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Enrolling by invitationNCT06699745Updated Nov 21, 2024

Comparison of the Effects of Music and White Noise in Children Performed Endoscopy

An interventional study of Music intervention and white noise intervention in School Age Children and Endoscopy, Gastrointestinal, sponsored by Istanbul University - Cerrahpasa. Enrolling by invitation at 1 site in Turkey (Türkiye). Open to participants aged 6 Years to 12 Years. Per ClinicalTrials.gov, last updated 2024-11-21.

Sponsored by Istanbul University - Cerrahpasa · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 1 year 2 months after the study started (first participant enrolled Sep 2023, registered Nov 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
102
Allocation
Randomized
Ages
6 Years to 12 Years
Sex
All
01

Study summary

The study was planned as a randomized controlled experimental study to compare the effects of music and white noise on fear, anxiety and pain levels before, during and after the procedure in school-age children (6-12 years old) who will undergo endoscopy.

Hypothesis 0 (H0): There is no difference in fear, anxiety, pain, parental anxiety and pulse, respiration and oxygen saturation values between children exposed to music and white noise.

Hypothesis 1 (H1): Children who were exposed to music and white noise had lower fear scores than children who were not exposed to any application.

Hypothesis 2 (H2): Children who were exposed to music and white noise had lower anxiety scores than children who were not exposed to any application.

Hypothesis 3 (H3): Children who were exposed to music and white noise had lower pain scores than children who were not exposed to any application.

Hypothesis 4 (H4): Children who were exposed to music and white noise had lower pulse value scores than children who were not exposed to any application.

Hypothesis 5 (H5): Children who were exposed to music and white noise had lower respiratory rate scores than children who were not exposed to any application.

Hypothesis 6 (H6): Children who were exposed to music and white noise had higher oxygen saturation value scores than children who were not exposed to any application.

Hypothesis 7 (H7): Parents of children who were exposed to music and white noise had lower parental anxiety than parents of children who were not exposed to any treatment.

There are music group, white noise and control group in the study.

Read the detailed description

The independent variables of the study are age, gender, music and white noise application.

The dependent variables are; Children's Fear Scale (CFS) scores used to measure children's fear, Children's Anxiety Scale-State (CAS-D) scores used to measure anxiety, The Faces Pain Scale Revised (FPS-R) scores used to measure pain status, pulse, respiratory rate and oxygen saturation values and Beck Anxiety Inventory scores obtained from parents.

02

Conditions studied

  • School Age Children
  • Endoscopy, Gastrointestinal

Keywords

  • endoscopy
  • fear
  • anxiety
  • pain
  • music
  • white noise
03

In context

Anxiety Disorders

5,063 studies on the registry are indexed under Anxiety Disorders; 1,408 are open to participants now.

This study's planned enrollment of 102 is above the median of 80 across 4,339 interventional studies indexed under Anxiety Disorders.

Browse Anxiety Disorders studies →

Lead sponsor

Istanbul University - Cerrahpasa is the lead sponsor of 693 studies on the registry; 213 are open to participants now.

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

04

Who can participate

Ages eligible
6 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • School age (6-12 years old) child,
  • Have not had an endoscopy procedure before,
  • Have not had a surgical procedure before,
  • Have been requested to have an endoscopy by a physician,
  • Be able to communicate,
  • Have no hearing or speech problems,
  • Agree to participate in the study,
  • Have not used analgesics for 6 hours before the procedure,
  • The child can count from 1 to 10,
  • Have the ability to order numbers (knowing that numbers are big or small (e.g. 6 is less than 7, 4 is greater than 2, etc.).

Exclusion criteria

Exclusion Criteria:

  • Not being of school age (under 6 years old, over 12 years old),
  • Having had an endoscopy procedure before,
  • Having had a surgical procedure before,
  • Not being able to communicate,
  • Having hearing and speech problems,
  • Not agreeing to participate in the study,
  • Having used analgesics up to 6 hours before the procedure,
  • The child not having the ability to sort and count numbers.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
102 participants (estimated)

Study arms

  • Experimental
    white noise group

    Children in the group will be made to listen to white noise at an appropriate decibel level.

