<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20211211053351N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-01-02</date_registration>
      <primary_sponsor>Research Vice Chancellor of Mashhad University of Medical Science</primary_sponsor>
      <public_title>Effects of whistling compared with Buzzy device during blood sampling on pain and fear in children’s</public_title>
      <acronym></acronym>
      <scientific_title>Effects of whistling compared with Buzzy device during blood sampling on pain and fear in children’s emergency department</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-12-28</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>120</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/60694</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The method used to generate a random allocation sequence is blocked. Block randomization ensures that there are no groups between the groups at any time interval during the randomization of a significant imbalance, and at each point the number of participants in each group is equal. Sampling in this research will be that sampling initially will be conducted in a "non-random" way for the purpose of children entering the research and assigning them to 3 groups (group: vibrating bee / whistling / control) will be random; In this way, the assignment of samples to intervention groups (vibrating bee / whistling / control) will be done by random assignment (lottery by blocking). In this intervention, we have three groups; first by assigning the code to the groups, the groups will be determined(Group A: vibration bee B:  whistling C: control). 6 blocks with 3 pieces Characterized [(ABC(1)- ACB (2)-CAB (3)-BCA (4)- CBA (5)- BAC(6)]. Then, random numbers are selected between one to six (eg, 1, 4, 5, ...), and finally the list of treatment allocations based on random numbers will be determined.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Fear and pain caused by blood sampling.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Use vibrating bees with cold packs In this study, a musical doll in the shape of a bee with an approximate size of 15 cm with the ability to create vibration at the rate of 95-90 Hz was made, which is a portable cold bag with a linen cover in the form of a bracelet attached to it. When the child is with the parents, the nurse performing the blood sampling procedure, this musical bee doll, with the bag attached to it, is closed for 5 minutes, at a distance of about 5-10 cm above the blood sampling site, and in one minute The vibration end will be applied, then the child will enter the blood collection room with one of the parents and blood collection will be done immediately. Intervention 2: Intervention group: Use a bee-shaped whistle when drawing bloodو  before entering the blood collection room, a bee-shaped balloon whistle with a long straw at the end will be given to the child and the child will be taught to die inside the straw 5 minutes before entering the room and whistle. Fill the air and the toy will be in the child's hand until the end of the blood collection and will continue to whistle during the blood collection process. Finally, the whistle will be given as a gift to the intervention group. Intervention 3: The third group of the control group will enter the blood collection room with one of their parents according to the routine blood sampling process in the emergency department of the child and sampling will be done.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is There is no more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Tahereh Sadeghi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>School of Nursing and Midwifery, Ibn Sina St., Daneshgah St., Daneshgah St., Mashhad, Iran</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1394491388</zip>
        <telephone>+98 51 3841 2081</telephone>
        <email>sadeghit@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Tahereh Sadeghi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>School of Nursing and Midwifery, Ibn Sina St., Daneshgah St., Daneshgah St., Mashhad, Iran</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>13944 91388</zip>
        <telephone>+98 51 3841 2081</telephone>
        <email>sadeghit@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iraq</country2>
    </countries>
    <criteria>
      <inclusion_criteria>The child needs blood sampling.
At least one parent is present during blood sampling.
Be the first child injection experience at this reception.
The injection site of the inner crease of the elbow or forearm should be selected and there should be no scar or skin problem.
The child does not have sensory-neurological, vascular, hematological, verbal and cognitive disorders and chronic diseases.
• The child is awake before the intervention and has not received sedatives, sedatives or narcotics.
Before the intervention, the child's pain level should be below three with the Wong-Baker FACES tool.
The child and parents have informed consent to participate in the intervention.</inclusion_criteria>
      <agemin>3 years</agemin>
      <agemax>6 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Dissatisfaction of parents and children with research
Failure to draw blood for the first time</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Use vibrating bees with cold packs In this study, a musical doll in the shape of a bee with an approximate size of 15 cm with the ability to create vibration at the rate of 95-90 Hz was made, which is a portable cold bag with a linen cover in the form of a bracelet attached to it. When the child is with the parents, the nurse performing the blood sampling procedure, this musical bee doll, with the bag attached to it, is closed for 5 minutes, at a distance of about 5-10 cm above the blood sampling site, and in one minute The vibration end will be applied, then the child will enter the blood collection room with one of the parents and blood collection will be done immediately.</i_keyword>
      <i_keyword>Intervention group: Use a bee-shaped whistle when drawing bloodو  before entering the blood collection room, a bee-shaped balloon whistle with a long straw at the end will be given to the child and the child will be taught to die inside the straw 5 minutes before entering the room and whistle. Fill the air and the toy will be in the child's hand until the end of the blood collection and will continue to whistle during the blood collection process. Finally, the whistle will be given as a gift to the intervention group.</i_keyword>
      <i_keyword>The third group of the control group will enter the blood collection room with one of their parents according to the routine blood sampling process in the emergency department of the child and sampling will be done.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain caused by blood sampling. Timepoint: Before, during and after blood sampling. Method of measurement: Children's pain will be assessed using the Wong Baker Smile Scale.</prim_outcome>
      <prim_outcome>Fear  caused by blood sampling. Timepoint: Before, during and after blood sampling. Method of measurement: Fear of blood sampling will be measured by the CMFS Children's Fear Scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Research Vice Chancellor of Mashhad University of Medical Science</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-07-27</approval_date>
        <contact_name>Ethics Committee of Mashhad University of Medical Sciences</contact_name>
        <contact_address>IbnSina 2St., School of Nursing and Midwifery, Khorasan Razavi, Mashhad, Iran Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
