Overview
The aim of this study is to determine the effect of a riddle-based distraction intervention, administered during cast application in children, on levels of pain, fear, and anxiety.
Description
Thirty-eight volunteer children aged 6-12 presenting to the Emergency Department Green Zone Cast Room at hospital for cast application (upper or lower extremity) will be randomly divided into two groups: intervention (riddle-based distraction) and control group. Children will be assessed before and during/after the procedure. Pain related to the cast application will be assessed with the Wong-Baker Faces Pain Scale, fear with the Child Fear Scale, and anxiety levels with the State-Trait Anxiety Inventory for Children (STAIC). In addition, children's sociodemographic and clinical data will be recorded in the Information Form.
Eligibility
Inclusion Criteria:
- Being between 6 and 12 years of age
- Scheduled for cast application (upper or lower extremity)
- Conscious and able to communicate
- Able to understand and speak Turkish
- Having no auditory or cognitive impairments
- Having no prior exposure to a similar non-pharmacological distraction intervention
- Willingness of both the child and parent to participate in the study
Exclusion Criteria:
- Being under the influence of analgesic, sedative, or anxiolytic medication
- Having severe trauma or an unstable clinical condition requiring emergency intervention
- Presence of developmental delay, neurological disease, or conditions affecting communication
- Inability to participate in riddles due to hearing or visual impairment
- Having prior cast experience on the same extremity
- Inability to cooperate during the research process
