The Impact of Medical Play in the Dental Clinic Setting on the Cooperation of Neurotypical Patients

NCT ID: NCT05571423

Last Updated: 2024-02-01

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

RECRUITING

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-01

Study Completion Date

2025-10-31

Brief Summary

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The purpose of this pilot study is to investigate the efficacy of medical play in the dental setting to improve the behaviors and cooperation of neurotypical patients during dental visits.

The specific aims of the study are as follows:

1. To evaluate differences in behaviors and cooperation levels of subjects utilizing medical play before a routine dental exam visit in comparison to those undergoing a routine dental exam visit without use of medical play.
2. To evaluate whether subjects who have a dental exam visit, with or without use of medical play, show improved behaviors and improved completion of components of the dental exam compared to their previous routine dental visit.
3. To evaluate provider perceptions of the behavior and cooperation of children using medical play before dental exam visits compared to dental exam visits without medical play.
4. To evaluate caregiver perceptions of the behavior and cooperation of children using medical play before dental exam visits compared to dental exam visits without medical play.
5. To evaluate patient perceptions of the dental exam, visit when medical play is used in comparison to dental exam visits without medical play.

The hypotheses are as follows:

1. Subjects will have increased positive behaviors and improved cooperation during dental exam visits when medical play is utilized beforehand.
2. Providers will report improved behavior and cooperation from patients when medical play is utilized beforehand.
3. Parents will report improved behavior and cooperation from their children and report greater satisfaction with the dental visit when medical play is utilized beforehand.
4. Patients will report experiencing less anxiety, via the Modified Child Dental Anxiety Scale - Faces Version (MCDAS-f) after appointments in which medical play is utilized.

Detailed Description

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The purpose of this study is to investigate the efficacy of medical play to improve the behaviors and cooperation of patients during routine dental exam visits at Children's Hospital Colorado Dental Center through a prospective, randomized controlled trial. The specific aims of this study are to: (1) evaluate differences in behaviors and cooperation levels of subjects utilizing medical play during routine dental exam visits in comparison to those undergoing a routine dental exam visit without use of medical play; (2) evaluate whether subjects who have a dental exam visit, with or without use of medical play, show improved behaviors and improved completion of components of the dental exam compared to their previous routine dental visit; (3) evaluate provider perceptions of the behavior and cooperation of children using medical play during dental exam visits compared to dental exam visits without medical play; (4) evaluate caregiver perceptions of the behavior and cooperation of children using medical play during dental exam visits compared to dental exam visits without medical play; and (5) evaluate patient perceptions of the dental exam visit when medical play is used in comparison to dental exam visits without medical play. To investigate these specific aims, this study will involve recruiting up to 100 neurotypical patients, ages 5-10 years old, who will be seen for their dental exam visits who were previously identified by providers using the Frankl Behavior Rating Scale as Frankl 1 and Frankl 2. Subjects meeting including criteria were screened and offered participating in the study using a telephonic script. Patients agreeing for participation were screened for inclusion and exclusion criteria when they report for routine dental exam and cleaning using pre-screening consent script. Study information, patient rights including voluntary participation and withdrawal of consent without consequences will be provided and informed consent or assent will be collected. The recruited subjects will be randomly divided into two groups so that one group of participants will engage in medical play before the dental exam visit and the other group will be engaged to routine play (coloring exercise) before their dental exam visit. The provider will be blinded to whether the intervention (medical or routine play) before the dental exam visit. The caregivers will complete Dental Behavior Assessment survey before while post-visit survey after the visit to help assess their perceptions of their child's behaviors before and after the visit, respectively. The subjects will also rate their perceived well-being before and after the dental visit using the Modified Child Dental Anxiety Scale - Faces Version. The provider will record patient behavior using a Frankl behavior rating scale and levels of cooperation (which components of the dental exam were completed without coaxing beyond two minutes).

Conditions

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Dental Phobia Dental Anxiety Oral Aversion

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective, randomized clinical controlled trial
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers
The dental providers and study subjects will be blinded to the intervention: medical or routine play

Study Groups

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Medical Play Intervention

This group of participants will be engaged in medical play before the dental exam visit.

Group Type ACTIVE_COMPARATOR

Medical Play

Intervention Type BEHAVIORAL

Study subject will be engage in the medical play.

