Clinical trial Recruiting at 1 site Interventional Ages 4 to 6 Men only

Health-themed riddles to reduce fear, anxiety, and pain in circumcised boys

Official title: The Effect of Health Riddles on Fear, Anxiety, and Pain in Circumcised Children

Run by Gümüşhane Universıty · NCT07052955 · Data updated 2026-11-12

This trial will try short health-themed riddles with boys aged 4–6 having circumcision to see if the riddles lower their fear, anxiety, and pain.

Quick facts

Study typeInterventional
Ages4 Years to 6 Years
SexMen only
Enrollment120 (estimated)
SponsorGümüşhane Universıty
Academic / other
Locations1 site (Gümüşhane, Center)
StatusRecruiting
StartedJuly 10, 2025
Main results expectedOctober 10, 2026
Study endsNovember 10, 2026
Registry record updatedJuly 8, 2025
Trial IDNCT07052955 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Boys aged 4–6 scheduled for circumcision at the participating center who have no prior surgeries, no vision/hearing/speech problems, no chronic disease or developmental delay, and whose parent or guardian can give written consent.

Probably not a fit

Children with chronic medical or developmental conditions, sensory or communication impairments, prior surgical experience, or who cannot engage with the riddle materials are unlikely to benefit from this intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Children aged 4–6 scheduled for circumcision at Gümüşhane State Hospital are randomly assigned to one of three groups: standard care, general fun riddles, or health-focused riddles that include medical information presented playfully. Fear, state anxiety, and pain are measured before and after the procedure using the Children's Fear Scale, the Children's Anxiety Scale-State, and the Wong-Baker Facial Pain Scale. The intervention is delivered preoperatively and participation requires parent or guardian consent and no prior surgical or major developmental history. Outcomes compare the three groups to see whether health riddles reduce pre- and postoperative fear, anxiety, and pain.

Why it matters

Potential benefit: If successful, a simple, low-cost health-riddle intervention could reduce children's fear, anxiety, and pain around circumcision and make the experience easier for families.

How similar studies have gone: Other distraction, play-based, and preparatory interventions have reduced pediatric preoperative anxiety and pain, but using health-specific riddles is a relatively novel approach with limited direct evidence.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 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

Exclusion Criteria:

* 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.

Where it's running

  • Baglarbasi District Shahbenders District Cluster Houses No.56/B Center/Gumushane
    Gümüşhane, Center, Turkey (Türkiye)
    Recruiting

Study contacts

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.