Facilitating coping behavior in children prior to dental general anesthesia: a randomized controlled trial
Abstract
Summary: Background : The aim of this study was to establish the efficacy of two different preparation packages, a paper‐based cartoon and an interactive computer, at facilitating coping behavior in children undergoing dental general anesthetic (DGA) tooth extraction. Method : A total of 198 children were allocated randomly to computer, cartoon or control groups. A Visual Analog Scale (VAS) and Modified Child Dental Anxiety Scale (MCDAS) were used to compare preoperative anxiety levels between the three study groups. Blinded observers then scored behavior at both anesthesia induction and upon recovery using a VAS for each (0 = coped/no distress and 10 = no coping/high distress). Results : The children's median age was 5 (range 3–10) years, 57% were boys, a median of seven teeth were extracted (range 1–20). Preoperative anxiety was similar for all preparation groups; with 24% of all children categorized ‘phobic’ using MCDAS. The median induction (coping) VAS level for both the computer and the cartoon groups was ‘1’ (range 0–10), compared with the control group level of ‘3’ (range 0–10). The median recovery (coping) VAS levels were: computer group: 0 (range 0–10), cartoon group: 4 (range 0–10) and control group: 2.5 (range 0–10). The Mann–Whitney U‐test showed that the computer group coped significantly better than the control group at induction (P = 0.014) and significantly better than the cartoon group upon recovery (P = 0.016). The statistical power for detecting differences between groups (computer/cartoon versus control) was calculated to be 90%, based on pilot study data. Conclusions : The computer preparation package facilitated coping behavior in children undergoing DGA induction.
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The Phase II prototype game was dated and not in a format suitable to go online.
“That study has been included in a 2010 Cochrane review but the game was dated, not in a format suitable to go online, and relied upon delivery at the time of the GA visit (just prior to surgery), and so has never been able to be made widely available [15,16].”
A Phase II randomized controlled trial provided proof of concept that preparatory information helped facilitate coping by means of a computer game in children undergoing tooth extraction.
“A Phase II randomized controlled trial (RCT) provided proof of the concept that preparatory information helped to facilitate coping by means of a computer game in children undergoing tooth extraction.”
The Phase II prototype game relied upon delivery at the time of the GA visit, just prior to surgery.
“That study has been included in a 2010 Cochrane review but the game was dated, not in a format suitable to go online, and relied upon delivery at the time of the GA visit (just prior to surgery), and so has never been able to be made widely available [15,16].”
The Phase II prototype game has never been able to be made widely available.
“That study has been included in a 2010 Cochrane review but the game was dated, not in a format suitable to go online, and relied upon delivery at the time of the GA visit (just prior to surgery), and so has never been able to be made widely available [15,16].”
The A-VAS measure matches the Phase II RCT and has been well used and validated in this setting.
“We have chosen this measure since it matches the Phase II RCT and has been well used and validated in this setting [15-17].”
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- Authors
- CAMPBELL, C., HOSEY, M., & McHUGH, S.
- Affiliations
- University of Glasgow (GB)
- Venue
- Pediatric Anesthesia
- Publisher
- Wiley
- Published
- 2005-06-10
- Volume
- 15
- Issue
- 10
- Pages
- 831-838
- ISSN
- 1155-5645 (ISSN-L)
- 1460-9592
- OpenAlex
- W2048463246
- Cited by
- 44
- References
- 25
- Citations by year
- 2025: 1 · 2023: 4 · 2022: 2 · 2021: 4 · 2019: 1 · 2018: 2 · 2017: 8 · 2015: 4 · 2014: 5 · 2012: 3
- FWCI
- 2.01
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pediatric Anesthesia (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Sedative Agents
- Keywords
- dental general anaesthesia, preoperative anxiety, coping styles, pediatric patients, tooth extraction, anesthesia induction, anesthesia recovery, dental anxiety
- MeSH terms
- Adaptation, Psychological, Anesthesia, Dental, Anesthesia, General, Anxiety, Cartoons as Topic, Child, Child, Preschool, Female, Humans, Male, Tooth Extraction
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