Storytelling using self-designed image-based storybook as tools for reducing dental anxiety in 5 to 12-years-old children: a narrative therapy

Authors

  • Amritha Krishnadasan Department of Pedodontics and Preventive Dentistry, Mathrushri Ramabai Ambedkar Dental College and Hospital, Bangalore, Karnataka, India
  • Jyothsna V. Setty Department of Pedodontics and Preventive Dentistry, Sri Siddhartha Dental College, Tumakuru, Karnataka, India
  • Ashwani Mohan Department of Pedodontics, Karuna, Kakkad, Kannur, Kerala, India
  • Aparna Jai Krishna Department of Pedodontics and Preventive Dentistry, Mathrushri Ramabai Ambedkar Dental College and Hospital, Bangalore, Karnataka, India
  • Ila Srinivasan Department of Pedodontics and Preventive Dentistry, Mathrushri Ramabai Ambedkar Dental College and Hospital, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20241354

Keywords:

Dental anxiety, Child behavior, Story book, Story telling

Abstract

Background: Children commonly experience dental anxiety, marked by a general feeling of fear when they have not encountered the situation before. By incorporating positive dental information through storytelling or engaging dental activity books, children can be effectively reassured and mentally prepared for their initial dental appointments. Storytelling and storybooks in healthcare serves multiple functions such as educating patients and their families, promoting specific qualities, and enhancing behaviors.

Methods: A randomized clinical study involving 240 children aged 5 to 12 years was conducted. The children were randomly assigned to three groups of 80 each: group 1 (received storytelling with image-based storybook), group 2 (received only storytelling), and the control group (received neither). Pulse rate and anxiety assessment using animated emoji scale measurements were taken at the start of the appointment, after the intervention before treatment, and after dental treatment.

Results: The interventional groups 1 and 2 showed a significant difference compared to the control group for pulse rate and animated emoji scale. Group 1 exhibited the highest reduction in anxiety as measured using the animated emoji scale and pulse rate.

Conclusions: In conclusion, providing children with a dental storybook before dental treatment can decrease dental anxiety and improve their behavior during the dental treatment.

References

Deshpande A, Jain A, Shah Y, Jaiswal V, Wadhwa M. Effectiveness of self designed dental storybook as behavior modification technique in 5-7 year old children: A randomized controlled study. J Indian Soc Pedod Prev Dent. 2022;40:253-9.

Alsaadoon AM, Sulimany AM, Hamdan HM, Murshid EZ. The Use of a Dental Storybook as a Dental Anxiety Reduction Medium among Pediatric Patients: A Randomized Controlled Clinical Trial. Children. 2022;9(3):328.

Aminabadi NA, Vafaei A, Erfanparast L, Oskouei SG, Jamali Z. Impact of pictorial story on pain perception, situational anxiety and behavior in children: a cognitive-behavioral schema. J Clin Pediatr Dent. 2011;36(2):127-32.

labduljabbar R, Almutawa M, Alkathiri R. An Interactive Augmented and Virtual Reality System for Managing Dental Anxiety among Young Patients: A Pilot Study. Appl Sci. 2023;21:432-9.

Gozin F, Tabe BF, Esmaeili M. Audio–visual storytelling for reducing dental anxiety in Iranian children: a randomized controlled trial. Eur Arch Paediatr Dent. 2022;12:102-9.

Setty JV, Srinivasan I, Radhakrishna S, Melwani AM, DR MK. Use of an animated emoji scale as a novel tool for anxiety assessment in children. J dent Anesth Pain Med. 2019;19(4):227-33.

Zhao Z, Han F, Ma X. Live emoji: A live storytelling vr system with programmable cartoon-style emotion embodiment. Available at: https://ieeexplore.ieee.org/ document/8942384. Accessed on 20 November 2023.

Marion IW, Nelson TM, Sheller B, McKinney CM, Scott JM. Dental stories for children with autism. Spec Care Dentist. 2016;36(4):181-6.

Folayan MO, Idehen EE. Effect of information on dental anxiety and behaviour ratings in children. Eur J Paediatr Dent. 2004;5(3):147-50.

Agras S, Sylvester D, Oliveau D. The epidemiology of common fears and phobia. Compr Psychiatr. 1969;10:151-6

Filewich RJ. Treatment of the agoraphobic dental patient. Dent Clin North Am. 1988;32:723-33.

Yelderman M, New W. Evaluation of pulse oximetry. Anesthesiology. 1983;59:349-52.

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Published

2024-05-27

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Section

Original Research Articles