Evaluating Cartoons and Breath-Synchronized Storytelling to Reduce Fear and Improve Comfort During Nebulizer Treatment in Children Ages 6 to 9

What this Trial Is About

Researchers are evaluating non-drug nursing methods to help children aged 6 to 9 years reduce fear and anxiety during nebulizer inhalation therapy. The study focuses on how cartoons and breath-synchronized interactive storytelling might improve comfort and emotional behavior compared to standard care. This approach aims to address the stress and discomfort children often feel due to mask use and device noise during treatment. Children are randomly assigned to one of three groups watching a calm, age-appropriate cartoon on an iPad during treatment receiving breath-synchronized, interactive storytelling led by an experienced nurse to align with their breathing or undergoing standard care with no additional distractions. The interventions are given during nebulizer medication sessions, and standard care includes explanations of the device but no distraction techniques. Participants will be assessed before, immediately after, and two minutes after treatment using fear, emotional behavior, and comfort scales designed for children. The study includes monitoring of emotional and physiological responses during therapy. Written consent is obtained from parents, and children receive explanations suitable for their age. The entire process is conducted respecting childrens willingness to participate without coercion.

Effects of Cartoons & Interactive Storytelling on Fear and Comfort in 6-9 Year Olds During Nebulizer Treatment