Evidence map›Paper›PMID 42260874›Full record

Trial reportMedicine2026

The effect of buzzy and finger puppet show on children's pain, fear, and anxiety during venipuncture in the pediatric emergency department: a randomized controlled trial.

Ahmet Butun, Sema Bayraktar, Meltem Çatalbaş-Acarsoy, Kadriye Olğaç Ak

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06849648 (The Effect of Buzzy and Finger Puppet Show on Children's Pain, Fear, and Anxiety During Venipuncture in the Pediatric Emergency Department), 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.

NCT06849648 nacompletednot on this map

The Effect of Buzzy and Finger Puppet Show on Children's Pain, Fear, and Anxiety During Venipuncture in the Pediatric Emergency Department: A Randomized Controlled Trial

TypeinterventionalSponsorKutahya Health Sciences UniversityRan2025 to 2025Enrolled102ConditionsPain Management, Nonpharmalogical Pain Management, Children Pain ManagementArmsThe Buzzy Device, Finger Puppet
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

4 authors.

Ahmet ButunDepartment of Paediatric Nursing and Emergency Nursing, Faculty of Health Sciences, Mardin Artuklu University, Mardin, Turkey.ORCID 0000-0002-6856-9389
Sema BayraktarDepartment of Paediatric Nursing, Faculty of Nursing, Istanbul University, İstanbul, Turkey.ORCID 0000-0002-4509-6275
Meltem Çatalbaş-AcarsoyDepartment of Paediatric Nursing, Faculty of Health Sciences, Kutahya Health Sciences University, Kutahya, Turkey.ORCID 0000-0001-8515-8090
Kadriye Olğaç AkDepartment of Public Health Nursing, Faculty of Health Sciences, Mardin Artuklu University, Mardin, Turkey.ORCID 0009-0006-8957-2524

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVenipuncture in pediatric emergency departments commonly causes pain, fear, and anxiety in children, particularly those aged 4 to 6 years. Although non-pharmacological distraction techniques are recommended, comparative evidence remains limited. This study aimed to evaluate the effectiveness of Buzzy devices and finger puppet shows in reducing these outcomes.

methodsA randomized controlled trial was conducted with 102 children aged 4 to 6 years undergoing venipuncture in a tertiary pediatric emergency department. Participants were randomly assigned to 3 groups: Buzzy device (n = 34), finger puppet distraction (n = 34), and control (n = 34). Pain, fear, and anxiety were assessed using the Wong-Baker FACES Pain Rating Scale, Children's Fear Scale, and Children's Anxiety Meter-State before and after the procedure. Data were analyzed using SPSS, and the study was registered (NCT06849648).

resultsNo significant differences were found between groups in pre-procedure scores (P > .05). Post-procedure scores differed significantly (P < .001), with the control group reporting higher pain, fear, and anxiety compared to both intervention groups. Within-group analyses showed significant reductions in all outcomes in the Buzzy and finger puppet groups (P < .001), whereas no significant change was observed in the control group. Effect sizes were large for both interventions and higher in the Buzzy group (fear: η2 = 0.756; anxiety: η2 = 0.825; pain: η2 = 0.659) than the finger puppet group (fear: η2 = 0.657; anxiety: η2 = 0.690; pain: η2 = 0.512). Findings should be interpreted with caution due to baseline imbalances.

conclusionBoth interventions effectively reduced pain, fear, and anxiety, with Buzzy showing greater effectiveness. These findings support the use of simple, cost-effective distraction techniques in pediatric emergency care.

Indexed as

AnxietyFearPainPain ManagementPhlebotomyPlay and PlaythingsChildChild, PreschoolEmergency Service, HospitalFemaleHumansMalePain MeasurementanxietyBuzzychildemergency departmentfearfinger puppetpainvenipuncture

Identifiers

PMID42260874
PMCPMC13246049

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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.