Effect of Hand Puppet and Squeeze Toys on IV Placement in Pediatric Oncology Patients

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age6-10
SponsorAkdeniz University

About this trial

This randomized controlled trial investigates hand puppet and squeeze toy techniques to reduce fear, emotional distress, and procedure time, and improve IV catheter placement success in 90 pediatric hematology-oncology patients (ages 6-10). Participants will be randomized into three groups: hand puppet, squeeze toy, or control. Outcomes include fear, emotional expression, procedure duration, number of attempts, and first-attempt success.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Performing a Hand Puppet to Music

    Other intervention

    Children interact with a hand puppet chosen according to their preference during IV catheter placement. The puppet's playful movements and music aim to distract and reduce fear and emotional distress.

  • Hand Squeezing Soft Toy (Squishy)

    Other intervention

    Children will receive a soft, colorful squeeze toy in their non-procedure hand during IV catheter placement. They will be encouraged to rhythmically squeeze and release the toy, which engages their attention, reduces fear and distress, and helps them keep the procedure hand still. The toy is chosen by the child, hygienically managed, and given as a gift afterward. This simple, low-cost intervention aims to improve cooperation and IV placement success.

Treatment groups

90 Participants
are divided into 3 treatment groups
Group A: Hand PuppetExperimental treatment 1 intervention
Group B: Squeeze ToyExperimental treatment 1 intervention
Group C: ControlNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Procedure duration

Time from start to successful IV catheter placement.

Time frame
During procedure
2

Number of IV catheter attempts:

Recorded for each peripheral IV catheter placement.

Time frame
During the IV procedure

Secondary outcomes

1

Children's Fear Scale

A 5-point visual scale (0 = no fear, 4 = extreme fear) measuring children's anxiety and fear before and after the procedure. Applicable for children aged 5-10, can be completed by the child or observer.

Time frame
Measured before and immediately after IV catheter placement
2

Children's Emotional Manifestation Scale

Observational tool evaluating emotional responses during stressful medical procedures across five categories (facial expression, vocalization, activity, interaction, cooperation). Each category scored 1-5; total score 5-25, with higher scores indicating more negative emotional responses.

Time frame
During procedure

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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