ClinicalTrials.gg
CompletedNCT07796087Updated Aug 31, 2026

Three Distraction Techniques for Pain and Anxiety in Children During Allergy Skin Prick Testing

An interventional study of Animated cartoon distraction and Distraction card intervention in Procedural Pain and Procedural Anxiety, sponsored by Istanbul University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 6 Years to 10 Years. Per ClinicalTrials.gov, last updated 2026-08-31.

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

From the registry’s dates

  • Registered 6 years 9 months after the study started (first participant enrolled Nov 2019, registered Aug 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
161
Allocation
Randomized
Ages
6 Years to 10 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 78 studies in Pain, Procedural with a site in Turkey — 13 open to participants now, 13 under way, none of them phase 3. Pain, Procedural · Turkey.

Enrollment
9th of 76
161 · median 100
Started
2019
with 4 others
No phase
74 of 78
12 open now
Registered
68th of 78
by date

Among the 78 studies in Pain, Procedural with a site in Turkey, this one is the 9th largest by enrollment of the 76 interventional ones that give a count, is one of 5 that started in 2019, is one of 74 with no phase, and was the 68th registered.

Pain, Procedural

241 studies on the registry are indexed under Pain, Procedural; 64 are open to participants now.

Browse Pain, Procedural studies →

Open to participants now

13 of the 78 studies in Pain, Procedural with a site in Turkey are open now. Recruiting first, the newest first:

8 more — sign in →

All 13 open studies →

A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →

Who these studies take

Of the 29 Pain, Procedural studies recruiting now, 13 (45%) set no upper age limit and 14 (48%) stop at 75 or younger; 14 take children under 18; 5 take healthy volunteers.

This study: 6 Years to 10 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 78 studies in Pain, Procedural with a site in Turkey, or all of them as a file.
02

Study summary

This randomized controlled trial compared three distraction techniques-animated cartoons, DistrACTION® Cards, and interactive video games-with standard care for reducing procedural pain and anxiety in children aged 6-10 years undergoing allergy skin prick testing. A total of 161 children were randomly assigned to four groups. Pain was rated by the child, a parent, and the researcher with the Wong-Baker FACES Pain Rating Scale during and after the procedure, and anxiety was rated by the parent and the researcher with the Children's Fear Scale before, during, and after the procedure.

Read the detailed description

This single-center, four-arm, parallel-group randomized controlled trial was conducted in the pediatric allergy outpatient clinic of a training and research hospital in Istanbul, Turkey, between November 2019 and January 2020. Children aged 6-10 years referred for allergy skin prick testing were randomly allocated by computer-generated assignment to a cartoon group (n = 40), a DistrACTION® Cards group (n = 40), a video game group (n = 40), or a standard-care control group (n = 41). All tests were performed by the same pediatric nurse under identical conditions. Between-group differences were tested with one-way ANOVA and change over time with two-way repeated-measures ANOVA.

03

Conditions studied

  • Procedural Pain
  • Procedural Anxiety

Browse trials for

Keywords

  • child
  • distraction
  • skin prick test
  • video games
  • cartoons
  • distraction cards
04

Who can participate

Ages eligible
6 Years to 10 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

  • Aged 6-10 years
  • Referred for allergy skin prick testing
  • Consent of both child and parent
  • No analgesic use in the previous six hours
  • Able to understand the Wong-Baker FACES Pain Rating Scale and answer the card questions

Exclusion criteria

Exclusion Criteria:

  • Neurodevelopmental conditions (diagnosis of autism or intellectual disability)
  • Chronic mental, cognitive, or visual problems
  • Cognitive, visual, or hearing impairment preventing scale use
05

Study design

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

Study arms

  • Experimental
    Cartoon group (CG)

    Children watched a self-selected, age-appropriate animated cartoon on a tablet computer during the skin prick test.

    Behavioral: Animated cartoon distraction

  • Experimental
    DistrACTION® Cards group (DC)

    Children viewed DistrACTION® Cards and answered goal-directed visual-search questions asked by the researcher during the skin prick test.

