Contribution of Animal-assisted Intervention in Oral Healthcare for Disabled Patients (YODA)

Assistance Publique - Hôpitaux de Paris

Status: Completed

Conditions: Autism

Treatments: Behavioral: Venham scale modified by Veerkamp; Other: Animal-assisted intervention

Study type: Interventional

Funder types: Other

Identifiers

NCT05577234

APHP220662

2022-A00871-42 (Other Identifier)

Details and patient eligibility

About

The purpose of this study is to determine whether animal-assisted therapy during 2 care sessions then facilitates conventional ambulatory management without animal assistance in anxious uncooperative children with autism.

Full description

The particularity of some disabled patients, especially those with an autism spectrum disorder, is represented by anxiety, which can range from a slight tension to screaming or even extreme agitation. This behavior can make therapeutic management difficult, both for the patient and the caregiver. This is particularly true for oral health care, where the cooperation of the patient is essential. Conventional behavioral approaches, with implementation of a multitude of adaptive strategies, has a fundamental role to play. With disabled patients, these techniques are most often based on non-verbal or para-verbal communication rather than on linguistic procedures. In this context, an Animal Assisted Intervention could be of major help. The primary outcome is average child anxiety during the session assessed by the Venham scale modified by Veerkamp measured at the end of the third session of care (without animal-assisted therapy).

Enrollment: 50 patients

Sex: All

Ages: 6 to 17 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Minors aged ≥ 6 to ≤ 17 years,
• Carriers of Autism Spectrum Disorder.
• Child with an average Venham scale score ≥ 3 at the end of the care of the inclusion session
• Who accept the presence of the dog
• Who declare having been in contact with a dog in the past
• Consent from the child's legal guardians for the child's participation in the study,
• Be affiliated to a social security scheme in their own name or be the legal guardian of a person with parental authority.
• A state of health requiring a simple, non-complex dental procedure (preventive, carious, traumatic or orthodontic care, excluding complex surgery in the operating theatre)
• A state of health requiring a dental treatment protocol consisting of at least 3 scheduled treatment sessions spaced at least 7 days and no more than 21 days apart.

Exclusion criteria

• Child with dog allergy
• Cynophobia
• Who claims never to have been exposed to a dog (allergy risk not assessed)
• Patient on AME

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

Animal-assisted intervention

Experimental group

Description:

The dog accompanied by the zootherapist will participate in the care of the sessions. During these sessions, the dog will be brought into the child's presence in the waiting room until the end of the dental consultation.

Treatment:

Other: Animal-assisted intervention

Behavioral: Venham scale modified by Veerkamp

Standard care

Other group

Description:

The treatment sessions will only involve the use of conventional behavioural strategies.

Treatment:

Behavioral: Venham scale modified by Veerkamp