The Effect of Health Riddles on Fear, Anxiety, and Pain in Circumcised Children

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

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-10

Study Completion Date

2026-11-10

Brief Summary

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This study was designed as a randomized controlled experimental method to examine the effects of health puzzles on the fear, anxiety and pain levels that occur in the pre- and postoperative periods in children who underwent circumcision.

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Detailed Description

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In the study, children aged 4-6 who came to be circumcised were divided into three groups: the Normal Circumcision Control Group, which received standard care and information, the Normal Riddle Group, which was supported by general fun riddles that did not contain health content, and the Health Riddles Group, which received an intervention that included health information and aimed to reduce children's fear and anxiety levels. The children's fear, anxiety and pain levels before and after the surgery will be measured using the Introductory Information Form, the Children's Fear Scale, the Children's Anxiety Scale-State and the Wong-Baker Facial Pain Scale as data collection tools.

Conditions

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Circumcision, Male

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

The control group will receive routine clinical care. No intervention will be made.

Group Type NO_INTERVENTION

No interventions assigned to this group

Experimental Group

Before the circumcision, children will be shown a video animation show and will be made to play games with health riddles and normal riddle books.

Group Type EXPERIMENTAL

The Normal Riddles Book

Intervention Type OTHER

The distribution of the participating children to the experimental and control groups will be carried out by simple random sampling method. Children included in the Normal Riddle Book group will be introduced to a book containing general, entertaining riddles that are not related to health during the pre-circumcision period.

The book will be given to the children approximately 1 hour before the circumcision operation and the children will be allowed to read the puzzles, solve them or interact with the researcher/nurse. The application period is planned as approximately 20-30 minutes.

The children's fear, anxiety and pain levels will be measured before and after the application. During the application process, the children's attention level, interest in the book and general behavior will be observed and recorded.

Health Riddles Group

Intervention Type OTHER

The children included in this group will be presented with the Health Riddles Book, which contains health information and is prepared to reduce fear and anxiety before the circumcision.

The book will be given to the children approximately 1 hour before the circumcision procedure and the children will be allowed to read the riddles or interact with the researcher/nurse. The application time is planned to be 20-30 minutes. Before and after the application, the children's fear, anxiety and pain levels will be measured with the Introductory Information Form, Child Fear Scale, Child Anxiety Scale-State and Wong-Baker Face Pain Scale.

The data obtained from the health riddles group will be compared with the data obtained from the normal riddle and control groups and the unique effect of the riddles containing health information on fear, anxiety and pain will be analyzed.

Interventions

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The Normal Riddles Book

The distribution of the participating children to the experimental and control groups will be carried out by simple random sampling method. Children included in the Normal Riddle Book group will be introduced to a book containing general, entertaining riddles that are not related to health during the pre-circumcision period.

The book will be given to the children approximately 1 hour before the circumcision operation and the children will be allowed to read the puzzles, solve them or interact with the researcher/nurse. The application period is planned as approximately 20-30 minutes.

The children's fear, anxiety and pain levels will be measured before and after the application. During the application process, the children's attention level, interest in the book and general behavior will be observed and recorded.

Intervention Type OTHER

Health Riddles Group

The children included in this group will be presented with the Health Riddles Book, which contains health information and is prepared to reduce fear and anxiety before the circumcision.

The book will be given to the children approximately 1 hour before the circumcision procedure and the children will be allowed to read the riddles or interact with the researcher/nurse. The application time is planned to be 20-30 minutes. Before and after the application, the children's fear, anxiety and pain levels will be measured with the Introductory Information Form, Child Fear Scale, Child Anxiety Scale-State and Wong-Baker Face Pain Scale.

The data obtained from the health riddles group will be compared with the data obtained from the normal riddle and control groups and the unique effect of the riddles containing health information on fear, anxiety and pain will be analyzed.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Children who apply to Gümüşhane State Hospital Pediatric Surgery Department for circumcision
* Children between the ages of 4-6
* Not having had any previous surgical intervention
* Not having any problems with vision, hearing or speech
* Written consent given by a parent or legal guardian
* Not having health problems that could affect the research results, such as chronic disease or developmental delay
* The child and his/her family being open to communication and willing to cooperate during the study participation process

Exclusion Criteria

* If the child or family does not want to continue the research
* If there is a sudden and serious deterioration in the child's health
* If participants do not comply with the research protocol, do not use the provided materials or do not participate in the measurements and do not continue
* If unexpected complications develop during the circumcision procedure
* If it is determined that the rights of the participants have been violated in accordance with ethical rules
* In these cases, the participant will be removed from the research and appropriate health care will be provided where necessary.

Minimum Eligible Age

4 Years

Maximum Eligible Age

6 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No