Behavior Management Using Audiovisual Tools

Universitat Internacional de Catalunya

Status: Completed

Conditions: Disruptive Global Behavior During Previous Treatment Visits

Treatments: Behavioral: Distraction method; Behavioral: No distraction method

Study type: Interventional

Funder types: Other

Identifiers

NCT01643915

UIC-ODP-2

Details and patient eligibility

About

The aim of the study was to assess whether the behavior, anxiety, and pain of pediatric patients during dental treatment improves when a cartoon film is viewed or a videogame is played as methods of distraction.

Full description

Each patient required a minimum of 2 visits for restorative treatment in a mandibular quadrant and had undergone a previous restorative dental experience. All parents or guardians of the children who participated in the study were informed about the study before enrolment, and gave their voluntary consent. Each visit lasted approximately 35 minutes and involved restorative treatment in a mandibular quadrant with an alveolar nerve block. The parents were not present in the operating room during the treatment. The maximum time between the 2 treatment sessions was 2 weeks. Before the start of each treatment session, as a part of the standard process of a paediatric dental visit, the child was given an explanation as to what the visit would comprise, with the aim of interrupting the treatment as little as possible. The children knew at the beginning of the first appointment (control) that they would be able to watch a movie or play a videogame during their next visit.

Enrollment: 224 patients

Sex: All

Ages: 4 to 9 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients aged 4-9 years.
• Patients who required a minimum of 2 visits for restorative treatment.
• Patients who had previously shown disruptive behavior (Frankl Behavior Rating Scale 1 or 2) during dental restorative treatment or pulp therapy.

Exclusion criteria

• Patients with reduced audiovisual capabilities.
• Patients with psychological disorders.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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224 participants in 3 patient groups

Control group

Active Comparator group

Description:

Patients with conventional treatment. No distraction method during the treatment visits.

Treatment:

Behavioral: No distraction method

Experimental group 1

Experimental group

Description:

Patients will see a cartoon film in a screen attached to the ceiling, just above the dental chair during the second treatment visit.

Treatment:

Behavioral: Distraction method

Behavioral: Distraction method

Experimental group 2

Experimental group

Description:

Patients will see a cartoon film with with Rimax® multimedia eyeglasses that occlude the environment partially during the second treatment visit.

Treatment:

Behavioral: Distraction method

Behavioral: Distraction method