Effectiveness of CBT and APT on Managing Child Anxiety in Dental Office

NCT ID: NCT06292247

Last Updated: 2024-03-07

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-06-01
• Study Completion Date: 2024-05-01

Brief Summary

This study was conducted to the Effectiveness of Cognitive Behavioral Therapy and Auricular Plaster Therapy on Managing Child Anxiety in Dental Office.

Detailed Description

This study is to:

1. Assess and compare the effect of cognitive behavioral therapy and auricular plaster therapy on children's anxiety in dental situations.

2. Improve child behavior and cooperation and evaluate the parental acceptance of these behavioral management techniques.

Conditions

Dental Anxiety

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

Cognitive behavioral therapy group

CBT is based on the principle that, the way we think profoundly impacts the way we feel and behave. Therefore, learning to think differently can enable the child to feel and act differently. It is a multi-component therapy that companies cognitive (cognitive restructuring) and behavioral (relaxation and distraction) interventions to change these maladaptive cognitions, which change the emotional distress and problematic behaviors. The following techniques were used in our research in a row, unrelated play, animated video modeling, stress-ball relaxation technique, audio music therapy, and positive reinforcement. These have been used effectively to manage children's anxiety during the dental appointment.

Group Type: EXPERIMENTAL

Auricular plaster therapy

Intervention Type: BEHAVIORAL

APT involves the application of plaster with seeds on specific points of the outer ear, known as auricular points (acupoints). This process is believed to restore balance and harmony within the body's system and achieve a therapeutic effect (e.g. reduce anxiety)

Tell Show Do

Intervention Type: BEHAVIORAL

TSD is composed of 3 phases. The Tell phase involves an age-appropriate explanation of the procedure. The Show phase is used to demonstrate a procedure up to the point where the instrument is performed. The Do phase is then initiated, and the treatment is performed.

Auricular Plaster Therapy group

APT intervention involves the application of plaster with seeds on specific points of the outer ear, known as auricular points (acupoints). According to Traditional Chinese Medicine, these points correspond to various regions of the body. Applying pressure to these points (acupressure) will stimulate and regulate energy flow throughout the body. This process is believed to restore balance and harmony within the body's system and achieve a therapeutic effect e.g. (anxiety reduction)

Group Type: EXPERIMENTAL

Cognitive behavioral therapy

Intervention Type: BEHAVIORAL

CBT aims to treat anxiety by restructuring unfavorable beliefs and controlling negative thoughts so as to reduce dental anxiety.

Tell Show Do

Intervention Type: BEHAVIORAL

TSD is composed of 3 phases. The Tell phase involves an age-appropriate explanation of the procedure. The Show phase is used to demonstrate a procedure up to the point where the instrument is performed. The Do phase is then initiated, and the treatment is performed.

Control group (Tell show do)

TSD is considered the cornerstone of behavior management techniques. It aims to introduce the child to the dental setting before commencing any procedure. With the TSD technique, the child should be informed about the process with a demonstration of the dental procedure using a simulator.

Group Type: EXPERIMENTAL

Cognitive behavioral therapy

Intervention Type: BEHAVIORAL

CBT aims to treat anxiety by restructuring unfavorable beliefs and controlling negative thoughts so as to reduce dental anxiety.

Auricular plaster therapy

Intervention Type: BEHAVIORAL

APT involves the application of plaster with seeds on specific points of the outer ear, known as auricular points (acupoints). This process is believed to restore balance and harmony within the body's system and achieve a therapeutic effect (e.g. reduce anxiety)

Interventions

Cognitive behavioral therapy

CBT aims to treat anxiety by restructuring unfavorable beliefs and controlling negative thoughts so as to reduce dental anxiety.

Intervention Type: BEHAVIORAL

Auricular plaster therapy

APT involves the application of plaster with seeds on specific points of the outer ear, known as auricular points (acupoints). This process is believed to restore balance and harmony within the body's system and achieve a therapeutic effect (e.g. reduce anxiety)

Intervention Type: BEHAVIORAL

Tell Show Do

TSD is composed of 3 phases. The Tell phase involves an age-appropriate explanation of the procedure. The Show phase is used to demonstrate a procedure up to the point where the instrument is performed. The Do phase is then initiated, and the treatment is performed.

Intervention Type: BEHAVIORAL

Other Intervention Names

acupressure; TSD

Eligibility Criteria

Inclusion Criteria

1. Healthy children (4-7) years old, without systemic, congenital, or mental disorders nor deformities affecting the external auditory meatus.

2. Presence of dental anxiety.

3. Not requiring urgent dental treatment, with the presence of a Class I carious lesion on one of the primary molars.

4. No previous application of the guided CBT.

Exclusion Criteria

1. Refusal to participate by either the children or their parents/guardians

2. Previous receiving acupuncture and moxibustion therapy.

3. Children who had taken sedative drugs at the time of the appointment.

• Minimum Eligible Age: 4 Years
• Maximum Eligible Age: 7 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Mansoura University

OTHER

Sponsor Role: lead

Responsible Party

Reina Abed

Principle Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Reina N Abed, Master

Role: PRINCIPAL_INVESTIGATOR

Mansoura University

Salwa M Awad, Prof

Role: STUDY_DIRECTOR

Prof. of Pediatric Dentistry and Dental Public Health Faculty of Dentistry Mansoura University

Ahmad H Wahba, PhD

Role: STUDY_DIRECTOR

Prof. of Pediatric Dentistry and Dental Public Health Faculty of Dentistry Mansoura University

Locations

Faculty of dentistry

Al Mansurah, Dakahlia Governorate, Egypt

Countries

Egypt

Other Identifiers

A0503023

Identifier Type: -

Identifier Source: org_study_id