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Effects of psychological behaviour management programme on dental fear and anxiety in children: A randomised controlled clinical trial
Pubblication date: 31/2020
Authors: J.-S. Song1, H.-C. Chung2, S. Sohn3, Y.-J. Kim4
Institution: 1DDS, PhD, Assistant professor of the department of Paediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea
2MS, Computer scientist in the Culture Technology, Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
3MA, Computer-mediated communication researcher in graduate school of Communication and Arts, Yonsei University, Seoul, Republic of Korea
4DDS, PhD, Professor and Chair of the department of Paediatric Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea
Publication: European Journal of Paediatric Dentistry
Publisher: Ariesdue Srl
Keywords: Psychological behaviour management programme,
Dental fear and anxiety, Information and communications technology.
Title: Effects of psychological behaviour management programme on dental fear and anxiety in children: A randomised controlled clinical trial
Abstract: Aim A psychological behaviour management programme with information and communications technology was developed that includes symbolic modelling, tell-show-do, positive reinforcement and distraction, and provides real-time treatment information. We hypothesised that the programme would help patients feel less stressed and show less uncooperative behaviours and subjective pain.
Methods Forty-eight paediatric patients were recruited from May 2016 to January 2017, and randomly divided into a control group and an experimental group. In the control, patients watched cartoon animations during the first and second treatments. The experimental group watched cartoon animations during the first treatment, and they used the programme during the second treatment. To measure stress, uncooperative behaviour and subjective pain, we recorded the heart rate, Procedure Behaviour Checklist (PBCL) and Wong and Bakerís Faces Pain Rating Scale (FPRS).
Results The experimental group resulted in a significantly lower mean heart rate, uncooperative behaviour and subjective pain in the second treatment than did the control group (p<0.001). The differences in heart rate and uncooperative behaviour between the treatments were also significantly greater in the experimental group than in the control group (p<0.001).
Conclusion The programme was effective in relieving fear and anxiety as well as learning cooperative behaviour.