Trial reportEuropean child & adolescent psychiatry2026
Parent-delivered huggy-puppy intervention for war-related stress in children.
Trial report in European child & adolescent psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Sleeping under attack: Sleep disruption and next-day emotions during active wartime.International journal of clinical and health psychology : IJCHPArticle
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
War-related experiences in children often result in significant psychological stress, frequently requiring professional intervention. The Huggy-Puppy Intervention (HPI) has demonstrated effectiveness in alleviating stress symptoms, yet its delivery has thus far depended on healthcare professionals and the use of a single doll type. This study aimed to evaluate a parent-delivered adaptation of the intervention, and examine whether the type of doll moderates treatment efficacy. A total of 160 Israeli children aged 3-8 years (M = 5.1 ± 1.4; 57% girls) were randomized to receive one of five doll types as part of the HPI, delivered by parents during the 2023 Hamas-Israel war. Doll types included the original puppy doll, as well as monkey, teddy-bear, dog, and bunny dolls. Parents received instructional videos on how to implement the intervention. Stress symptoms were assessed using online parent-reports at baseline and three weeks post-intervention. Additional measures included child attachment to the doll, parental compliance, and satisfaction with the intervention. Linear mixed models yielded significant large reductions in stress symptoms from pre- to post-intervention across all doll types (Cohen's d = 0.94-0.97). Children exhibited lower attachment to the monkey dolls, and parents reported reduced satisfaction with these compared to other doll types. These findings support the efficacy of a parent-administered HPI in reducing war-related stress in children, with largely comparable outcomes across different doll types. This parent-delivered, adaptable approach enhances accessibility, offering a practical, cost-effective method for supporting children in crisis-affected areas where professional resources are limited.
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Identifiers
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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.