Effectiveness of CBT and APT on Managing Child Anxiety in Dental Office
Not Applicable
Active, not recruiting
- Conditions
- Dental Anxiety
- Interventions
- Behavioral: Cognitive behavioral therapyBehavioral: Auricular plaster therapyBehavioral: Tell Show Do
- Registration Number
- NCT06292247
- Lead Sponsor
- Mansoura University
- Brief Summary
This study was conducted to the Effectiveness of Cognitive Behavioral Therapy and Auricular Plaster Therapy on Managing Child Anxiety in Dental Office.
- Detailed Description
This study is to:
1. Assess and compare the effect of cognitive behavioral therapy and auricular plaster therapy on children's anxiety in dental situations.
2. Improve child behavior and cooperation and evaluate the parental acceptance of these behavioral management techniques.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 60
Inclusion Criteria
- Healthy children (4-7) years old, without systemic, congenital, or mental disorders nor deformities affecting the external auditory meatus.
- Presence of dental anxiety.
- Not requiring urgent dental treatment, with the presence of a Class I carious lesion on one of the primary molars.
- No previous application of the guided CBT.
Exclusion Criteria
- Refusal to participate by either the children or their parents/guardians
- Previous receiving acupuncture and moxibustion therapy.
- Children who had taken sedative drugs at the time of the appointment.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Auricular Plaster Therapy group Tell Show Do APT intervention involves the application of plaster with seeds on specific points of the outer ear, known as auricular points (acupoints). According to Traditional Chinese Medicine, these points correspond to various regions of the body. Applying pressure to these points (acupressure) will stimulate and regulate energy flow throughout the body. This process is believed to restore balance and harmony within the body's system and achieve a therapeutic effect e.g. (anxiety reduction) Control group (Tell show do) Cognitive behavioral therapy TSD is considered the cornerstone of behavior management techniques. It aims to introduce the child to the dental setting before commencing any procedure. With the TSD technique, the child should be informed about the process with a demonstration of the dental procedure using a simulator. Cognitive behavioral therapy group Tell Show Do CBT is based on the principle that, the way we think profoundly impacts the way we feel and behave. Therefore, learning to think differently can enable the child to feel and act differently. It is a multi-component therapy that companies cognitive (cognitive restructuring) and behavioral (relaxation and distraction) interventions to change these maladaptive cognitions, which change the emotional distress and problematic behaviors. The following techniques were used in our research in a row, unrelated play, animated video modeling, stress-ball relaxation technique, audio music therapy, and positive reinforcement. These have been used effectively to manage children's anxiety during the dental appointment. Cognitive behavioral therapy group Auricular plaster therapy CBT is based on the principle that, the way we think profoundly impacts the way we feel and behave. Therefore, learning to think differently can enable the child to feel and act differently. It is a multi-component therapy that companies cognitive (cognitive restructuring) and behavioral (relaxation and distraction) interventions to change these maladaptive cognitions, which change the emotional distress and problematic behaviors. The following techniques were used in our research in a row, unrelated play, animated video modeling, stress-ball relaxation technique, audio music therapy, and positive reinforcement. These have been used effectively to manage children's anxiety during the dental appointment. Auricular Plaster Therapy group Cognitive behavioral therapy APT intervention involves the application of plaster with seeds on specific points of the outer ear, known as auricular points (acupoints). According to Traditional Chinese Medicine, these points correspond to various regions of the body. Applying pressure to these points (acupressure) will stimulate and regulate energy flow throughout the body. This process is believed to restore balance and harmony within the body's system and achieve a therapeutic effect e.g. (anxiety reduction) Control group (Tell show do) Auricular plaster therapy TSD is considered the cornerstone of behavior management techniques. It aims to introduce the child to the dental setting before commencing any procedure. With the TSD technique, the child should be informed about the process with a demonstration of the dental procedure using a simulator.
- Primary Outcome Measures
Name Time Method Heart Rate to detect the anxiety. Up to 12 weeks It is a biological parameter and the elevation of pulse rate is an indicator for anxiety
Venham Clinical Anxiety Scale Up to 12 weeks Observational anxiety scale, by choosing a number from 0 to 5 as claimed by the scales at specific time spots of the dental visit. The higher the score, the greater the level of anxiety and the poorer the cooperation of a child
RMS-Self Pictorial scale to detect the anxiety. Up to 12 weeks It is a self-report scale, ranging from (1 to 5). The scale was scored by giving a value of one to very happy and five to very unhappy face. (A higher score indicates more anxiety)
- Secondary Outcome Measures
Name Time Method Parental acceptance of the behavior management technique Up to 12 weeks The parental acceptance rating will be determined on a five-point Likert-type scale ranging from 1 (highly acceptable) to 5 (highly unacceptable).
Trial Locations
- Locations (1)
Faculty of dentistry
🇪🇬Mansoura, Dakahlia, Egypt