About this trial
Children in the pediatric intensive care unit often experience pain and stress from medical procedures, even while sedated. This study will test whether playing a recording of the child's mother's voice helps reduce pain and the need for sedation medication in children aged 1 to 3 years who are on a breathing machine (mechanical ventilator). Children will be randomly placed into one of two groups: one group will listen to a 10-minute recording of their mother's voice through headphones, while the other group will receive usual care with no recording. Researchers will measure pain and comfort levels, heart rate, oxygen levels, blood pressure, and breathing rate before, during, and after the session to see if listening to the mother's voice makes a difference.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children aged 1-3 years, intubated and mechanically ventilated under sedation
No change in sedation dose within the last 24 hours
No hearing impairment in the child
Parent has no visual, hearing, or speech impairment
Disqualifiers
Children receiving care/treatment due to surgical operation or trauma
Children who experience cardiac arrest during the study
Children whose parent withdraws consent during the study
Children who are extubated during the study
Trial design
Parallel
Treatments tested in this trial
Recorded Maternal Voice
BehavioralA single \~10-minute audio recording of the child's own mother reading a children's storybook ("The Invisible String," Turkish edition) will be played once through wireless over-ear headphones at a safe listening level (50-55 dB), during a single morning session (10:00-12:00), with no other procedural interventions during playback. The recording will be made in a quiet room by an independent researcher using a digital audio recorder. Want to be notified when Claude responds?
Treatment groups
Trial outcomes
Primary outcomes
COMFORT Scale
The COMFORT Scale (full behavioral and physiological scale for assessing pain and sedation level in critically ill children) assesses eight items - alertness, calmness, respiratory response, physical movement, blood pressure, heart rate, muscle tone, and facial tension - each scored 1 to 5, yielding a total score ranging from 8 (minimum) to 40 (maximum). Higher scores indicate greater distress/pain and inadequate sedation, while lower scores indicate deeper sedation and better comfort. Scores will be compared between the maternal voice intervention group and the control group.
Sponsors and contacts
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