1. The PI read all the pages of the cartoon coloring book with the child
2. Two questions were used to encourage the participants to express their concerns about hospitalization and surgery
3. The participant was asked to re-read and color at least two pages
4. The child and parent or guardian were asked to re-read all pages together
5. The participants kept the cartoon coloring book till the evening before the measurement time 2
6. The small gift was provided for retention