ClinicalTrials.gg
Not yet recruitingNCT07736664Updated Aug 12, 2026

Effects of Different Transport Methods on Preoperative Anxiety and Fear in Preschool Children

An interventional study of Operating Room Transport by Walking with Parent and Operating Room Transport by Stretcher in Preoperative Anxiety, Preoperative Fear and Pediatric Surgery, sponsored by Ege University. Not yet recruiting. Open to participants aged 3 Years to 6 Years. Per ClinicalTrials.gov, last updated 2026-08-12.

Sponsored by Ege University · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
3 Years to 6 Years
Sex
All
01

Study summary

Preoperative anxiety and fear are common among preschool children undergoing surgery and may negatively affect perioperative cooperation and postoperative recovery. This study aims to evaluate the effects of three different operating room transport methods (walking with a parent, stretcher transport, and battery-powered ride-on car transport) on preoperative anxiety and fear levels in preschool children undergoing day surgery. The findings are expected to contribute to the development of child-friendly, non-pharmacological interventions to improve the perioperative experience of children.

Read the detailed description

Preoperative anxiety is frequently observed in preschool children undergoing surgical procedures. The unfamiliar hospital environment, separation from parents, and fear of anesthesia and surgery may increase children's anxiety and fear before surgery. Elevated preoperative anxiety has been associated with poor cooperation during anesthesia induction, increased postoperative pain, maladaptive behavioral changes, and delayed recovery.

Several non-pharmacological interventions have been developed to reduce children's anxiety before surgery. Among these, distraction techniques and child-friendly environmental modifications have shown promising results. Transporting children to the operating room using battery-powered ride-on cars has recently emerged as an innovative distraction strategy that may transform the transport process into a playful experience.

This controlled study aims to compare three different operating room transport methods in preschool children undergoing elective day surgery: routine transport by walking with a parent, transport by stretcher, and transport using a battery-powered ride-on car. Preoperative anxiety and fear will be assessed using validated pediatric assessment tools before surgery. The study findings may provide evidence for the effectiveness of child-friendly transport methods in reducing preoperative anxiety and fear and support the implementation of non-pharmacological interventions in pediatric surgical care.

02

Conditions studied

  • Preoperative Anxiety
  • Preoperative Fear
  • Pediatric Surgery
  • Day Surgery

Keywords

  • Preschool Children
  • Operating Room Transport
  • Battery-Powered Ride-on Car
  • Stretcher Transport
  • Preoperative Anxiety
  • Preoperative Fear
  • Non-pharmacological Intervention
  • Pediatric Surgery
  • Day Surgery
03

In context

Lead sponsor

Ege University is the lead sponsor of 377 studies on the registry; 48 are open to participants now.

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

04

Who can participate

Ages eligible
3 Years to 6 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

  • Children aged 3-6 years (36-72 months)
  • Scheduled to undergo elective surgery in the Department of Pediatric Surgery
  • Able to communicate appropriately for their age
  • Have sufficient cognitive development to respond to the study assessment scales
  • Child and parent/legal guardian are able to speak and understand Turkish
  • Written obtained from the child's legal guardian (and child assent obtained when appropriate)

Exclusion criteria

Exclusion Criteria:

  • Presence of visual, hearing, or communication impairments that could interfere with study participation
  • Receipt of premedication requiring sedation due to an emergency condition
  • Presence of severe pain that could affect anxiety assessment before surgery
  • Inability to safely use the battery-powered ride-on car because of physical or mobility limitations before surgery
  • Withdrawal of consent by the child's legal guardian or the child's unwillingness to continue participation
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

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05

Study design

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

Study arms

  • Active comparator
    Routine Walking with Parent

    Participants are transported to the operating room by walking with a parent according to the hospital's routine practice.

    Procedure: Operating Room Transport by Walking with Parent

  • Experimental
    Stretcher Transport

    Participants are transported to the operating room using a stretcher.

    Procedure: Operating Room Transport by Stretcher

  • Experimental
    Battery-Powered Ride-on Car Transport

    Participants are transported to the operating room using an age-appropriate battery-powered ride-on car accompanied by the researcher.

    Procedure: Operating Room Transport by Battery-Powered Ride-on Car

Interventions

  • ProcedureOperating Room Transport by Walking with Parent

    Participants are transported to the operating room by walking with a parent according to the hospital's routine practice.

  • ProcedureOperating Room Transport by Stretcher

    Participants are transported to the operating room using a stretcher.

  • ProcedureOperating Room Transport by Battery-Powered Ride-on Car

    Participants are transported to the operating room using an age-appropriate battery-powered ride-on car accompanied by the researcher.

06

What researchers measure

Primary outcomes

  1. Preoperative Anxiety Level

    Preoperative anxiety levels will be assessed using the Children's Anxiety Scale-State (CAS-S), a visual thermometer-like scale with scores ranging from 0 to 10. Higher scores indicate higher levels of state anxiety. Scores will be compared among preschool children transported to the operating room by walking with a parent, stretcher, or battery-powered ride-on car.

    Time frame: Immediately before transfer to the operating room (preoperative period).

Secondary outcomes

  1. Preoperative Fear Level

    Preoperative fear levels will be assessed using the Children's Fear Scale (CFS), which consists of five facial expressions and is scored from 0 to 4. A score of 0 indicates no fear, while a score of 4 indicates severe fear. Higher scores indicate higher levels of fear. Scores will be compared among preschool children transported to the operating room by walking with a parent, stretcher, or battery-powered ride-on car.

    Time frame: Immediately before transfer to the operating room (preoperative period)

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07736664
Lead sponsor
Ege University
Responsible party
İlayda Tekelioğlu (Master's Student, Ege University) — Principal investigator
First posted
Jul 30, 2026
Start date
Jul 31, 2026 (estimated)
Primary completion
Jul 31, 2027 (estimated)
Completion
Jul 31, 2027 (estimated)
Last update
Aug 12, 2026

Study contacts

İlayda Tekelioğlu
Contact
ilaydatekelioglu@gmail.com
+905512559774
Nurdan Akçay Didişen, PhD
principal investigator · Ege University

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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