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CTRI Number  CTRI/2025/06/089190 [Registered on: 19/06/2025] Trial Registered Prospectively
Last Modified On: 17/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Single Arm Study 
Public Title of Study   Effectiveness of tapping on the skin on pain of babies 
Scientific Title of Study   Effectiveness of Helfer Skin Tap Technique on Pain and Physiological Parameters among Infants during Intramuscular Vaccination in a Selected Tertiary Care Hospital, Mangaluru. 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Palakonda Pragathi 
Designation  Post Graduate Student 
Affiliation  Father Muller College of Nursing 
Address  Father Muller College of Nursing Child Health Nursing Department 3rd floor Kakanandy Mangalore

Dakshina Kannada
KARNATAKA
575002
India 
Phone  9618431674  
Fax    
Email  pragathip664@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Mrs Wilma Shalini Norohna 
Designation  HOD, Professor 
Affiliation  Father Muller College of Nursing 
Address  Father Muller College of Nursing Kakanandy Mangalore

Dakshina Kannada
KARNATAKA
575002
India 
Phone  9481765777  
Fax    
Email  wilmashalini04@fathermuller.in  
 
Details of Contact Person
Public Query
 
Name  Mrs Wilma Shalini Norohna 
Designation  HOD, Professor 
Affiliation  Father Muller College of Nursing 
Address  Father Muller College of Nursing Kakanandy Mangalore

Dakshina Kannada
KARNATAKA
575002
India 
Phone  9481765777  
Fax    
Email  wilmashalini04@fathermuller.in  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Palakonda Pragathi 
Address  Father Muller College of Nursing Child Health Nursing Department 3rd floor Kakanandy Mangalore 575002  
Type of Sponsor  Other [Self] 
 
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 
Mrs Wilma Shalini Noronha  Father Muller Medical College and Hospital  Father Muller Charitable Institutions Pediatric Department, Immunization Clinic, 1st floor Kankanady, Mangalore
Dakshina Kannada
KARNATAKA 
9481765777

wilmashalini04@fathermuller.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Father Muller Institutional Ethics Commitee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Infants Receiving Intramuscular Vaccination 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Helfer Skin Tap Technique  The Helfer Skin Tap Technique for administering intramuscular vaccinations to infants aged six to twelve months. The procedure involves identifying the injection site and tapping the site sixteen times with the palm of the dominant hand for approximately five seconds to help relax the muscle. The thumb and fingers are then positioned to form a "V" shape, and the skin is tapped three times. Following this, the needle is inserted into the vastus lateralis muscle of the thigh. After the needle is withdrawn, the investigator taps the skin three additional times. The investigator will assess the pain and physiological parameters immediately after vaccination by using pain scale and observational checklist. The total duration of the intervention will be 3 to 5 seconds. 
Comparator Agent  Not Applicable  Not Applicable 
 
Inclusion Criteria  
Age From  6.00 Month(s)
Age To  12.00 Month(s)
Gender  Both 
Details  1. Healthy infants from six months to twelve
months of age.
2. Infants of both genders.
3. Infants receiving intramuscular vaccine.
 
 
ExclusionCriteria 
Details  1. From birth to 28 days
2. Preterm and low birth weight neonates
3. With congenital abnormalities

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Effectiveness of Helfer Skin Tap Technique on Pain and Physiological Parameters among Infants during Intramuscular Vaccination  6 months 
 
Secondary Outcome  
Outcome  TimePoints 
Reducing the pain during any painful procedure   6 months 
 
Target Sample Size   Total Sample Size="42"
Sample Size from India="42" 
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)   30/06/2025 
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="1"
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 - NO
Brief Summary   This study teaches about the Helfer Skin Tap Technique which is helpful in the reducing the pain during the painful procedure in children during the Intramuscular Vaccination. 
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