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The Effect of a Drama-Based Coloring Storybook on Children's Fear, Anxiety, and Pain Management in the Perioperative Process: "Alican's Brave Journey"

The Effect of a Drama-Based Coloring Storybook on Children's Fear, Anxiety, and Pain Management in the Perioperative Process: "Alican's Brave Journey"

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07414628
Enrollment
72
Registered
2026-02-17
Start date
2026-02-01
Completion date
2026-12-15
Last updated
2026-02-17

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

Conditions

Fear, PAİN, Preoperative Anxiety

Keywords

Drama, Storybook, Pediatric, Pain, Anxiety

Brief summary

This randomized controlled study aims to evaluate the effect of a drama-based coloring storybook on children's fear, anxiety, and pain management during the perioperative process. The study will be conducted with children aged 6-9 years who are scheduled for elective surgery. Participants will be randomly assigned to either an intervention group receiving the drama-based coloring storybook or a control group receiving routine preoperative care. Levels of fear, anxiety, and pain will be assessed using validated measurement tools at predefined perioperative time points. The findings are expected to contribute to evidence-based, child-centered perioperative care practices.

Detailed description

This study is a randomized controlled trial designed to examine the effectiveness of a drama-based coloring storybook intervention in reducing fear and anxiety and improving pain management in children during the perioperative process. The study population consists of children aged 6-9 years undergoing elective surgical procedures. Participants will be randomly allocated to either an intervention group or a control group. Children in the intervention group will receive a drama-based coloring storybook titled "Alican's Brave Journey", which introduces the perioperative process through age-appropriate language, illustrations, and interactive coloring activities. The storybook will be administered in the preoperative period by the researcher. The control group will receive routine preoperative care provided by the hospital. Children's fear, anxiety, and pain levels will be measured using validated assessment tools at preoperative and postoperative stages. The study aims to provide evidence on the effectiveness of drama-based educational materials in pediatric perioperative care.

Interventions

BEHAVIORALDrama-Based Coloring Storybook Intervention

Children aged 6-9 years in the experimental group receive a drama-based coloring storybook before surgery. The storybook, titled "Alican's Brave Journey," is designed to prepare children for the perioperative process through age-appropriate storytelling, coloring activities, and dramatic elements. The intervention is administered once during the preoperative period under the supervision of the researcher and aims to reduce preoperative fear, anxiety, and perceived pain.

Sponsors

Bingol University
Lead SponsorOTHER
Ataturk University
CollaboratorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Masking description

Participants were blinded to group allocation in order to reduce expectation bias. Due to the nature of the intervention, the care provider and the investigator were aware of the assigned groups. Outcome assessments were conducted using standardized self-report scales completed by the participants.

Intervention model description

Participants will be randomly assigned to either an intervention group receiving a drama-based coloring storybook or a control group receiving routine preoperative care.

Eligibility

Sex/Gender
MALE
Age
6 Years to 9 Years
Healthy volunteers
No

Inclusion criteria

* Children aged 6-9 years. * Children scheduled for surgery due to circumcision. * Children who have not undergone previous surgery. * Children without vision, hearing, or speech problems.

Exclusion criteria

* Children who have undergone previous surgery. * Children with vision, hearing, or speech problems.

Design outcomes

Primary

MeasureTime frameDescription
Preoperative Anxiety Level in ChildrenOne hour before surgery and 10 minutes before surgery (prior to anesthesia induction)Preoperative anxiety will be assessed using the Modified Yale Preoperative Anxiety Scale - Short Form (mYPAS-SF), a validated observational scale consisting of 22 items across five domains: activity, speech, emotional expressivity, state of arousal, and interaction with family members. Total scores range from 23.33 to 100, with higher scores indicating greater anxiety.
Fear Level in ChildrenOne hour before surgery, 10 minutes before surgery (prior to anesthesia induction), and one hour after surgeryFear levels will be assessed using the Children's Fear Scale (CFS), a validated self-report scale for children. The scale consists of five facial expressions scored from 0 to 4, with higher scores indicating greater fear.
Postoperative Pain Level in ChildrenOne hour after surgeryPostoperative pain will be assessed using the Wong-Baker FACES Pain Rating Scale, a validated self-report pain scale for children. The scale ranges from 0 to 5, where 0 indicates no pain and 5 indicates the worst pain. Higher scores indicate greater pain intensity

Contacts

CONTACTYusuf B Budak, PhD Student
ybudak@bingol.edu.tr+90 545 961 30 33

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026