Making inhalation therapy less scary for preschool children using distraction

Effects of Two Different Distraction Methods on Fear and Anxiety Levels in Preschool Children Receiving Inhalation Treatment

Not applicable Interventional Ataturk University · NCT06874491

This project will test whether a movable 3D book or a hand puppet helps 4–6-year-olds feel less afraid and anxious during their first inhalation therapy.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment126 (estimated)
Ages4 Years to 6 Years
SexAll
SponsorAtaturk University Academic / other
Locations1 site (Erzurum)
Trial IDNCT06874491 on ClinicalTrials.gov

What this trial studies

This randomized controlled trial will compare a specially designed movable 3D book and a hand puppet as distraction methods for preschool children receiving inhalation therapy. Children aged 4–6 who receive inhalation therapy for the first time in the pediatric emergency department at Erzincan Mengücek Gazi Education and Research Hospital will be randomly assigned to one of the two intervention groups. The 3D book includes animated models of masks, nebulizers, medication vials, nurses, and the treatment environment to attract attention, while the puppet is used to provide interactive distraction during mask placement. Fear and anxiety will be measured using a questionnaire, the Child Fear Scale, and the Child Anxiety Scale-State before and after the intervention.

Who should consider this trial

Good fit: Children aged 4–6 who are receiving inhalation therapy for the first time, have no developmental disability or chronic disease, have not used sedatives/analgesics/narcotics in the prior 24 hours, and are accompanied by a parent.

Not a fit: Children outside the 4–6 age range, those with developmental disabilities or chronic diseases, those with recent sedative/analgesic/narcotic use, or those who have previously received inhalation therapy are unlikely to be eligible or to benefit from these specific distraction methods.

Why it matters

Potential benefit: If successful, these low-cost distraction tools could reduce fear and anxiety during inhalation therapy and make the procedure easier for children and caregivers.

How similar studies have performed: Similar non-pharmacological distraction methods (books, puppets, and other attention-focused techniques) have previously shown benefit in reducing procedural fear and anxiety in children, so this study builds on existing positive findings.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* -Being between 4-6 years old
* Not having a developmental disability
* Not having a history of sedative, analgesic or narcotic substance use within 24 hours before application
* Receiving inhalation therapy for the first time
* Not having a chronic disease
* Children who are accompanied by their mother or father during the procedure will be included in the study.

Exclusion Criteria:

* Being under 4 years old or over 6 years old
* having a chronic disease

Where this trial is running

Erzurum

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Fear Anxiety
Last reviewed 2026-06-15 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.