--- title: Fear, Emotional Behaviors and Parental Care Satisfaction Related to Inhalation Therapy nct_id: NCT07442019 overall_status: COMPLETED phase: NA sponsor: Karamanoğlu Mehmetbey University study_type: INTERVENTIONAL primary_condition: Child, Only countries: Turkey (Türkiye) canonical_url: "https://parkinsonspathways.com/agent/trials/NCT07442019.md" clinicaltrials_gov: "https://clinicaltrials.gov/study/NCT07442019" ct_last_update_post_date: 2026-03-02 last_seen_at: "2026-05-12T06:30:38.484Z" source: ClinicalTrials.gov (mirrored, no enrichment) --- # Fear, Emotional Behaviors and Parental Care Satisfaction Related to Inhalation Therapy **Official Title:** Effects of Finger Puppet, Video Game and Stress Ball on Fear, Emotional Behaviors and Parental Care Satisfaction Related to Inhalation Therapy in 4-6 Year Old Children **NCT ID:** [NCT07442019](https://clinicaltrials.gov/study/NCT07442019) ## Key Facts - **Status:** COMPLETED - **Phase:** NA - **Study Type:** INTERVENTIONAL - **Target Enrollment:** 120 - **Lead Sponsor:** Karamanoğlu Mehmetbey University - **Conditions:** Child, Only, Fear, Pediatric Nursing, Emotions - **Start Date:** 2024-01-01 - **Completion Date:** 2025-01-01 - **CT.gov Last Update:** 2026-03-02 ## Brief Summary This study aim to determine the effect of finger puppet, video game or stress ball methods on the fear levels, emotional behaviors and parental care satisfaction of children aged 4-6 years due to inhaler treatment. ## Detailed Description This study was conducted in a randomized, experimental research design. The study was conducted in the pediatric emergency unit of a public hospital with 120 children between January 2024-2025. The finger puppet, stress ball, and video game groups each have 40 children. The inclusion criteria are: the child must be between 4-6 years old, receive inhaler treatment via mask, not have received inhaler treatment for the last 6 months, receive bronchodilator medications as part of inhaler treatment, have no vision or speech problems, have no hearing problems, both the child and the parent must speak and understand Turkish fluently, and the child must be willing to participate in the study, with the families agreeing to participate in the research and signing the informed consent form. Data were collected using the descriptive information form, child fear scale, children's emotional manifestation scale and PedsQL health care satisfaction scale. It was found that finger puppet and video game were more effective on emotional values during inhaler treatment procedure in children compared to stress ball. ## Eligibility - **Minimum age:** 4 Years - **Maximum age:** 6 Years - **Sex:** ALL - **Healthy Volunteers:** Yes ``` Inclusion Criteria: * the child being between 4-6 years old, * receiving inhaler treatment via mask, * not having received inhaler treatment for the last 6 months, * receiving bronchodilator medications as part of inhaler treatment, * having no vision or speech problems, * having no hearing problems, * the child and parent being able to speak and understand Turkish fluently, * being willing to participate in the study, and the families agreeing to participate in the research and signing the informed consent form. Exclusion Criteria: * the child receiving medications other than bronchodilators as part of inhaler treatment, * the child and parent not being able to speak or understand Turkish fluently, and not being willing to participate in the study. ``` ## Arms - **Finger Puppet** (EXPERIMENTAL) — A "Finger Puppet Scenario Text" was prepared for use with children during inhaler treatment. The finger puppets used in the study were designed specifically for this research, being colorful and wearable on the finger for both boys and girls. This scenario text and the puppets were evaluated by experts. In the finger puppet application, the researcher introduced the finger puppets to the children before inhaler treatment. Then, the finger puppet scenario was implemented by the researcher. This stage lasted approximately 10 minutes. During inhaler treatment, as outlined in the finger puppet scenario text, the puppet remained silent and in a sleep mode (silent play) throughout the treatment, depending on the cooperation between the child and the puppet. The Child Fear