he/she indicates will be recorded. Mothers will stay with their children during the treatment proce

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Being between 3-6 years old
* Taking blood samples at once
* No visual-auditory and speech disorders
* Being open to communication and
* Being accompanied by a parent.

Exclusion Criteria

* Having a chronic disease
* Having a visual-auditory and speech disorder
* History of sedative, analgesic or narcotic substance use within 24 hours before admission
* Children whose parents do not agree to participate in the study.
Minimum Eligible Age

3 Years

Maximum Eligible Age

6 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Artvin Coruh University

OTHER

Sponsor Role lead

Responsible Party

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Gamze Akay

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gamze AKAY, 1

Role: PRINCIPAL_INVESTIGATOR

Artvin Coruh University

Locations

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Kilis Prof. Dr. Alaeddin Yavaşca State Hospital

Kilis, Central, Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Gamze AKAY, 1

Role: CONTACT

+905314536661

Elif Simay KOÇ, 2

Role: CONTACT

+903488142666

Facility Contacts

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Elif Simay KOÇ, 2

Role: primary

+903488142666

References

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Oluc T, Sarialioglu A. The effect of a hand puppet-based therapeutic play for preschool children on the fear and pain associated with blood collection procedure. J Pediatr Nurs. 2023 Sep-Oct;72:e80-e86. doi: 10.1016/j.pedn.2023.06.012. Epub 2023 Jun 15.

Reference Type BACKGROUND
PMID: 37330277 (View on PubMed)

Related Links

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Other Identifiers

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Hand Puppets, Image Watching

Identifier Type: -

Identifier Source: org_study_id

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