Effectiveness of Puppet Modeling Technique on Children Undergoing Stressful Dental Procedures

NCT ID: NCT06326307

Last Updated: 2024-03-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 41 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-01-01
• Study Completion Date: 2023-12-01

Brief Summary

The goal of this RCT is to compare puppet modeling technique vs tell show and do on children undergoing stressful dental procedures'

• The main question[s] it aims to answer are:

1. To compare the effect of puppet modeling vs tell show and do on the cooperation of children during the administration of local anesthesia.

2. To compare the effect of puppet modeling vs tell show and do on the anxiety level of children during the administration of local anesthesia.

type of study: clinical trial participant population/health conditions: Healthy

In this randomized crossover clinical trial, study subjects were randomly allocated into two groups:

• Group I : Children who received puppet behavior guidance during their first visit and tell-show-do guidance in their second visit, 2 weeks later. (P-TSD)
• Group II : Children who received the tell-show-do behavior guidance during their first visit and puppet behavioral guidance in their second visit, 2 weeks later.(TSD-P)

Detailed Description

Aim of the Study: The aim of this research is to compare the effectiveness of tell show and do (TSD) vs puppet play therapy on children's behavior during the administration of local anesthesia.

Materials and Methods: This was a randomized crossover clinical trail that was conducted at King Abdulaziz University Faculty of Dentistry for a period of 12 months starting from Jan 2023 to Dec 2023 on 41 children (aged 3-7 years) randomly divided into two groups of. Group I (23 children): Children who received the TSD behavior guidance during their first visit and puppet play therapy in their second visit 2 weeks later. Group II (18 children): Children who received puppet play therapy during their first visit and TSD guidance in their second visit 2 weeks later. The anxiety level was determined using Facial Index Scale(FIS) and Venham anxiety rating scale and pulse rate (PR) at the beginning, middle and the end of each anesthesia administration. Patient behavior was also scored using Frankl behavior rating scale (FBRS) , Venham behavior rating scale. The FLACC scale was used to assess pain.

Conditions

Behavioral Guidance in Pediatric Dentistry

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: CROSSOVER
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Group 1

Children who received puppet behavior guidance during their first visit and tell-show-do guidance in their second visit, 2 weeks later. (P-TSD)

Group Type: EXPERIMENTAL

Tell Show and Do Guidance

Intervention Type: BEHAVIORAL

In this technique, the dentist tells explains the procedure using the Tell show and do method.

Puppet Guidance

Intervention Type: BEHAVIORAL

In this technique, the dentist using the puppet to explains the procedure.

Group 2

Children who received the tell-show-do behavior guidance during their first visit and puppet behavioral guidance in their second visit, 2 weeks later.(TSD-P)

Group Type: EXPERIMENTAL

Tell Show and Do Guidance

Intervention Type: BEHAVIORAL

In this technique, the dentist tells explains the procedure using the Tell show and do method.

Puppet Guidance

Intervention Type: BEHAVIORAL

In this technique, the dentist using the puppet to explains the procedure.

Interventions

Tell Show and Do Guidance

In this technique, the dentist tells explains the procedure using the Tell show and do method.

Intervention Type: BEHAVIORAL

Puppet Guidance

In this technique, the dentist using the puppet to explains the procedure.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• • Children having no previous experience of local anesthesia

• Children aged 3-8 years old
• Children with negative history of any particular underlying disease.

Exclusion Criteria

• • Children who needed procedures with no local anesthesia.

• Children who were allergic to local anesthesia.
• Children who were indicated for advanced behavioral guidance.

• Minimum Eligible Age: 3 Years
• Maximum Eligible Age: 8 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

King Abdulaziz University

OTHER

Sponsor Role: lead

Responsible Party

Layla Khogeer

Dr

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

King Abulaziz university dental hospital

Jeddah, Mecca Region, Saudi Arabia

Countries

Saudi Arabia

References

Khogeer LN, Sabbagh HJ, Felemban OM, Farsi NM. Puppet play therapy in emergency pediatric dental clinic. A randomized clinical trial. BMC Pediatr. 2025 Jul 2;25(1):503. doi: 10.1186/s12887-025-05849-5.

Reference Type: DERIVED

PMID: 40604606 (View on PubMed)

Other Identifiers

247-05-21

Identifier Type: -

Identifier Source: org_study_id