Trial reportBMJ open2018
Effects of therapeutic play on children undergoing cast-removal procedures: a randomised controlled trial.
Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 25 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Randomized Control Trial of Virtual Reality to Reduce Anxiety During Pediatric Cast Removal
Impact of Virtual Reality on the Quality of Life of Oncology Patients
The Effect of Therapeutic Play-Based Intervention Programme (TOTEM) Applied to 4-6 Age Group Earthquake Victims Living in Kahramanmaraş on Children's Psychosocial Well-Being
Who cites it
25 citing papers in PubMed.
- Animated video reduces pain and anxiety during pin removal in children with supracondylar humerus fractures: a randomized controlled trial.Archives of orthopaedic and trauma surgery · 2024Trial
- Effects of an Immersive Virtual Reality Intervention on Pain and Anxiety Among Pediatric Patients Undergoing Venipuncture: A Randomized Clinical Trial.JAMA network open · 2023Trial
- Cast Removal by Soaking Reduces Infant and Parental Anxiety Without Affecting Clinical Outcomes in Ponseti-Treated Idiopathic Clubfoot: A Prospective Controlled Trial.Children (Basel, Switzerland) · 2026Article
- The Multidimensional Impact of Traditional Orthopaedic Casting and the Role of Emerging Immobilization Technologies: A Narrative Review.Healthcare (Basel, Switzerland) · 2026Review
- Entertainment interventions for pediatric fracture patients during cast room procedures: a scoping review.Translational pediatrics · 2026Review
- Radiographic Healing and Observed Complications Following Light-Cured Polymer Immobilization: A Retrospective Cohort Study of 108 Patients.Journal of clinical medicine · 2026Article
- Preparing Children for Hearing Examination in a Playful Way-Co-Creation and Evaluation of an App.Journal of clinical medicine · 2026Article
- Educating and Preparing Families and Distracting Patients for Cast/Splint Applications.Journal of the Pediatric Orthopaedic Society of North America · 2025Review
- Cast Removal.Journal of the Pediatric Orthopaedic Society of North America · 2025Review
- Nurse-led play intervention on hospitalization anxiety, fear among children admitted to a tertiary care hospital.Journal of education and health promotion · 2025Article
- Virtual reality use in pediatric patients for orthopedic clinical procedures: A randomized prospective trial of efficacy.Journal of children's orthopaedics · 2024Article
- The imperative of the child life profession in KSA in transforming the quality of pediatric healthcare.Journal of Taibah University Medical Sciences · 2024Article
- The midterm psychological effect of cast removal procedures in children.Joint diseases and related surgery · 2024Article
- Article
- Opportunities for play in paediatric healthcare environments: a scoping review.Frontiers in rehabilitation sciences · 2024Article
- Interventions for Parental Anxiety in Preparation for Pediatric Surgery: A Narrative Review.Children (Basel, Switzerland) · 2021Review
- Precut Cast: An Easier and Less Stressful Cast Removal Procedure for Pediatric Patients.Plastic and reconstructive surgery. Global open · 2021Article
- Anxiety Reaction in Children During Cast Removal using Oscillating Saw versus Cast Shear - A Randomised, Prospective Trial.Malaysian orthopaedic journal · 2021Article
- Interventions to Improve the Cast Removal Experience for Children and Their Families: A Scoping Review.Children (Basel, Switzerland) · 2021Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine (1) the effectiveness of therapeutic play in reducing anxiety and negative emotional manifestations among children undergoing cast-removal procedures and (2) the satisfaction of parents and cast technicians with cast-removal procedures.
designA randomised controlled trial.
settingAn orthopaedic outpatient department of a regional teaching hospital in Hong Kong.
participantsChildren (n=208) aged 3-12 undergoing cast-removal procedure were invited to participate.
interventionsEligible children were randomly allocated to either the intervention (n=103) or control group (n=105) and stratified by the two age groups (3-7 and 8-12 years). The intervention group received therapeutic play intervention, whereas the control group received standard care only. Participants were assessed on three occasions: before, during and after completion of the cast-removal procedure. OUTCOME MEASURES: Children's anxiety level, emotional manifestation and heart rate. The satisfaction ratings of parents and cast technicians with respect to therapeutic play intervention were also examined.
resultsFindings suggested that therapeutic play assists children aged 3-7 to reduce anxiety levels with mean differences between the intervention and control group was -20.1 (95% CI -35.3 to -4.9; p=0.01). Overall, children (aged 3-7 and 8-12) in the intervention groups exhibited fewer negative emotional manifestations than the control group with a mean score difference -2.2 (95% CI -3.1 to -1.4; p<0.001). Parents and technicians in the intervention group also reported a higher level of satisfaction with the procedures than the control group with a mean score difference of 4.0 (95% CI -5.6 to 2.3; p<0.001) and 2.6 (95% CI 3.7 to 1.6; p<0.001), respectively.
conclusionTherapeutic play effectively reduces anxiety and negative emotional manifestations among children undergoing cast-removal procedures. The findings highlight the importance of integrating therapeutic play into standard care, in particular for children in younger age. TRIAL REGISTRATION NUMBER: ChiCTR-IOR-15006822; Pre-results.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.