Dental Anxiety
Conditions
Brief summary
The amount of time the patient has spent awaiting treatment and the nature of the waiting room environment influence the anxiety level prior treatment. The objective of the present study is to compare the effect of waiting room's environment on the levels of anxiety experienced by children, in sensory adapted dental environment (SADE) and traditional waiting rooms. A parallel randomized trial. The participants will be randomly assigned to one type of waiting room. The participants will be asked to answer Venham Picture Test (VPT) scale while waiting in the waiting room just before entering the clinic.
Detailed description
The SADE waiting room: a small waiting room (2.5mx2.5m) inside the clinic with 6 seats. All ceiling fluorescent lighting is removed. The adapted lighting consisted of slow-moving, repetitive visual color effects created by a projector, and a lighting column that children can touch and climb on. Auditory stimuli include rhythmic music, which is heard via loudspeakers. The traditional waiting room: a waiting area outside the clinic with ten seats in one row faces the reception desk in an area of 15 square meters. The area is air-conditioned, moderately well-lit, without posters or paintings on the walls, and no reading material. •Dental anxiety scale- Venham Picture Test (VPT) is widely used and easily administered. In this test, children are presented with eight cards, with two figures on each card, one 'anxious' figure and one 'nonanxious' figure. They are asked to choose the figure from each pair that describes how they feel at that particular time. All cards are shown in their numbered order. If an anxious figure is chosen, a score of one is recorded. If a nonanxious cartoon is chosen, a score of zero is recorded. A measure of anxiety is obtained by totaling the number of times the child picks the cartoons depicting the anxious state (minimum score, 0; maximum score, 8). The participants will be asked to answer while waiting in the waiting room just before entering the clinic. Study design- The study is a parallel randomized trial. The participants will be randomly assigned to one type of waiting room. Additional data- gender, age, the lengths of waiting, the purpose of the visit (examination or treatment with/without sedation), dental experience, type of waiting room, child escort.
Interventions
OTHERsensory adapted waiting room
The SADE waiting room: a small waiting room (2.5mx2.5m) inside the clinic with 6 seats. A lighting column that children can touch and climb on. Auditory stimuli include rhythmic music, which is heard via loudspeakers.
Sponsors
Hadassah Medical Organization
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
3 Years to 10 Years
Healthy volunteers
Yes
Inclusion criteria
healthy 3-10 years old boys and girls
Exclusion criteria
mentally unable to understand and answer the Venham Picture Test (VPT) to assess anxiety before treatment, accepted immediately without waiting.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Dental Anxiety | Dental anxiety will be assessed while waiting in the waiting room, up to 1 hour | According to Venham Picture Test (VPT) scale. A measure of anxiety is obtained by totaling the number of times the child picks the figure depicting the anxious state :minimum score 0; maximum score 8. A score of 0 means low anxiety, a score of 8 means high anxiety. |
Countries
Israel
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| SADE Waiting Room children that will wait in the SADE waiting room
sensory adapted waiting room: The SADE waiting room: a small waiting room (2.5mx2.5m) inside the clinic with 6 seats. A lighting column that children can touch and climb on. Auditory stimuli include rhythmic music, which is heard via loudspeakers. | 60 |
| Traditional Waiting Room children that will wait in the traditional waiting room | 62 |
| Total | 122 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | did not answer the VPT: shyness | 4 | 5 |
Baseline characteristics
| Characteristic | Traditional Waiting Room | Total | SADE Waiting Room |
|---|---|---|---|
| Age, Continuous | 5.73 years STANDARD_DEVIATION 2.1 | 5.68 years STANDARD_DEVIATION 1.98 | 5.63 years STANDARD_DEVIATION 1.87 |
| Race and Ethnicity Not Collected | — | 0 Participants | — |
| Region of Enrollment Israel | 57 participants | 113 participants | 56 participants |
| Sex: Female, Male Female | 28 Participants | 51 Participants | 23 Participants |
| Sex: Female, Male Male | 29 Participants | 62 Participants | 33 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 56 | 0 / 57 |
| other Total, other adverse events | 0 / 56 | 0 / 57 |
| serious Total, serious adverse events | 0 / 56 | 0 / 57 |
Outcome results
Primary
Dental Anxiety
According to Venham Picture Test (VPT) scale. A measure of anxiety is obtained by totaling the number of times the child picks the figure depicting the anxious state :minimum score 0; maximum score 8. A score of 0 means low anxiety, a score of 8 means high anxiety.
Time frame: Dental anxiety will be assessed while waiting in the waiting room, up to 1 hour
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| SADE Waiting Room | Dental Anxiety | 1.71 units on a scale | Standard Deviation 2.27 |
| Traditional Waiting Room | Dental Anxiety | 2 units on a scale | Standard Deviation 2.28 |