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CTRI Number  CTRI/2026/03/105295 [Registered on: 03/03/2026] Trial Registered Prospectively
Last Modified On: 02/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Impact of Nurse-Facilitated Distraction Strategies]  
Study Design  Other 
Public Title of Study   Nurse-Facilitated Distraction Strategies on Post-Operative Pain, Anxiety and Maternal Satisfaction After Childrens Surgery 
Scientific Title of Study   Impact of Nurse-Facilitated Distraction Strategies on Post-Operative Pain, Anxiety and Maternal Satisfaction among Children: A hospital based study 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sanjay L Alagundi 
Designation  Senior Tutor 
Affiliation  DR. Prabhakar Kore Hospital and MRC Nehru Nagar Belagavi 
Address  Ground floor pediatric surgery ward DR. Prabhakar Kore Hospital and MRC Nehru Nagar Belagavi

Belgaum
KARNATAKA
590010
India 
Phone  7259999150  
Fax    
Email  sanjay.alagundi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Gavisidayya Salimath 
Designation  Professor and HOD 
Affiliation  KAHER Institute of Nursing Sciences Belagavi 
Address  KAHER Institute of Nursing Sciences Nehru Nagar Belagavi

Belgaum
KARNATAKA
590010
India 
Phone  9480033476  
Fax    
Email  gavisalimath@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sanjay L Alagundi 
Designation  Senior Tutor 
Affiliation  KAHER Institute of Nursing Sciences Belagavi 
Address  KAHER Institute of Nursing Sciences Nehru Nagar Belagavi

Belgaum
KARNATAKA
590010
India 
Phone  7259999150  
Fax    
Email  sanjay.alagundi@gmail.com  
 
Source of Monetary or Material Support  
nil 
 
Primary Sponsor  
Name  KLE Academy of Higher Education and Research  
Address  Nehru Nagar, Belagavi, Karnataka 590010 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Mr Sanjay l alagundi  KLES Dr. Prabhakar Kore Hospital and MRC   Ground floor pediatric surgery ward DR. Prabhakar Kore Hospital and MRC Nehru Nagar Belagavi
Belgaum
KARNATAKA 
7259999150

sanjay.alagundi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KAHER Ethical Committe (Human) for Ph.D. Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Q439||Congenital malformation of intestine, unspecified, (2) ICD-10 Condition: Q54||Hypospadias,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nurse-Facilitated Distraction Strategies   Nurse-Facilitated Distraction Strategies (NFDS): It refers to the distraction technique that directs attention away from Post operative pain in children, this is planned according to the age of the child and these techniques include: Visual, auditory, Tactile and Cognitive distraction Techniques. On the day of admission the anxiety of the child is assessed by the researcher using mYPAS Scale. On postoperative day 1 the pain and physiological parameters will be assessed after 4 hours of surgery. Next pain and physiological parameters will be assessed every fourth hourly After 6 hours of surgery the child receives an age appropriate distraction intervention for sixty minutes. Each day a new distraction activity is provided for the child. To avoid cross-infection all the toys will be cleaned with the help of Dettol solution and the contaminated toys will be replaced with a new kit. After completion of distraction activity, the child is asked to relax and the pain and physiological parameters will be reassessed after 15 minutes. On postoperative day two and three the pain and physiological parameter will be assessed every seventh hourly and distraction activity is given twice a day. During all the three days the child will also receive standard care in the postoperative unit. On the day of admission the anxiety of the child is assessed by the researcher using mYPAS Scale. On postoperative day 1 the pain and physiological parameters will be assessed after 4 hours of surgery. Next pain and physiological parameters will be assessed every fourth hourly After 6 hours of surgery the child receives an age appropriate distraction intervention for sixty minutes. Each day a new distraction activity is provided for the child. To avoid cross-infection all the toys will be cleaned with the help of Dettol solution and the contaminated toys will be replaced with a new kit. After completion of distraction activity, the child is asked to relax and the pain and physiological parameters will be reassessed after 15 minutes. On postoperative day two and three the pain and physiological parameter will be assessed every seventh hourly and distraction activity is given twice a day. During all the three days the child will also receive standard care in the postoperative unit.  
Comparator Agent  Routine care  All assessments are done same as the intervention group but the child receives no any distraction activity and the child will receive standard care in the postoperative unit  
 
Inclusion Criteria  
Age From  7.00 Year(s)
Age To  14.00 Year(s)
Gender  Both 
Details  Children admitted for surgery and available for three postoperative days
In the age group of 7 to 14 years
Children undergone abdominal and urogenital surgeries and emergency surgeries 
 
ExclusionCriteria 
Details  Undergoing cardiac and head and neck and orthopedic surgeries
Mentally challenged and physically disable
Diagnosed for neurological or behavioral disorders will be excluded from the study 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the effectiveness of nurse-facilitated distraction strategies in reducing postoperative pain & anxiety among pediatric patients.  3 days 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the level of post-operative pain & anxiety among children undergoing surgery in a
quaternary care hospital.
 
3 days 

To compare post-operative pain & anxiety levels among children between intervention and
control group.
 
3 days 
To assess maternal satisfaction regarding the use of nurse-facilitated distraction Strategies in
post-operative pain management. 
3 days 
 
Target Sample Size   Total Sample Size="160"
Sample Size from India="160" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/04/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [sanjay.alagundi@gmail.com].

  6. For how long will this data be available start date provided 01-07-2027 and end date provided 01-01-2028?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - nil
Brief Summary   sample recruiting will be conducted once tool is validated  
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