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This study was designed to examine the effects of using virtual reality and kaleidoscope during routine vaccination in children aged 48 months on pain, fear, and anxiety. Children aged 48 months who were to receive the measles-mumps-rubella vaccine were randomized into three groups. Accordingly, the study sample consisted of a virtual reality group with 42 children, a kaleidoscope group with 42 children, and a control group with 42 children, totaling 126 children. Fear and pain were evaluated by both the researcher and the child before and after the procedure. Anxiety was assessed by the child after the procedure. The Wong Baker Faces Pain Rating Scale was used for pain, the Children's Fear Scale for fear, and the Child Anxiety Scale-State Version for anxiety.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control Group | No Intervention | No attention-diverting method was applied to the children in this group and routine vaccination was administered. | |
| Virtual Reality group | Experimental | The VR group received a VR application using the Oculus Quest 2 while being vaccinated. |
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| Kaleidoscope group | Experimental | In the Kaleidoscope group, children were given a kaleidoscope toy while being vaccinated. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VR | Procedure | Virtual reality glasses were used as a distraction method for children during vaccination. |
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| Measure | Description | Time Frame |
|---|---|---|
| Procedural Pain | Just before vaccination, both the child and the researcher used the Wong-Baker Faces Scale. This scale uses in children aged 3 and older to rate pain severity. This numeric rating scale ranges from 0 to 10. Faces show emotions from smiling (0 = very happy/no pain) to crying (10 = hurts worst). The child can choose the face that best illustrates the physical pain. | 1 year |
| Fear | Just before vaccination, both the child and the researcher used the Children's Fear Scale. The scale includes five drawn facial expressions ranging from a neutral expression (0=no anxiety) to a frightened face (4=severe anxiety) and has been validated for the Turkish population The scale allows for evaluations on a scale from 0 to 4. | 1 year |
| Anxiety | Just before vaccination, both the child and the researcher used the Children's Anxiety Meter-State. It is drawn like a thermometer with a bulb at the bottom. It includes horizontal lines going up to the top (0-10). Children are asked to mark how feel "right now" to measure state anxiety. Higher values represent higher anxiety. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Parental satisfaction | parental satisfaction scores measured with the 10-point Likert type scale. Minimum score is 0, maximum score is 10. | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ege University | Izmir | Bornova | 35040 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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This prospective, randomised controlled study
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| Kaleidoscope | Procedure | Kaleidoscope toys were used as a distraction method for children during vaccination. |
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