The Effect of Health Riddles on Fear, Anxiety, and Pain in Circumcised Children
Led by Gümüşhane Universıty · Updated on 2025-07-08
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4 weeks
Total Duration
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What this Trial Is About
Researchers are studying how health-themed puzzles affect fear, anxiety, and pain levels in boys aged 4 to 6 who are undergoing circumcision. The trial compares children who receive standard care with those who interact with either general fun riddles or health-related riddles before surgery. The goal is to see if health riddles can help reduce negative feelings during the pre- and postoperative periods.
Children in the study are randomly assigned to one of three groups: a control group receiving usual care, a group given general fun riddles, and a group given health-related riddles designed to lower fear and anxiety. About one hour before circumcision, children in the riddle groups spend 20-30 minutes reading riddles or engaging with researchers. The study measures fear, anxiety, and pain levels before and after the procedure.
Participants will be assessed using the Introductory Information Form, Children's Fear Scale, Children's Anxiety Scale-State, and Wong-Baker Facial Pain Scale over a period of up to four weeks. Researchers will observe children's interest and behavior during the intervention and compare results across groups. The study runs until November 2026 and is sponsored by Gümüşhane University.
CONDITIONS
Brief Title
The Effect of Health Riddles on Fear, Anxiety, and Pain in Circumcised Children
Who Can Participate
Age: 4Years - 6Years
MALE
Eligibility Criteria
You may qualify if you...
Children who apply to Gümüşhane State Hospital Pediatric Surgery Department for circumcision
Children between the ages of 4-6
Not having had any previous surgical intervention
Not having any problems with vision, hearing or speech
Written consent given by a parent or legal guardian
Not having health problems that could affect the research results, such as chronic disease or developmental delay
The child and his/her family being open to communication and willing to cooperate during the study participation process
You will not qualify if you...
If the child or family does not want to continue the research
If there is a sudden and serious deterioration in the child's health
If participants do not comply with the research protocol, do not use the provided materials or do not participate in the measurements and do not continue
If unexpected complications develop during the circumcision procedure
If it is determined that the rights of the participants have been violated in accordance with ethical rules
In these cases, the participant will be removed from the research and appropriate health care will be provided where necessary
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Approximately 1 hour on the day of circumcision
Participants will receive either standard care, general fun riddles, or health-related riddles approximately 1 hour before the circumcision procedure. The intervention involves reading and interacting with the assigned riddles for about 20-30 minutes to help reduce fear and anxiety.
1 visit (in-person)
Post-operative Follow-up
Duration - Up to 4 weeks
Participants' fear, anxiety, and pain levels are measured before and after the intervention and followed for up to 4 weeks after circumcision to assess outcomes.
Follow-up visits as needed within 4 weeks
Trial Site Locations
Total: 1 location
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Baglarbasi District Shahbenders District Cluster Houses No.56/B Center/Gumushane
The effect of nursing interventions with therapeutic play and video animations prepared with psychodrama technique in reducing fear, anxiety, and pain of children at male circumcision: A randomized controlled study.