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CompletedNCT01859780VDCRUpdated May 3, 2024

Visual Distraction as a Means of Enhancing Child Resistance

An interventional study of Visual distractor in Unintentional Ingestion of Prescriptions Within Vials and Blisters, sponsored by Michigan State University. Completed at 3 sites in United States. Open to participants aged 2 Years to 54 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-05-03.

Sponsored by Michigan State University · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
229
Allocation
Not applicable
Ages
2 Years to 54 Months
Sex
All
01

Study summary

Unintentional poisonings of children continues to be a major issue in the US. According to a study conducted by Cincinnati Children's Hospital Medical Centers, during the period from 2001-2008, emergency room visits for children less than 5 rose 28% as the result of pharmaceutical products. The authors note, "the problem of pediatric medication poisoning is getting worse, not better."

Child resistant closures have been required on most medications sold in the US since the early 1970s. However, most designs attempt to thwart children through purely physical means (e.g. simultaneous dissimilar motion or opening using sequential tasks). Few, if any designs, have utilized perception and cognition as a way to enhance child resistance.

The investigators propose utilizing visual illusions in spaces distinct from the opening mechanism of prescription packages as a means of enhancing child resistance. In this project, visual illusion images are applied to both vials and wallet blisters in order to attract children's interest and prolong the time before opening.

During Stage I, the investigators will determine if the visual distractor attracts attention when samples are displayed in a storage rack. During Stage II, the investigators will test the effect of visual distractors on child resistance as measured by successful openings and time to open.

Read the detailed description

Stage I

Objective: to determine if the visual distractor attracts attention when samples are displayed in a storage rack.

Eligibility Criteria

To participate in this study children must:

  • Be 2 years to 4 ½ years old
  • Have parent's permission to be videotaped
  • Have parent's signed permission (in the form of the official (IRB approved, signed consent)
  • Have no known history of lactose allergy or lactose sensitivity (packages contain a lactose placebo)
  • Verbally agree to participate after a brief explanation of what we want them to do

Outcome Measures Categorical variable (package choice) Continuous variable (time to choice)

Stage II Objective: to test the effect of visual distractors on child resistance as measured by successful openings and time to open.

Eligibility Criteria

To participate in this stage of the study children must:

  • Have no known history of lactose allergy or lactose sensitivity (packages contain a lactose placebo)
  • Be 2 years to 4 ½ years old
  • Have their parent's permission to be videotaped
  • Have their parent's permission (in the form of the official, IRB approved signed consent)
  • Verbally agree to participate after a brief explanation of what we want them to do

Outcome Measures Binary (package opened yes/no) Continuous variable (time to open for those successful)

02

Conditions studied

  • Unintentional Ingestion of Prescriptions Within Vials and Blisters

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Keywords

  • Poison control
  • Child resistant packaging
  • prescription vials
  • prescription blisters
  • drug packaging
03

In context

Blister

36 studies on the registry are indexed under Blister; 3 are open to participants now.

This study's enrollment of 229 is above the median of 65 across 24 interventional studies indexed under Blister.

Browse Blister studies →

Lead sponsor

Michigan State University is the lead sponsor of 143 studies on the registry; 27 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
2 Years to 54 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 2-4.5 years of age
  • Parental permission to video tape

Exclusion criteria

Exclusion Criteria:

  • Lactose allergy or lactose sensitivity
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
229 participants (actual)

Study arms

  • Experimental
    Prescription packages (vials and blisters)

    Stage I Prescription vials and wallets (packaging) with three levels of distractor placement (hidden, absent and obvious) will be tested for an effect of placement on selection behavior and time to package selection. Stage II Prescription vials and wallets (packaging) with and without distractors will be tested for an effect on time to open and number of successful openings.

    Other: Visual distractor

Interventions

  • OtherVisual distractor
06

What researchers measure

Primary outcomes

  1. Package selection

    Selection of one of three treatments in stage one testing (categorical variable)

    Time frame: Day of experiment- Stage I

  2. Time to opening

    Time it takes a participant to successfully open a given treatment (continuous variable)

    Time frame: Day of experiment (Stage II)

Secondary outcomes

  1. Time to selection (continuous variable)

    Time it takes participants to select package (continuous variable)

    Time frame: Day of the experiment- Stage I

  2. Success/Failure to open

    Success or failure in opening by package treatment (binary response variable)

    Time frame: Day of the experiment (Stage II)

07

Study locations

3 sites
  • Packaging Building
    East Lansing, Michigan 48824, United States
  • LESA Early Childhood Programs
    Howell, Michigan 48843, United States
  • Great Lakes Marketing
    Toledo, Ohio 43606, United States
08

References and documents

09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Aug 2013, a primary completion of Apr 2015 and a completion of Apr 2015. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
May 1, 2013
First posted
May 22, 2013
Start
Aug 2013
Primary completionActual
Apr 2015
CompletionActual
Apr 2015
Last update
May 3, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01859780
Responsible party
Laura Bix (Associate Professor, Michigan State University) — Principal investigator
First posted
May 22, 2013
Start date
Aug 2013
Primary completion
Apr 2015
Completion
Apr 2015
Last update
May 3, 2024

Study contacts

Laura Bix, PhD
principal investigator · School of Packaging, Michigan State University
Mark Becker, PhD
principal investigator · Cognition and Cognitive Neuroscience Group
Judith Danovitch, PhD
principal investigator · Knowledge in Development Lab, Psychology

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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