Routine Play Intervention

This group of participants be engaged in routine play (coloring exercise) before the dental exam visit.

Group Type PLACEBO_COMPARATOR

Routine Play

Intervention Type BEHAVIORAL

Study subject will be engage in the routine play (coloring exercise).

Interventions

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Medical Play

Study subject will be engage in the medical play.

Intervention Type BEHAVIORAL

Routine Play

Study subject will be engage in the routine play (coloring exercise).

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Previously identified as Frankl 1 or Frankl 2 per the electronic dental record during dental exam visits (Epic)
* Child subject is neurotypical
* Patient of record at Children's Hospital Colorado Dental Center
* Child subject is 5-10 years of age
* Caregiver must be the child's legal guardian

Exclusion Criteria

* Previously identified as Frankl 3 or Frankl 4 per the electronic dental record during dental exam visits (Epic)
* Children who have not previously received care at the Children's Hospital Colorado Dental Center
* Children that have a diagnosis of Autism or other neurologically atypical diagnosis
* Children not in the age range of 5-10 years
* Adult in attendance to dental visit with child is not the legal guardian
Minimum Eligible Age

5 Years

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Colorado, Denver

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Chaitanya P Puranik, BDS,MS,PhD

Role: PRINCIPAL_INVESTIGATOR

University of Colorado, Denver

Locations

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Children's Hospital of Colorado Health Pavilion-Dental Clinic

Aurora, Colorado, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Chaitanya P Puranik, BDS,MS,PhD

Role: CONTACT

7207772719

Dominique E Bertucci, D.M.D.

Role: CONTACT

3126071029

Facility Contacts

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Chaitanya P Puranik, BDS,MS,PhD

Role: primary

720-777-2719

Dominique E Bertucci, D.M.D.

Role: backup

3126071029

References

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Dp Kiran S, Vithalani A, J Sharma D, C Patel M, Bhatt R, Srivastava M. Evaluation of the Efficacy of Play Therapy among Children Undergoing Dental Procedure through Drawings Assessed by Graphological Method: A Clinical Study. Int J Clin Pediatr Dent. 2018 Sep-Oct;11(5):412-416. doi: 10.5005/jp-journals-10005-1549. Epub 2018 Oct 1.

Reference Type BACKGROUND
PMID: 30787555 (View on PubMed)

Hinze T, McDonald C, Kerins CA, McWhorter AG. Child Life Interventions for Pediatric Dental Patients: A Pilot Study. Pediatr Dent. 2020 Jul 15;42(4):252-255.

Reference Type BACKGROUND
PMID: 32847664 (View on PubMed)

Romito B, Jewell J, Jackson M; AAP COMMITTEE ON HOSPITAL CARE; ASSOCIATION OF CHILD LIFE PROFESSIONALS. Child Life Services. Pediatrics. 2021 Jan;147(1):e2020040261. doi: 10.1542/peds.2020-040261.

Reference Type BACKGROUND
PMID: 33372119 (View on PubMed)

Sridhar S, Suprabha BS, Shenoy R, Shwetha KT, Rao A. Effect of a relaxation training exercise on behaviour, anxiety, and pain during buccal infiltration anaesthesia in children: Randomized clinical trial. Int J Paediatr Dent. 2019 Sep;29(5):596-602. doi: 10.1111/ipd.12497. Epub 2019 Apr 8.

Reference Type BACKGROUND
PMID: 30887592 (View on PubMed)

He HG, Zhu L, Chan SW, Liam JL, Li HC, Ko SS, Klainin-Yobas P, Wang W. Therapeutic play intervention on children's perioperative anxiety, negative emotional manifestation and postoperative pain: a randomized controlled trial. J Adv Nurs. 2015 May;71(5):1032-43. doi: 10.1111/jan.12608. Epub 2015 Jan 6.

Reference Type BACKGROUND
PMID: 25561079 (View on PubMed)

Li WHC, Chung JOK, Ho KY, Kwok BMC. Play interventions to reduce anxiety and negative emotions in hospitalized children. BMC Pediatr. 2016 Mar 11;16:36. doi: 10.1186/s12887-016-0570-5.

Reference Type BACKGROUND
PMID: 26969158 (View on PubMed)

Other Identifiers

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22-1302

Identifier Type: -

Identifier Source: org_study_id

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