Evidence map›Paper›PMID 42185806›Full record

Trial reportBMC pregnancy and childbirth2026

The effect of stress ball application on anxiety and fetal well-being during non-stress testing in high-risk pregnant women: a randomized controlled trial.

Hümeyra Tülek Deni̇z, Nedime Gül Doğan Özdemi̇r, Nazlı Baltacı

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06302010 (The Effect of Stress Ball Intervention During Non-Stress Test on Anxiety and Fetal Well-Being in Women With High-risk Pregnancy), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

NCT06302010 narecruitingnot on this map

The Effect of Stress Ball Intervention During Non-Stress Test on Anxiety and Fetal Well-Being in Women With High-risk Pregnancy: A Randomized Controlled Study

TypeinterventionalSponsorHümeyra TÜLEK DENİZRan2024 to 2025Enrolled86ConditionsAnxiety, Fetal Conditions, Pregnancy RelatedArmsStress Ball Intervention
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hümeyra Tülek Deni̇zAtaturk Vocational School of Health Services, Medical Services and Techniques First and Emergency Aid, Kafkas University, Kars, Türkiye.ORCID http://orcid.org/0000-0002-9049-8089
Nedime Gül Doğan Özdemi̇rFaculty of Health Sciences, Department of Nursing, Ondokuz Mayıs University, Samsun, Türkiye. nedimegul.dogan@omu.edu.tr.ORCID http://orcid.org/0000-0001-5617-6900
Nazlı BaltacıFaculty of Health Sciences, Department of Nursing, Ondokuz Mayıs University, Samsun, Türkiye.ORCID http://orcid.org/0000-0001-8582-6300

Funding

Ondokuz Mayıs University BAP01-2024-5399
6 · The paper itself

Abstract

objectiveThis study aimed to investigate the effect of stress ball use during the non-stress test (NST) on anxiety and fetal well-being in high-risk pregnant women.

methodA randomized controlled pretest-posttest study was conducted with 86 high-risk pregnant women undergoing NST in a public hospital in northern Türkiye. Participants were randomly assigned to intervention (n = 43) and control (n = 43) groups. The intervention group used a stress ball during the NST procedure, while the control group received routine care. Data were collected using a Personal Information Form, the State Anxiety Inventory (SAI), and a Fetal Well-Being Assessment Form. Statistical analyses included t-tests, Mann-Whitney U tests, Chi-square tests, Wilcoxon tests, and two-way ANCOVA.

resultsThe intervention group had significantly lower posttest anxiety scores (35.56 ± 6.55) than the control group (40.05 ± 6.82) (p = 0.003), with a significant within-group decrease of 9.49 points (p = 0.000). Moreover, fetal movement count and basal fetal heart rate increased significantly in the intervention group compared with the control group (p = 0.002 and p = 0.005, respectively). These changes were also significant within the intervention group (p = 0.000).

conclusionStress ball use during NST may be associated with short-term improvements in fetal well-being indicators and maternal anxiety. It is recommended as a simple, low-cost, noninvasive, and drug-free intervention in prenatal care. CLINICAL TRIAL NUMBER: NCT06302010 (Registration Date: 02.10.2024).

Indexed as

AnxietyPregnancy ComplicationsPregnancy, High-RiskStress, PsychologicalAdultFemaleFetal MovementHeart Rate, FetalHumansPregnancyYoung AdultAnxietyBasal fetal heart rateFetal movementNon-stress testNursingStress ball

Identifiers

PMID42185806
PMCPMC13383546

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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.