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During Inhaler Application, Children Were Given Stress Ball and Storybook Reading Interventions

The Effects of Stress Ball and Storybook Reading During Inhaler Application on Fear and Anxiety in Children

Status
Not yet recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07073625
Enrollment
99
Registered
2025-07-18
Start date
2025-08-01
Completion date
2026-02-01
Last updated
2025-07-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Inhalation Therapy

Keywords

Inhalation therapy, Fear, Anxiety, Stress Ball, Reading Storybook, Child

Brief summary

It aims to examine the effects of stress ball and book reading methods on children's fear and anxiety levels during inhalation.

Detailed description

Ninety-nine volunteer children aged 5-6 who will receive inhalation therapy will be randomly assigned to three groups: stress ball, storybook reading, and control. Children will be assessed before, during, and after the procedure. Inhalation-related fear will be assessed using the Children's Fear Scale, and anxiety will be assessed using the Children's State Anxiety Scale. Furthermore, children's demographic data will be recorded on the Information Form.

Interventions

OTHERStress Ball

Children arriving at the hospital's emergency department and meeting the study criteria will be randomly assigned to the stress ball group. Before inhalation therapy, the child will begin squeezing the chosen stress ball. This will distract their attention, transforming the frightening hospital environment into a fun one. The questionnaires will be completed by the nurse and family five minutes before, during, and after the inhalation therapy.

OTHERReading Storybook

The storybook for the children will be selected by child psychologists. The book will be read to the children by their parents. The storybook reading will begin 15 minutes before the inhalation therapy and will be completed before the treatment begins. The storybook will be read to the children only once.

Sponsors

Ataturk University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
5 Years to 6 Years
Healthy volunteers
No

Inclusion criteria

* No audiovisual impairment, * Being open to communication and * Must be accompanied by a parent.

Exclusion criteria

* Having special needs, * Having an audio-visual impairment, * Learning difficulties or mental retardation and * Children whose parents do not agree to participate in the study.

Design outcomes

Primary

MeasureTime frameDescription
Demographic Information FormBaselineIt is a form consisting of a total of 13 questions including the child's age, gender, diagnosis, duration of treatment, number of treatments (How many times did the child come to the clinic?), the status of receiving information about dental treatment and the person who received the information, the education level and occupation of the mother and father, the place where the family lives and the economic situation. It was prepared by the researchers in line with the literature.
Child anxiety Scale-StateBaseline and up to 4 weeksChild Anxiety Scale-State scale developed by Ersig et al. in 2013 measures the state anxiety of children aged 4-10 years. In 2017, Gerceker et al. carried out Turkish validity study for the scale. CAS-S (State) is designed as a thermometer. At the bottom is the bulb chamber, and upward are horizontal lines. Each horizontal line represents a score, and the thermometer has 10 points. The bulb chamber at the bottom is 0 points and indicates that there is no anxiety. It is interpreted as the rise of anxiety as it rises upwards. The peak is worth 10 points and refers to the highest anxiety.
Child Fear ScaleBaseline and up to 4 weeksThis scale was developed by McMurtry et al. in 2011. In 2018, Gerceker et al. carried out a Turkish validity study for the scale. The scale is aimed at children aged 5-10 years. The facial muscle changes in fearful expressions are drawn by a graphic artist based on photos of frightened faces. In this scale, the child is shown a scale containing five facial expressions that are evaluated between 0 and 4 points. While 0 point refers to no fear; 4 points refers to the highest fear.

Countries

Turkey (Türkiye)

Contacts

Primary ContactZülbiye DEMİR BARBAK, 1
zulbiye.demir@atauni.edu.tr+905435164229
Backup ContactSultan Esra SAYAR, Lecturer
esra.tedik@atauni.edu.tr+905302935474

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026