Anxiety
Conditions
Brief summary
To evaluate the mobile games' effect on patient acceptance of local anesthesia and decreasing dental pain and anxiety levels in pediatric patients.
Detailed description
a randomized clinical trial with parallel-group and allocation ratio (1:1). intervention group: mobile application (little lovely dentist) control group: Tell-Show-Do technique. in children aged 4-6 years who need local anesthesia for dental treatment during their first dental visit. For both groups: Verbal assent from participating patients and written consent from their legal guardians will be taken. 1. Taking personal data, medical and dental history. 2. Diagnosis and determination of the required treatment. 3. Measuring preoperative anxiety using a pulse oximeter. 4. Evaluate preoperative anxiety using RMS-pictorial scale. 5. Using the behavior guidance technique: Intervention group: Allow the child to play the module simulating the required procedure. Control group: tell-show-do technique is used to explain the procedure to the child 6. Administration of local anesthesia and evaluation of child behaviour during the administration of local anaesthesia using Venham's behaviour rating scale and Frankl behaviour rating scale . 7. Measuring postoperative anxiety using the pulse oximeter. 8. Evaluate postoperative anxiety using RMS-pictorial scale. 9. Evaluate postoperative pain using the visual analog scale. in second visit (after 1 week) 1\) Evaluation of child behavior during the second dental visit using Venham's behavior rating scale and Frankl behavior rating scale. outcome: 1. ry: Pre and postoperative anxiety using Pulse oximeter and RMS-pictorial scale. 2. ry: Postoperative pain using Visual analog scale, evaluation of attitude during the administration of local anaesthesia at first and second dental visits using -Venham's behavior rating scale-Frankl behavior rating scale. the study will be held in 2 visits.
Interventions
BEHAVIORALmobile application (little lovely dentist).
mobile application
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
parallel-group and allocation ratio (1:1) Intervention: mobile application (little lovely dentist). Control: Tell-Show-Do technique.
Eligibility
Sex/Gender
ALL
Age
4 Years to 6 Years
Healthy volunteers
Yes
Inclusion criteria
* Children aged 4-6 years. * Children without any systemic or mental disorders. * Children without any prior experience with the dental environment or treatment procedures (first dental visit). * Children whose behavior could be rated as positive or negative based on the Frankl behavior rating scale.
Exclusion criteria
* Children seeking dental treatment that does not necessitate local anesthesia. * Children suffering from any systemic or mental disorders. * Children who are not willing to participate in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Preoperative anxiety | before administration of local anesthesia during the first dental visit | Preoperative anxiety will be measured before administration of local anesthesia using a fingertip pulse oximeter (IMDK) in beat per minute unit (BPM) |
| postoperative anxiety | immediately after administration of local anesthesia during the first dental visit | postoperative anxiety will be measured immediately after administration of local anesthesia using a fingertip pulse oximeter (IMDK) in beat per minute unit (BPM) |
| Preoperative anxiety score | before administration of local anesthesia during the first dental visit | will be assessed by RMS-pictorial scale ( Raghavendra, Madhuri, Sujata - pictorial scale) before administration of local anesthesia in a numerical unit from 1-5 where 1 denotes the minimum anxiety and 5 denotes the maximum anxiety |
| post-operative anxiety score | immediately after administration of local anesthesia during the first dental visit | will be assessed by RMS-pictorial scale ( Raghavendra, Madhuri, Sujata - pictorial scale) immediately after administration of local anesthesia in a numerical unit from 1-5 where 1 denotes the minimum anxiety and 5 denotes the maximum anxiety |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Attitude during the first and second dental visits using frankle behavior rating scale | during administration of local anasthesia during the the first and second dental visits (after 1 week) | evaluation of child behavior during the first and second visits using frankle behavior rating scale in a numerical unit rating 1-4 where, 1. Definitely Negative: Refusal of treatment, crying forcefully, fearful, or any other overt evidence of extreme negativism. 2. Negative: Reluctant to accept treatment, uncooperative, some evidence of negative attitude but not pronounced withdrawn. 3. Positive: Acceptance of treatment; at times curious, willing to comply with the dentist, at times with reservation but patient follows the dentist's directions cooperatively 4. Definitely positive: Good rapport with the dentist, interested in dental procedures, and laughing and enjoying the situation. |
| Attitude during the first and second dental visits using Venham's behavior rating scale | during administration of local anasthesia during the first and second dental visits (after 1 week) | evaluation of child behavior during the first and second visits using Venham's behavior rating scale in a numerical unit using score 0-3 where, 0- Total cooperation, best working conditions, no crying, or physical protest. 1. Mild, soft verbal protest or quiet crying as a signal of discomfort, but doesn't obstruct progress. Appropriate behavior for the procedure. 2. Protest more prominent. Both crying and hand signals. May move head around making it hard to perform the treatment. Protest more distracting and troublesome. However, the child still complies with the request to cooperate. 3. Protest presents a real problem to the dentist. Complies with demands reluctantly, requiring more effort by dentist + Body movement. |
| Postoperative pain | immediately after administration of local anesthesia during the first dental visit | Postoperative pain will be measured immediately after administration of local anesthesia by the visual analog scale in a numerical unit 0-10 where 0 denotes no pain and 10 denotes the worst pain |
Countries
Egypt
Outcome results
None listed