Tobias da Silva 2017.

Study characteristics
Methods	Study design: RCT Duration of study: the study was conducted from May to October 2015. Country: Brazil Income classification: upper‐middle income country in 2015 Geographical scope: urban, São Paulo city Healthcare setting: paediatric unit of the University Hospital, University of São Paulo (HUUSP) and Darcy Vargas Children’s Hospital (HIDV)
Participants	1. Age: range 6‐11 years old; mean age 8.9 ± 1.73 for the intervention group and 10.0 ± 1.2 for the control group 2. Gender: both 3. Socioeconomic background: not specified 4. Educational background: school‐age children Inclusion criteria: a. age between 6 and 11 years; b. hospitalized for at least 24 hours, at least one peripheral intravenous puncture; c. accepted to participate in the study; d. authorization of parents or guardians as proposed in informed consent; e. have no confirmed medical diagnosis of neurological and/or cognitive disorder. Exclusion criteria: children who were in isolation. Note: at baseline, the total sample scores for the Child Drawing: Hospital (CD‐H) were, respectively, 76.1 (23.0). Stated purpose: to evaluate the effects of the Dramatic Therapeutic Play (DTP) technique on the degree of anxiety in hospitalized school‐age children
Interventions	Name: DTP Title/name of PW and number: fourth‐year undergraduate nursing students 1. Selection: not specified 2. Educational background: undergraduate nursing students 3. Training: discipline of mental health nursing in the third year of graduation; trained by the professor responsible for the project 4. Supervision: not specified 5. Incentives/remuneration: not specified Prevention type: selective—participants were included based upon the presence of a risk factor (being hospitalized children) and presented with some distress as indicated by CD‐H scores that were below the cut‐off for the measure. Intervention details: the children in the intervention group, after access to the recreational activities of the toy library and participation in a DTP session applied by the researchers, were asked to draw a picture of a person in the hospital. Children in the intervention group underwent the DTP after being submitted to peripheral intravenous puncture. DTP makes it possible to externalize feelings, as well as experiences that are not verbalized, relieving tensions and expressing fears underlying the stressful situation. The technique consists of allowing the child to dramatize situations that are being experienced during the hospitalization and can assume diverse roles, such as one of the health professionals, or a family member. Control: usual care (patients in the control group, were allowed access to the recreational activities of the toy library and at a random moment were asked to draw a person in the hospital).
Outcomes	Participants’outcomes of interest for this review Anxiety symptoms – CD‐H Carers’ outcomes of interest for this review Nil Economic outcomes Nil Time points: baseline, post‐intervention (< 1 month)
Notes	Source of funding: not specified Notes on validation of instruments (screening and outcomes): CD‐H questionnaire not validated in Brazil Additional information: none Handling the data: not applicable Prospective trial registration number: U1111‐1190‐8305