Using a Stress Ball on Fear, Anxiety, Pain, and Satisfaction During Allergy Testing

This randomized controlled trial aims to evaluate and compare the effects of watching cartoons and using a stress ball on levels of fear, anxiety, pain, and satisfaction among 90 children aged 4-10 undergoing skin prick testing at the Pediatric Allergy Outpatient Clinic of Çukurova University Balcalı Hospital. Participants will be randomly allocated via a computer algorithm into three equal groups ($n = 30$ each): a cartoon-watching intervention group, a stress ball intervention group, and a control group receiving routine pediatric care. Data will be gathered using a Demographic Information Form, the Children's Fear Scale, the Children's Anxiety Scale-State, the Wong-Baker FACES Pain Rating Scale, and a Child Satisfaction Form at three time points-2 minutes prior to the test, immediately after the procedure, and at the 15th-minute post-test evaluation-through child, parent, and observer nurse assessments.

Inclusion Criteria: * Aged 4-10 years * Undergoing an allergy test for the first time * Voluntary participation by both the child and the parent Exclusion Criteria: * The child must not have taken any medication prior to the skin test * The child must have a visual, hearing, or intellectual disability * The child must have a physical condition that would prevent them from using the stress ball