Audio-Visual Distraction Effect on Heart Rate in Children during Dental Treatment, A Randomized Clinical Trial

Zakhary, Sherif Adel; Eid, Mahmoud Hamdy; Wassef, Nada

doi:10.21608/edj.2020.77496

Cited by 6 publications

(10 citation statements)

References 14 publications

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“…Some studies have shown that audiovisual distraction (e.g., cartoons, music, kaleidoscope) before or during medical procedures in young children can improve their behavior and reduce anxiety levels. 3,6,[7][8][9][10][11][15][16][17] Our study observed a significant reduction in anxiety levels measured using VAS-A score after intervention during the echocardiography procedure. The proportion of subjects with VAS-A scores in the "calm and relaxed" and "mild anxiety" ranges were increased post-audiovisual distraction, compared to higher anxiety levels pre-intervention; these results are consistent with those of several studies that have reported that audiovisual distraction can reduce pain.…”

Section: Discussionmentioning

confidence: 87%

“…The proportion of subjects with VAS-A scores in the "calm and relaxed" and "mild anxiety" ranges were increased post-audiovisual distraction, compared to higher anxiety levels pre-intervention; these results are consistent with those of several studies that have reported that audiovisual distraction can reduce pain. 3,6,[7][8][9][10][11][15][16][17] Preschool children commonly enjoy watching animated cartoons, and they become deeply engaged to the point of being oblivious to their surroundings, thereby ignoring verbal and tactile stimuli caused by medical procedures. All children in our study were familiar with audiovisual stimuli from their devices, such as mobile phones and/or television, which may have helped reduce their anxiety during the echocardiography procedure.…”

Section: Discussionmentioning

confidence: 99%

“…5 In preschool children, previous studies have shown the efficacy of multiple audiovisual distraction strategies, such as video goggles or eyeglasses, or a tablet device in reducing anxiety during dental care. 3,[6][7][8][9] Listening to classical Mozart music has been found to reduce dental anxiety, measured by the Visual Analogue Scale -Anxiety (VAS-A), in 76.67% of patients. 10 Responses to animated cartoons with children's songs viewed on a mobile phone helped increase compliance in children younger than five years who underwent ultrasound examination.…”

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confidence: 99%

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The efficacy of audiovisual distraction as an anxiety-minimizing technique during echocardiography in preschool children

Yantie,

Gunawijaya,

Windiani

et al. 2023

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Background Echocardiography procedures can cause fear and anxiety in children, especially at preschool age. Audiovisual distraction is a simple, harmless, and low-cost technique that does not interfere with the procedure. Objective To assess the effect of audiovisual distraction on the anxiety levels of children aged 2-5 years during echocardiography. Methods This quasi-experimental study included children aged 2-5 years who were admitted for echocardiography. Patients with hearing or visual impairment, Down syndrome, autism, or attention-deficit/hyperactivity disorder were excluded. We administered anxiety-reducing intervention in the form of cartoon audiovisual media shown on a ceiling-mounted television during the echocardiography procedure. Anxiety levels were assessed using the Visual Analogue Scale - Anxiety (VAS-A) before and after the intervention was given. We compared the subjects’ pre- and post-procedure VAS-A scores and heart rates. Results Of the 43 subjects who underwent echocardiography during the study period, the mean age was 3.2 (SD 0.9) years, with an equal sex distribution. Most subjects had a history of repeated echocardiography procedures and hospitalizations. Thirty-nine (90.6%) of subjects demonstrated anxiety during the echocardiography procedure. There was a significant mean difference of 11.9 (SD 13.2) bpm (95%CI 7.8 to 15.9 bpm, p<0.001) in heart rate pre- vs. post-intervention. Median pre- and post-intervention VAS-A scores were 5 (range 0-10) and 1 (range 0-4), respectively (P=0.001). Post-intervention, almost all (97.7%) subjects had no or mild anxiety. Conclusion Audiovisual content presented on television serves as an effective distraction method to reduce children's anxiety during echocardiography.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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The efficacy of audiovisual distraction as an anxiety-minimizing technique during echocardiography in preschool children

Yantie,

Gunawijaya,

Windiani

et al. 2023

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“…The frequency and percentage values for ease of handling patients in different groups are presented in Table (2). Regarding the ease of handling patients during extraction, there was a significant difference between both groups (p<0.001), with the majority of the cases in group A [15(88.2%)] having" strongly agree" scores and most of the cases in group B [9(52.9%)] being" Neutral".…”

Section: -Ease Of Handling Patientsmentioning

confidence: 99%

Effectiveness of the tell-play-do technique in comparison to the tell-show-do technique for the management of anxious children: A randomized controlled trial

Ibrahim

El-Taweil

Mahmoud

et al. 2023

Advanced Dental Journal

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Aim: This study aimed to evaluate the effectiveness of the tell-play-do technique compared to the tell-showdo technique in managing anxious children. Methodology: Thirty-four children aged 4-6 years were included in the current study. Children were randomly assigned to intervention (Tell-play-do technique) and control groups (Tell-show-do technique). The level of dental anxiety was assessed using a finger pulse oximeter at three intervals during the procedure. The operator evaluated the child's behavior during the procedure in each group using the FLACC (Face, Leg, Activity, Cry, Consolability) behavioral pain assessment scale. The ease of handling the patient (during the procedure) and the ease of carrying out the procedure by the pediatric dentist after using the two behavior modification techniques were assessed by using a questionnaire. Results: After behavior management and at the end of the visit, the control group had a significantly higher heart rate than the intervention group (p=0.016 and p <0.001), respectively. Behavior evaluation results reported a significant difference between both groups (p<0.001). Both groups had a significant difference (p<0.001) regarding the ease of handling patients and the ease of doing the procedure in favor of the intervention group. Conclusion: Tell-play-do technique was more successful than the Tellshow-do technique in reducing the children's anxiety. Most of the children in the tell-play-do group were relaxed and comfortable compared to those in the tell-show-do group, which showed mild discomfort. The tell-play-do group revealed better results regarding the ease of handling the patient and the ease of doing the procedure by the operator.

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“…Adel Zakhary et al demonstrated the beneficial effects of rehabilitation programs along with oral education in reducing dental anxiety (13). In another study, Zhang also showed that audiovisual distraction can effectively reduce dental anxiety among children (14).…”

Section: Introductionmentioning

confidence: 99%

Impact of Educational Videos on Dental Anxiety and Fear in Patients Undergoing Root Canal Treatment in Shiraz, Iran

khah

Behzadi²

2021

jcbr

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Audio-Visual Distraction Effect on Heart Rate in Children during Dental Treatment, A Randomized Clinical Trial

Cited by 6 publications

References 14 publications

The efficacy of audiovisual distraction as an anxiety-minimizing technique during echocardiography in preschool children

The efficacy of audiovisual distraction as an anxiety-minimizing technique during echocardiography in preschool children

Effectiveness of the tell-play-do technique in comparison to the tell-show-do technique for the management of anxious children: A randomized controlled trial

Impact of Educational Videos on Dental Anxiety and Fear in Patients Undergoing Root Canal Treatment in Shiraz, Iran

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