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CompletedNCT06345911Updated Apr 3, 2024

Do Vacutainers With Animal Characters Reduce Fear and Anxiety?

An interventional study of Experimental group in Procedural Pain, Acute Pain and Fear, sponsored by Burdur Mehmet Akif Ersoy University. Completed at 1 site in Turkey. Open to participants aged 4 Years to 7 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-04-03.

Sponsored by Burdur Mehmet Akif Ersoy University · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 2 years 3 months after the study started (first participant enrolled Dec 2021, registered Mar 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
180
Allocation
Randomized
Ages
4 Years to 7 Years
Sex
All
01

Study summary

The study was designed as a randomized controlled experimental research with the purpose of determining the effect of distraction by using vacutainers of three different animal characters.

Read the detailed description

In the literature, it is stated that nurses should use pharmacological and non-pharmacological methods in pain and anxiety management in painful procedures. Evidence-based studies are needed to show the effectiveness of non-pharmacological methods in reducing pain during invasive procedures and to investigate the effects of easy-to-apply methods on pain. In light of this information, this study aimed to compare the effects of vacutainers of three different animal characters on fear, anxiety, and pain in children during bloodletting.

The study is a prospective, randomized and controlled trial.Children aged 4 to 7 years who required blood draw were divided into three groups; two groups: experimental and control groups. Animal characters (butterfly, peacock and rabbit) chosen by children in the experimental group was attached to the vacutainer, and then their blood was drawn. The data were obtained by face-to-face interviews with the child, parent and observer before and after the procedure. Children's pain and fear/anxiety levels were evaluated using the Children's Fear Scale and theWong-Baker FACES Pain Scale, respectively.

The study population consisted of children aged 4 to 7 years who presented to the children's blood draw room of the hospital.

Sample of the study consisted of a total of 1800 children who met the sample selection criteria and were selected via randomization method.

Data were collected using the Interview and Observation Form, Children's Fear Scale, and Wong-Baker FACES Pain Rating Scale.

02

Conditions studied

  • Procedural Pain
  • Acute Pain
  • Fear
  • Anxiety

Keywords

  • Bloodletting
  • Animal Vacutainer
  • Procedural Pain
  • Fear
  • Distraction
03

In context

Acute Pain

876 studies on the registry are indexed under Acute Pain; 154 are open to participants now.

This study's enrollment of 180 is above the median of 90 across 732 interventional studies indexed under Acute Pain.

Browse Acute Pain studies →

Lead sponsor

Burdur Mehmet Akif Ersoy University is the lead sponsor of 48 studies on the registry; 17 are open to participants now.

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

04

Who can participate

Ages eligible
4 Years to 7 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • The child was selected by simple randomization.
  • The child was between 4-7 years old.
  • The child and parent were informed and their written consent was obtained prior to the procedure.
  • The bloodletting procedure was performed by the same nurse.
  • The child was given standard information before the bloodletting procedure.
  • The needle used for the bloodletting procedure was of the same thickness.
  • The child could evaluate the pain and fear scales.

Exclusion criteria

Exclusion Criteria:

  • The child was excluded from the study if they had the following criteria;
  • The child had infection, skin integrity disturbance, and rash in the area where the procedure would be performed.
  • The child had nerve damage in the previously treated area.
  • The child's health status was critical and unstable.
  • The child had developmental retardation that prevents them from responding to pain and fear scales.
  • The child had taken any analgesic in the last 6 hours before the bloodletting procedure.
  • The child did not want to participate.
  • The child did not meet the selection criteria for the experimental and control groups.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
180 participants (actual)

Study arms

  • Experimental
    Experimental group

    The animal characters were shown to the child before the bloodletting procedure. The child was asked to choose one of them and the one chosen by the child was attached to the vacutainer.

    Behavioral: Experimental group

  • No intervention
    Control group

    The child was subjected to routine bloodletting intervention with the vacutainer.

Interventions

  • BehavioralExperimental group

    The animal characters were shown to the child before the bloodletting procedure. The child was asked to choose one of them and the one chosen by the child was attached to the vacutainer. The child and their parents were taken to the blood collection room. During the bloodletting procedure, the child was asked to focus on the animal character they had chosen.

06

What researchers measure

Primary outcomes

  1. Children's Fear Scale

    CFS is used for measuring the child's anxiety level. CFS is a scale which makes an evaluation from 0 to 4 consisting of five facial expressions drawn to show expressions that vary from neutral expression (0=no anxiety) to scared face (4=severe anxiety).

    Time frame: Through painful procedure completion, an average of 10 minutes

  2. Wong-Baker FACES Pain Rating Scale

    In the study, pain level evaluations, the children's self-evaluations, parents' evaluations and the researcher's evaluations were carried out using the WB-FACES scale. This scale was developed by Donna Wong and Connie Morain Baker in 1988. The scale is graded between 0-10 points. A smiling face on the far left symbolizes "no pain" (0 very happy/no pain) and the pain increases from left to right. On the other hand, a crying face on the far right symbolizes "unbearable pain" (10 'hurts worst'). As the numbers increase in this scoring system, facial expressions also change referring to an increase in pain levels.

    Time frame: Through painful procedure completion, an average of 10 minutes.

07

Study locations

1 site
  • Karaman Education and Research Hospital
    Karaman, Turkey
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06345911
Lead sponsor
Burdur Mehmet Akif Ersoy University
Responsible party
Selda Ateş Beşirik (Principal Investigator, Burdur Mehmet Akif Ersoy University) — Principal investigator
First posted
Apr 3, 2024
Start date
Dec 1, 2021
Primary completion
Feb 25, 2022
Completion
Mar 30, 2022
Last update
Apr 3, 2024

Study contacts

Selda Ateş Beşirik, PhD.
principal investigator · Burdur Mehmet Akif Ersoy University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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

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