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CTRI Number  CTRI/2025/06/089653 [Registered on: 26/06/2025] Trial Registered Prospectively
Last Modified On: 10/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Single Arm Study 
Public Title of Study   Effectiveness of distraction cards on pain and anxiety in children during painful procedures 
Scientific Title of Study   Effectiveness of distraction cards on pain and anxiety in children during painful procedures in a 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  PRAJWAL K 
Designation  Post Graduate Student 
Affiliation  Father Muller College of Nursing 
Address  Child Health Nursing, 3rd floor, Room Number 3 Father Muller College of Nursing,Kankanady Mangaluru

Dakshina Kannada
KARNATAKA
57002
India 
Phone  8762140844  
Fax    
Email  prajwal0844@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Mrs Helen Claret Dsouza 
Designation  Professor 
Affiliation  Father Muller College of Nursing 
Address  Child Health Nursing, Floor number 3, Room number 3 Father Muller College of Nursing Kankanady Mangaluru

Dakshina Kannada
KARNATAKA
57002
India 
Phone  9591476770  
Fax    
Email  claretdsouza27@fathermuller.in  
 
Details of Contact Person
Public Query
 
Name  PRAJWAL K 
Designation  Post Graduate Student 
Affiliation  Father Muller College of Nursing 
Address  Child Health Nursing, Floor number 3, Room Number 3 Father Muller College of Nursing Kankanady Mangaluru

Dakshina Kannada
KARNATAKA
57002
India 
Phone  08762140844  
Fax    
Email  prajwal0844@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Prajwal k 
Address  Father Muller College of Nursing kankanady, Mangaluru, Karnataka,India 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 Helen Claret DSouza  Father Muller College Hospital Kankanady  Father Muller Medical College Hospital, Procedure rooms of Pediatric Wards-K ward and OPDs, Floor Number 2, Kankanady, Mangaluru, Karnataka, India, 575002
Dakshina Kannada
KARNATAKA 
9591476770

claretdsouza27@fathermuller.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Father muller institutional Ethical committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 8||Other Procedures,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Administration of distraction cards.  Children of the age group 6-10 years will be administered a group of 5 distraction cards once for a duration of 5 minuets 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  10.00 Year(s)
Gender  Both 
Details  admitted to pediatric wards who are referred for painful procedure in the age group of
6-10 years.
 
 
ExclusionCriteria 
Details  In this study the exclusion criteria will be the children:
-chronic pain condition.
-cognitive disabilities.
-visual impairments
-semi-conscious and unconscious child.


 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To identify the effectiveness of distraction cards on pain and anxiety in children during painful procedure  9 month 
 
Secondary Outcome  
Outcome  TimePoints 
Children often recall the experience more positively when distraction is used, which can reduce future procedural distress.  1 year 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   10/07/2025 
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)   Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
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
Modification(s)  
The study on the effectiveness of distraction cards in reducing pain and anxiety among children during painful procedures is important as it highlights a simple, non-pharmacological method to support child-centered care. Painful medical procedures can be distressing for children, often leading to fear, anxiety, and lack of cooperation. This study emphasizes how distraction cards, by engaging a child’s attention, can significantly lower pain perception and anxiety levels. Their use not only improves the emotional well-being of the child but also enhances the efficiency of healthcare delivery by promoting better cooperation during procedures. Moreover, distraction cards are cost-effective, easy to implement, and require minimal training, making them a practical tool for everyday clinical use.  
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