Respiratory Biofeedback Device and Reduction of Dental Anxiety Associated With Local Anesthesia in Children

NCT ID: NCT04238312

Last Updated: 2020-08-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-15

Study Completion Date

2020-01-15

Brief Summary

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The aim of the study was to investigate the effect of a respiratory biofeedback device (RESPeRATE TM) in reduction of preoperative anxiety in children undergoing dental procedures under local anesthesia.

Detailed Description

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The study was a randomized controlled clinical trial. A total of 110 anxious pediatric dental patients, of age range 7-12 years, were selected from the Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Alexandria University, Egypt, after securing parental informed consents. Children were chosen according to the Faces version of Modified Child Dental Anxiety Scale scoring 26 or more.

The participants will be randomly allocated into 2 groups: Group I: Study group and Group II: Control group. The patients of group I (Study group) will undergo a session of biofeedback regulation by using "RESPeRATETM" as an anxiety reducing method. Group II patients will be managed by a routine behavioral management technique "Tell,show,do". Local anesthesia injection will be administered to the child, after which heart rate measurement and salivary sample for salivary amylase analysis will be repeated.

Conditions

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Anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

The study will be a randomized controlled clinical trial, with 1:1 allocation ratio.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

The operator will not be blinded to the treatment as the RESPeRATE™ will be used for the study group while the device will not be applied to the control group.

Study Groups

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RESPeRATE™

RESPeRATE™: 2breathe Tech. Ltd., Eshtaol, Israel. The device includes a belt-type respiration sensor worn outside of the clothing that is placed around the torso. It is connected to a computerized box that generates musical patterns listened through an earbud. The device guides the user interactively to slow breathing with a relatively prolonged expiration.

Group Type EXPERIMENTAL

RESPeRATE™

Intervention Type DEVICE

Fifty-five anxious pediatric dental patients received a breathing session of 10 minutes, using the RESPeRATE™ device.

Tell, Show and Do technique

Group Type ACTIVE_COMPARATOR

Tell, Show and Do technique

Intervention Type BEHAVIORAL

Fifty-five anxious pediatric dental patients received a traditional behavior management technique (Tell-Show-Do).

Interventions

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RESPeRATE™

Fifty-five anxious pediatric dental patients received a breathing session of 10 minutes, using the RESPeRATE™ device.

Intervention Type DEVICE

Tell, Show and Do technique

Fifty-five anxious pediatric dental patients received a traditional behavior management technique (Tell-Show-Do).

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Normal healthy children (physical status ASA I \& II).
* Scoring 26 or more on faces version of modified child dental anxiety scale (MCDASf).
* Dental procedure requiring local anesthesia.
* Completion of a parental consent to participate in the study.

Exclusion Criteria

* Children on anxiolytic medication or using any medication directly related to emotional or cognitive function.
* Children with special needs.
* Children on medications that specifically agonize or antagonize alpha- or beta-adrenergic processes.
Minimum Eligible Age

7 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Alexandria University

OTHER

Sponsor Role collaborator

Nourhan M.Aly

OTHER

Sponsor Role lead

Responsible Party

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Nourhan M.Aly

Instructor of Dental Public Health and Statistician

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Sarah Zeitoun, M.Sc

Role: PRINCIPAL_INVESTIGATOR

Faculty of Dentistry, Alexandria University, Egypt

Amani Khalil, PhD

Role: STUDY_CHAIR

Faculty of Dentistry, Alexandria University, Egypt

Nadia Wahba, PhD

Role: STUDY_CHAIR

Faculty of Dentistry, Alexandria University, Egypt

Mohamed IS Ahmed, PhD

Role: STUDY_CHAIR

Faculty of Medicine, Alexandria University, Egypt

Locations

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Faculty of Dentistry, Alexandria University

Alexandria, , Egypt

Site Status

Countries

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Egypt

References

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Morarend QA, Spector ML, Dawson DV, Clark SH, Holmes DC. The use of a respiratory rate biofeedback device to reduce dental anxiety: an exploratory investigation. Appl Psychophysiol Biofeedback. 2011 Jun;36(2):63-70. doi: 10.1007/s10484-011-9148-z.

Reference Type BACKGROUND
PMID: 21365307 (View on PubMed)

Howard KE, Freeman R. Reliability and validity of a faces version of the Modified Child Dental Anxiety Scale. Int J Paediatr Dent. 2007 Jul;17(4):281-8. doi: 10.1111/j.1365-263X.2007.00830.x.

Reference Type BACKGROUND
PMID: 17559456 (View on PubMed)

Chipps J. Psychological therapies for the management of chronic and recurrent pain in children and adolescents: A Cochrane review summary. Int J Nurs Stud. 2021 Jan;113:103393. doi: 10.1016/j.ijnurstu.2019.103393. Epub 2019 Aug 16. No abstract available.

Reference Type BACKGROUND
PMID: 31519334 (View on PubMed)

Other Identifiers

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Respiratory biofeedback device

Identifier Type: -

Identifier Source: org_study_id

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