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Home Comparison of active versus passive audiovisual distraction tools on children’s behaviour, anxiety...

Comparison of active versus passive audiovisual distraction tools on children’s behaviour, anxiety and pain in paediatric dentistry: a randomised crossover clinical trial

Authors:

  • F. Guinot
    Department of Paediatric Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain
  • M. Mercadé
    Faculty of Dentistry, Universitat de Barcelona, Barcelona, Spain. Researcher at Idibell Institute, Barcelona Spain
  • L. Oprysnyk
    Department of Paediatric Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain
  • A. Veloso
    Department of Paediatric Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain
  • J. R. Boj
    Department of Paediatric Dentistry, Universitat de Barcelona, Barcelona, Spain

DOI:

https://doi.org/10.23804/ejpd.2021.22.03.10

ABSTRACT


Aim

To determine the effect of active distraction when playing PlayStation® video games, compared to passive distraction when watching a cartoon with audiovisual eyeglasses, on parental perception of patients’ anxiety, and children’s anxiety, pain, behaviour and heart rate during restorative procedures in paediatric dentistry.

Material and methods

Study design: Randomised crossover clinical trial. There were 34 patients in the cartoon film group (passive distraction) and 34 in the Playstation® video game group (active distraction), aged 6–8 years, who required a minimum of 2 visits for restorative treatment. Rimax® iVision 5.0 eyeglasses were used in both groups. Parental perception of patients’ anxiety (Modified Corah Dental Anxiety Scale), and children’s anxiety (Venham Picture Test), pain (Wong-Baker Faces Scale), behaviour (Frankl Scale) and heart rate were evaluated at each of the treatment visits. Preference for and satisfaction with the audiovisual product were also assessed.

Results

There were significant differences in self-reported pain between control (P=0.016) and experimental (P=0.013) visits in both groups, with lower values in the Playstation® video game group. No significant differences were found (P>0.05) in the other variables evaluated with the use of active distraction. A significant increase in heart rate was recorded at each treatment visit (P=0.0001) when the anaesthetic was injected. All the patients wanted to continue watching or playing their chosen cartoon or Playstation® video game during subsequent visits.

Conclusion

The use of PlayStation® video games for active audiovisual distraction, compared with passive distraction with a cartoon, improved self-reported pain but did not reduce parents’ perception of patients’ anxiety, pain, global behaviour, or heart rate. Both distraction methods were accepted by paediatric patients.

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Publication date:

September /2021

Issue:

Vol.22 – n.3/2021

Page:

230 – 236

Publisher:

Ariesdue

Topic:

Ergonomic and professional practice

Cite:


Harvard: F. Guinot, M. Mercadé, L. Oprysnyk, A. Veloso, J. R. Boj (2021) "Comparison of active versus passive audiovisual distraction tools on children’s behaviour, anxiety and pain in paediatric dentistry: a randomised crossover clinical trial", European Journal of Paediatric Dentistry, 22(3), pp230-236. doi: 10.23804/ejpd.2021.22.03.10
Vancouver: F. Guinot, M. Mercadé, L. Oprysnyk, A. Veloso, J. R. Boj. Comparison of active versus passive audiovisual distraction tools on children’s behaviour, anxiety and pain in paediatric dentistry: a randomised crossover clinical trial. European Journal of Paediatric Dentistry [Internet]. 2021Sep.1 [cited 2023Mar.27];22(3):230-236. Available from: https://www.ejpd.eu/abstract-pubmed/comparison-of-active-versus-passive-audiovisual-distraction-tools-on-childrens-behaviour-anxiety-and-pain-in-paediatric-dentistry-a-randomised-crossover-clinical-trial/
MLA: F. Guinot, M. Mercadé, L. Oprysnyk, A. Veloso, J. R. Boj Comparison of active versus passive audiovisual distraction tools on children’s behaviour, anxiety and pain in paediatric dentistry: a randomised crossover clinical trial. European Journal of Paediatric Dentistry. 2021;22(3):230-236

Copyright (c) 2021 Ariesdue

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
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    European Journal of Paediatric Dentistry © | ISSN (Online): 2035-648X
    Registrazione del Tribunale di Milano n. 285 del 14.04.1998 | ROC 1946 - 26.09.2001
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