The effect of Filmed modeling on the anxious and cooperative behavior of 4-6 years old children during dental treatment: A randomized clinical trial study

Mehrsa Paryab, Zeinab Arab, Mehrsa Paryab, Zeinab Arab

Abstract

Background: The aim of this study was to evaluate the effect of Filmed modeling in comparison with commonly used Tell-Show-Do technique (T.S.D) on the anxious and cooperative behavior of 4-6 years old children during dental practice.

Materials and methods: Forty six children aged 4-6 years were enrolled in this study and randomly allocated into two groups. Group I: At the first visit, the procedure of Tell-Show-Do, and at the second visit, the treatment procedures were performed by the dentist for the children. Group II: At the first visit, children watched a film consisting of the procedure of Tell-Show-Do performed on a child model. At the second visit, treatment procedures were performed. In both groups, during the treatment procedure, index of heart rate was measured and behaviors of children were recorded. The children's anxious and cooperative behaviors on the recordings were quantified according to Venham and Frankl rating scales, respectively. The data were compared between two groups using T-test method. All statistical references were made at 0.05.

Results: There were no statistically significant differences in heart rate measures, clinical anxiety and cooperative behavior scores of children between the two groups (P = 0.6).

Conclusion: Filmed modeling can be an efficient alternative method to Tell-Show-Do technique in pre-appointment preparation of the 4-6 years old children during dental treatment.

Keywords: Cooperative behavior; dental anxiety; film modeling; pediatric dentistry.

Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
Flowchart of patient's selection and randomization in two study groups (Tell-Show- Do and Filmed modeling groups)

References

    1. Graziano AM, DeGiovanni IS, Garcia KA. Behavioural treatment of children's fears: A review. Psychol Bull. 1979;86:804–30.
    1. Locker D, Thomson WM, Poulton R. Onset of and patterns of change in dental anxiety in adolescence and adulthood: A Birth Cohort Study. Community Dent Health. 2001;18:99–104.
    1. Wilson S. Non-pharmacologic issues in pain perception and control. In: Casa Massimo PS, Fields HW, McTigue DJ, Nowak AJ., editors. Paediatric dentistry - Infancy through adolescence. 5th ed. Philadelphia: Elsevier Saunders; 2013. p. 94.
    1. Adair SM. Behaviour management conference panel I report-Rationale for behaviour management techniques in paediatric dentistry. Paediatr Dent. 2004;26:167–70.
    1. Wright GZ, Stigers JI. Non-pharmacologic management of children's behaviors. In: Dean JA, Avery DR, McDonald RE, editors. Dentistry for the Child and Adolescence. 9th ed. St. Louis: CV Mosby Co; 2011. p. 30.
    1. Townsend JA. Behaviour guidance of the paediatric dental patient. In: Casa Massimo PS, Fields HW, McTigue DJ, Nowak AJ., editors. Paediatric Dentistry — Infancy through Adolescence. 5th ed. Philadelphia: Elsevier Saunders; 2013. p. 358.
    1. Melamed BG, Siegel LJ. Reduction of anxiety in children facing hospitalization and surgery by use of filmed modelling. J Consult Clin Psychol. 1975;43:511–21.
    1. Peterson L, Schultheis K, Ridley-Jonson R, Miller DJ, Tracy K. Comparison of three modeling procedures on the pre-surgical and post surgical reaction of children. Behav Ther. 1984;15:197–203.
    1. Krouse HJ. Video modelling to educate patients. J Adv Nurs. 2001;33:748–57.
    1. Boudreau E, Entremont B. Improving the pretend play skills of preschoolers with autism spectrum disorders: The effects of video modelling. J Dev Phys Disabil. 2010;22:415–31.
    1. Charlop-Christy MH, Le L, Freeman KA. A comparison of video modelling with in vivo modelling for teaching children with autism. J Autism Dev Disord. 2000;30:537–52.
    1. Greenbaum PE, Melamed BG. Pre-treatment modelling: A technique for reducing children's fear in the dental operatory. Dent Clin North Am. 1988;32:693–704.
    1. Stokes TF, Kennedy SH. Reducing child uncooperative behaviour during dental treatment through modelling and reinforcement. J Appl Behav Anal. 1980;13:41–9.
    1. Farhat-McHayleh N, Harfouche A, Souaid P. Techniques for managing behaviour in pediatric dentistry: Comparative study of live modelling and Tell-Show-Do based on children's heart rates during treatment. J Can Dent Assoc. 2009;75:283.
    1. Howard KE, Freeman R. An evaluation of the PALS after treatment modelling intervention to reduce dental anxiety in child dental patients. Int J Paediatr Dent. 2009;19:233–42.
    1. Machen B, Johnson R. Desensitization, model learning and the dental behaviour of children. J Dent Res. 1974;53:83–6.
    1. Melamed BG, Hawes RR, Heiby E, Glick J. Use of filmed modelling to reduce uncooperative behaviour of children during dental treatment. J Dent Res. 1975;54:797–801.
    1. Fields H, Pinkham J. Videotape modelling of the child dental patient. J Dent Res. 1976;55:958–63.
    1. Melamed BG, Yurcheson R, Flees EL, Hutcherson S, Hawes R. Effects of film modelling on reduction of anxiety-related behaviours in individuals varying in level of previous experience in the stress situation. J Consult Clin Psychol. 1978;46:1357–67.
    1. Rouleau J, Ladouceur R, Dufour L. Pre-exposure to the first dental treatment. J Dent Res. 1981;60:30–4.
    1. Klingman A, Melamed BG, Cuthbert MI, Hermecz DA. Effects of participant modelling on information acquisition and skill utilization. J Consult Clin Psychol. 1984;52:414–22.
    1. Yahaya WAJ, Salam SNA. Usability design strategies for children: Developing children learning and knowledge in decreasing children dental anxiety. Proceedings of the International Conference on Primary Education, Hong Kong. 2009 Nov 25-27;
    1. Casamassimo PS, Adair SM. The Dynamics of Change. In: Casa Massimo PS, Fields HW, McTigue DJ, Nowak AJ., editors. Paediatric Dentistry - Infancy through Adolescence. 5th ed. Philadelphia: Elsevier Saunders; 2013. p. 252.
    1. Klingberg G, Raadal M, Arnrup K. Dental fear and Behavior management problems. In: Koch G, Paulsen S, editors. Pediatric dentistry — a clinical approach. 2st ed. USA: Wiley-Blackwell Publishing Ltd; 2009. pp. 32–43.
    1. Afshar H, Baradaran Nakhjavani Y, Mahmoudi-Gharaei J, Paryab M, Zadhoosh S. the effect of parental presence on the 5 year-old children's anxiety and cooperative behavior in the first and second dental visit. Iran J Pediatr. 2011;21:193–200.
    1. Baghdadi ZD. Principles and application of learning theory in child management. Quintessence Int. 2001;32:135–41.
    1. Lewis TM, Law DB. Investigation of certain autonomic responses of children to a specific dental stress. J Am Dent Assoc. 1958;57:769–78.

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