Effect of Cartoon Projection and Ball Squeezing on Pain During Venipuncture in Children
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Cartoon Projection Distraction, ball squeezing distraction.
- Who it may be relevant to
- Registry conditions: Venipuncture Pain. Basic parameters: 2 years — 12 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Iraq
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effect of Immersive Cartoon Projection and Ball Squeezing on Pain During Venipuncture Among Children: A Randomized Controlled Trial
Overview
The goal of this clinical trial is to learn which distraction method works better to reduce needle pain in children aged 4-12 years during blood draws. The main questions it aims to answer are: * Does watching cartoon videos lower children's pain more than squeezing a stress ball? * Which method do parents prefer for their children? 120 children will be randomly assigned to watch cartoons or squeeze a ball while nurses draw blood. Pain will be measured using a 0-10 pain scale right after the needle. This study will help nurses choose the best way to make blood draws less painful for children.
Detailed description
This study compares two distraction methods (cartoon projection vs. ball squeezing) to reduce venipuncture pain in children aged 4-12 years.
120 children will be randomized 1:1 to receive either immersive cartoon videos or tactile stress ball distraction during routine blood draws at Karbala Pediatric Hospital.
Pain intensity (primary outcome) will be assessed using Visual Analogue Scale (VAS, 0-10; higher=worse) immediately post-procedure.
The study protocol received ethical approval from University of Baghdad College of Nursing (No. 77, Jan 29, 2026).
Interventions
- Behavioral Cartoon Projection Distraction
Immersive cartoon videos during venipuncture' - Behavioral ball squeezing distraction
Stress ball squeezing during venipuncture'
Primary outcome measures
- Analogue Scale (VAS) Pain Score (0-10; higher scores = worse pain) [Time frame: 0-30 seconds post - venipuncture]
Secondary outcome measures (1)
- Nurse-Observed Anxiety Level (1-5 scale; higher = worse) [Time frame: During venipuncture procedure]
Eligibility criteria
Inclusion criteria
- Children aged 4-12 years
- Requiring venipuncture for routine blood testing
- Able to watch cartoon video during procedure
- Parental consent obtained
Exclusion criteria
- Developmental delay preventing cooperation
- Severe anxiety disorder
- Visual impairment
- Non-English/Arabic speaking parents
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Iraq · 1 center
- Karbala Pediatric Teaching Hospital Al-Hussein Medical City Karbala, Iraq — Karbala
Identifiers
NCT: NCT07417852 · UOB-CON-77-2026