Scale and the Emotional Indicators Scale were evaluated and recorded before, during, and after inhaler treatment. The PedsQL Healthcare Satisfaction Scale was evaluated at the end of inhaler treatment. - **Video Game** (EXPERIMENTAL) — The video game used in the study was selected from among the children's parent's mobile phones and chosen by the child themselves. Ten minutes before the start of inhaler treatment, the video game was introduced and explained, and the child was asked to start playing and continue playing the video game throughout the inhaler treatment. The video game playing time lasted approximately 10 minutes. During inhaler treatment, children in the video game group were allowed to play the video game. The mask remained on the child while playing the video game. The Child Fear Scale and Emotional Indicators Scale were evaluated and recorded before, during, and after inhaler treatment. The PedsQL Healthcare Satisfaction Scale was evaluated at the end of inhaler treatment. - **Stress Ball** (EXPERIMENTAL) — In this study, a stress ball was chosen that was soft and sized appropriately for the child's hand. Children in the stress ball group were given a stress ball before the procedure and asked to squeeze it during the procedure. Ten minutes before the start of inhaler treatment, the child was given the stress ball, introduced to it, and asked to squeeze, release, and play with it. The Child Fear Scale and the Emotional Indicators Scale were evaluated and recorded before, during, and after inhaler treatment. The PedsQL Healthcare Satisfaction Scale was evaluated at the end of inhaler treatment. ## Interventions - **Finger Puppet** (OTHER) — Finger Puppet - **Video Game** (OTHER) — Video Game - **Stress Ball** (OTHER) — Stress Ball ## Primary Outcomes - **child fear scale** _(time frame: The child was assessed 5 minutes before inhaler treatment. The child was assessed during inhaler treatment. The child was also assessed immediately after inhaler treatment was completed.)_ — The scale can be used to determine the level of fear in children aged 4-10 years. It is administered by showing the child five facial expressions, ranging from a neutral expression ("0") to a frightened face ("4"). - **children's emotional manifestation scale** _(time frame: The child was assessed 5 minutes before inhaler treatment. The child was assessed during inhaler treatment. The child was also assessed immediately after inhaler treatment was completed.)_ — The scale can evaluate children's emotional indicators based on five parameters. These five parameters are: facial expression, vocal activity, interaction, and level of cooperation. - **PedsQL health care satisfaction scale** _(time frame: Parents were asked to evaluate and record their satisfaction with the PedsQL Healthcare Satisfaction Scale immediately after the inhaler treatment was completed.)_ — The scale includes six main categories: information, family involvement, communication, technical skills, emotional needs, and overall satisfaction. The scale is evaluated based on the understanding that higher scores indicate higher satisfaction levels. ## Locations (1) - Public Hospital, Karaman, Turkey (Türkiye) ## Recent Field Changes (last 30 days) - `status.overallStatus` — added _(2026-05-12)_ - `status.primaryCompletionDate` — added _(2026-05-12)_ - `status.completionDate` — added _(2026-05-12)_ - `status.lastUpdatePostDate` — added _(2026-05-12)_ - `design.phases` — added _(2026-05-12)_ - `design.enrollmentCount` — added _(2026-05-12)_ - `eligibility.criteria` — added _(2026-05-12)_ - `eligibility.minAge` — added _(2026-05-12)_ - `eligibility.maxAge` — added _(2026-05-12)_ - `eligibility.sex` — added _(2026-05-12)_ - `outcomes.primary` — added _(2026-05-12)_ - `armsInterventions.arms` — added _(2026-05-12)_ - `armsInterventions.interventions` — added _(2026-05-12)_ - `sponsor.lead` — added _(2026-05-12)_ - `results.hasResults` — added _(2026-05-12)_ - `locations.public hospital|karaman||turkey (türkiye)` — added _(2026-05-12)_ --- *Canonical: https://parkinsonspathways.com/agent/trials/NCT07442019.md* *Source data (authoritative): https://clinicaltrials.gov/study/NCT07442019* *This page is a raw mirror with no AI summary, no editorial enrichment, and no Parkinson's-specific filtering.*