    Behavioral: Distraction card intervention

  • Experimental
    Video game group (VG)

    Children played a self-selected interactive video game on a tablet with the non-tested arm during the skin prick test.

    Behavioral: Interactive video game distraction

  • No intervention
    Control group (C)

    Children received the clinic's standard protocol; the nurse explained and performed the test, and no additional distraction was provided.

Interventions

  • BehavioralAnimated cartoon distraction

    Children watched a self-selected, age-appropriate animated cartoon on a tablet computer during the skin prick test.

  • BehavioralDistraction card intervention

    Children viewed DistrACTION® Cards and answered goal-directed visual-search questions asked by the researcher during the skin prick test.

  • BehavioralInteractive video game distraction

    Children played a self-selected interactive video game on a tablet with the non-tested arm during the skin prick test.

06

What researchers measure

Primary outcomes

  1. Child-reported procedural pain

    Pain self-reported by the child on the Wong-Baker FACES Pain Rating Scale (0 = no pain to 10 = worst possible pain; higher scores indicate more pain).

    Time frame: During the skin prick test, a procedure lasting approximately 3 minutes

Secondary outcomes

  1. Child-reported pain after the procedure

    Pain self-reported by the child on the Wong-Baker FACES Pain Rating Scale (0 = no pain to 10 = worst possible pain; higher scores indicate more pain).

    Time frame: Immediately after the skin prick test, up to 15 minutes after the procedure

  2. Parent-reported pain

    Pain reported by the parent on the Wong-Baker FACES Pain Rating Scale (0 = no pain to 10 = worst possible pain; higher scores indicate more pain).

    Time frame: During the skin prick test (approximately 3 minutes) and immediately after the procedure (up to 15 minutes)

  3. Researcher-reported pain

    Pain reported by the researcher on the Wong-Baker FACES Pain Rating Scale (0 = no pain to 10 = worst possible pain; higher scores indicate more pain).

    Time frame: During the skin prick test (approximately 3 minutes) and immediately after the procedure (up to 15 minutes)

  4. Parent-reported anxiety

    Anxiety reported by the parent using the Children's Fear Scale (0 = no anxiety to 4 = severe anxiety; higher scores indicate higher anxiety).

    Time frame: Approximately 10 minutes before the skin prick test, during the test (approximately 3 minutes), and immediately after the procedure (up to 15 minutes)

  5. Researcher-reported anxiety

    Anxiety reported by the researcher using the Children's Fear Scale (0 = no anxiety to 4 = severe anxiety; higher scores indicate higher anxiety).

    Time frame: Approximately 10 minutes before the skin prick test, during the test (approximately 3 minutes), and immediately after the procedure (up to 15 minutes)

  6. Interrater agreement

    Intraclass correlation coefficient between child, parent, and researcher ratings.

    Time frame: During the skin prick test (approximately 3 minutes) and immediately after the procedure (up to 15 minutes)

07

Study locations

1 site
  • Bakirkoy Dr. Sadi Konuk Research and Training Hospital
    Istanbul, Turkey (Türkiye)
08

References and documents

Individual participant data

Plan to share: No — Individual participant data will not be shared.

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 Nov 2019 to primary completion in Jan 2020, 2 months.

Of 141 non-industry interventional studies with no phase under Pain, Procedural, half reached primary completion within 7 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 15. This study's 2 months is below that.

Counting every sponsor, half of 141 studies reached it within 7 months; a quarter within 3 and three quarters within 15.

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

Registered
Aug 24, 2026
First posted
Aug 31, 2026
StartActual
Nov 7, 2019
Primary completionActual
Jan 12, 2020
CompletionActual
Jan 21, 2020
Last update
Aug 31, 2026
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 Aug 31, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07796087
Responsible party
Leyla Erdim (Study Principal Investigator, Istanbul University) — Principal investigator
First posted
Aug 31, 2026
Start date
Nov 7, 2019
Primary completion
Jan 12, 2020
Completion
Jan 21, 2020
Last update
Aug 31, 2026

Study contacts

Leyla Erdim
principal investigator · Bakirkoy Dr. Sadi Konuk Research and Training Hospital

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 completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion