Video-Guided Jaw Relaxation and Breathing Exercises in Children With Burns
ConditionBurn
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age4-10
SponsorIzmir Katip Celebi University
About this trial
This randomized controlled trial aims to evaluate the effects of video-guided jaw relaxation and video-guided breathing exercises on anxiety, fear, and dressing duration in children with burns. Children aged 4-10 years receiving inpatient care in a pediatric burn unit will be randomly assigned to one of three groups: video-guided jaw relaxation, video-guided breathing exercise, or control. Children in the intervention groups will perform the assigned exercise simultaneously with a 5-minute video before burn dressing, while children in the control group will receive routine care. Anxiety and fear will be assessed at three time points: before the intervention (T1), immediately after the intervention and before dressing (T2), and immediately after dressing (T3). Dressing duration will also be recorded. The study will determine whether these brief, video-guided non-pharmacological interventions reduce anxiety and fear associated with burn dressing and affect dressing duration in children.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Children aged 4-10 years
Receiving inpatient treatment in the Pediatric Burn Unit
Having undergone at least three previous burn dressing procedures
Able to communicate in Turkish
Disqualifiers
Child or parent/legal guardian requesting withdrawal from the study
Inability to tolerate or complete the assigned video-guided jaw relaxation or breathing exercise
Development of a serious clinical complication or requirement for intensive care during data collection
Inability or refusal to comply with the study protocol, including discontinuation or refusal of the assigned intervention
Trial design
Design model
Parallel
Treatments tested in this trial
Video-Guided Jaw Relaxation
Behavioral1\. Video-Guided Jaw Relaxation Intervention Description: Children assigned to this group will receive a 5-minute video-guided jaw relaxation intervention before burn dressing. The video will demonstrate allowing the lower jaw to drop slightly, keeping the tongue relaxed on the floor of the mouth, relaxing the lips, and following a slow inhale-exhale-rest breathing rhythm. Children will be instructed to perform the demonstrated exercises simultaneously while watching the video. Immediately after the 5-minute intervention, anxiety and fear will be assessed before the dressing procedure.
Video-Guided Breathing Exercise
BehavioralChildren assigned to this group will receive a 5-minute video-guided breathing exercise before burn dressing. The video will demonstrate a slow inhale-exhale-rest breathing rhythm, and children will be instructed to perform the breathing exercise simultaneously while watching the video. The video will not include any instructions regarding relaxation of the jaw, tongue, or lips. Immediately after the 5-minute intervention, anxiety and fear will be assessed before the dressing procedure.
Treatment groups
60 Participants
are divided into 3 treatment groupsGroup A: Control GroupNo intervention 0 interventions
Group B: Video-Guided Breathing Exercise GroupActive comparator 1 intervention
Group C: Video-Guided Jaw Relaxation GroupActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Anxiety Level
Anxiety will be assessed using the Children's Anxiety Meter-State (CAM-S). The CAM-S is a visual scale designed to assess children's current state anxiety. Higher scores indicate higher levels of anxiety.
Time frame
At three time points: 15 minutes before dressing (T1), immediately before dressing following the 5-minute intervention (T2), and immediately after dressing (T3).2
Fear Level
Fear will be assessed using the Child Fear Scale (CFS), which consists of five facial expressions ranging from 0 (no fear) to 4 (severe fear). Higher scores indicate higher levels of fear.
Time frame
At three time points: 15 minutes before dressing (T1), immediately before dressing following the 5-minute intervention (T2), and immediately after dressing (T3).Secondary outcomes
1
Wound Dressing Duration
The total duration of the burn dressing procedure will be measured using a stopwatch. The measurement will begin at the start of the dressing procedure and end when the dressing procedure is completed. Dressing duration will be recorded in minutes.
Time frame
During the burn dressing procedureLocations
Sponsors and contacts
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Source ClinicalTrials.gov
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