    Behavioral: white noise intervention

  • Experimental
    music group

    Music will be listened at an appropriate decibel level for the children in the group.

    Behavioral: Music intervention

  • No intervention
    control group

    No application was made to the control group.

Interventions

  • BehavioralMusic intervention

    In studies, white noise was used as a sedative in infants. It was not used in older children. In school-age children, white noise will be used to reduce fear, anxiety and pain during the endoscopy procedure.

  • Behavioralwhite noise intervention

    White noise will be played at a decibel level appropriate for the children in the group.

06

What researchers measure

Primary outcomes

  1. Child fear scale

    The Child Fear Scale (CFS), developed by McMurty and colleagues (2011), consists of five drawn facial expressions ranging from a neutral expression (0 = no anxiety) to a frightened face (4 = severe anxiety). The validity and reliability of the scale were performed by Gerçeker and colleagues (2018). The CGI value for the CFS is 0.89 (McMurty et al., 2011).

    Time frame: six months

  2. Child anxiety scale-state

    The Child Anxiety Scale State (CAS-S) developed by Ersig et al. (2013) is used to measure the anxiety of the child's current situation. The validity and reliability of the scale were made by Gerceker et al. (2018). The Content Validity Index (CVI) value for CAS-S was found to be 1.00.

    Time frame: six months

  3. The Faces Pain Scale - Revised

    It is a self-report measure of pain intensity developed for children. It has been made more suitable for use by using visual depictions of six facial expressions representing increasing levels of pain intensity and by adapting the metric scoring to 0-10. The revised version of the facial pain scale is widely used in the adult and pediatric populations for pain intensity assessment. It is easy to apply and does not require any equipment other than the faces in the picture.

    Time frame: six months

Secondary outcomes

  1. Beck Anxiety Inventory

    Developed by Beck et al. (1988). The Cronbach alpha coefficient of the original scale is .93. The Turkish adaptation of the Beck Anxiety Inventory was prepared by Ulusoy et al. (1998). In the Turkish validity and reliability study of the scale, Cronbach alpha coefficient was determined as .93. The Beck Anxiety Inventory is a 21-question scale that individuals can answer on their own. Questions are scored between 0 and 3. The minimum score is 0 and the maximum score is 63. The total score is used in the evaluation of the scale. Increasing scores on the scale indicate an increase in the anxiety level.

    Time frame: six months

  2. pulse value

    In the study, the child's pulse value was measured from the calibrated monitor before, during and after the endoscopy procedure.

    Time frame: six months

  3. respiratory value

    In the study, the child's respiratory value was measured from the calibrated monitor before, during and after the endoscopy procedure.

    Time frame: six months

  4. oxygen saturation value

    In the study, the child's respiratory value was measured from the calibrated monitor before, during and after the endoscopy procedure.

    Time frame: six months

07

Study locations

1 site
  • Istanbul University-Cerrahpasa
    Istanbul, Avcilar 34320, Turkey (Türkiye)
08

References and documents

Individual participant data

Plan to share: No — I think it is not appropriate to share all information in terms of patient privacy.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2023 to primary completion in Sep 2024, 12 months.

Of 2,720 non-industry interventional studies with no phase under Anxiety Disorders, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 31. This study's 12 months is close to that.

Counting every sponsor, half of 2,789 studies reached it within 12 months; a quarter within 5 and three quarters within 30.

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

Registered
Nov 19, 2024
First posted
Nov 21, 2024
StartActual
Sep 15, 2023
Primary completionActual
Sep 15, 2024
CompletionEst.
Jun 15, 2025
Last update
Nov 21, 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 Nov 21, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06699745
Responsible party
Busra Inac Yilmaz (IstanbulUC, Istanbul University - Cerrahpasa) — Principal investigator
First posted
Nov 21, 2024
Start date
Sep 15, 2023
Primary completion
Sep 15, 2024
Completion
Jun 15, 2025 (estimated)
Last update
Nov 21, 2024

Study contacts

Busra Inac Yilmaz, MD
principal investigator · Istanbul University - Cerrahpasa

Oversight

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

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