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The Effect of Progressive Relaxation Exercises With Therapeutic Clown

The Effect of Progressive Relaxation Exercises With Therapeutic Clown in Preoperative Period on Fear Anxiety and Physiological Parameters in Children

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07525388
Enrollment
162
Registered
2026-04-13
Start date
2025-03-25
Completion date
2026-06-30
Last updated
2026-07-07

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

Conditions

Anxiety, Fear, Relaxation Exercise, Surgery, Therapeutic Clown

Keywords

therapeutic clown, relaxation exercise, fear, anxiety, surgery

Brief summary

This study was conducted to investigate the effects of progressive relaxation exercises, performed with the assistance of a therapeutic clown during the pre-operative period, on fear, anxiety and physiological parameters in children. This randomised controlled trial included children aged 6-10 years undergoing circumcision surgery. The children were randomised into three groups: a progressive relaxation exercise group led by a therapeutic clown, a progressive relaxation group led by a nurse, and a control group. Fear, anxiety and physiological parameters (heart rate, respiratory rate, blood pressure, oxygen saturation) were assessed before and after the procedure.

Interventions

OTHERRelaxation exercise group led by a therapeutic clown

Relaxation exercises help to reduce psychological pressure and tension in individuals by highlighting the difference between relaxation and tension. The therapeutic clown facilitates the release of endorphins, thereby promoting relaxation in situations that cause psychological tension. The combination of the two can create a synergistic effect.

OTHERThe relaxation exercise group led by a research nurse

Relaxation exercises help to reduce psychological pressure and tension in individuals by highlighting the difference between relaxation and muscle tension.

Sponsors

Ataturk University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
MALE
Age
6 Years to 10 Years
Healthy volunteers
No

Inclusion criteria

* Aged between 6 and 10 years, * Willing to participate in the study, * Admitted to the clinic for elective circumcision surgery, * Accessible prior to surgery, * With no cognitive impairments, * With no vision or hearing problems were included in the study.

Exclusion criteria

* Children who wished to withdraw from the study during the study period were excluded.

Design outcomes

Primary

MeasureTime frameDescription
Children's Anxiety Scaleup to 1 yearThe Children's Anxiety Scale - State Anxiety Scale measures state anxiety in children. The CAS-S (State Anxiety) is designed in the form of a thermometer. It consists of a bulb at the bottom and horizontal lines extending upwards. Each horizontal line represents one point, and the thermometer has a total of 10 points.
Children's Fear Scaleup to 1 yearThe Paediatric Fear Scale is used to measure fear in children undergoing painful medical procedures. The Paediatric Fear Scale is a 0-4 scale featuring five faces ranging from a neutral expression (0 = no anxiety) to a fearful face (4 = severe anxiety).

Countries

Turkey (Türkiye)

Contacts

CONTACTSümeyye Ekici
ekicisumeyye@atauni.edu.tr+90442231111

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 8, 2026