2026-04-17T18:55:31Zhttps://recercat.cat/oai/request

oai:recercat.cat:20.500.12328/44532025-05-16T12:49:23Zcom_2072_67741col_2072_484352

2025-05-16T12:49:22Z urn:hdl:20.500.12328/4453 Comparison of active versus passive audiovisual distraction tools on children's behaviour, anxiety and pain in paediatric dentistry: a randomised crossover clinical trial Guinot Jimeno, Francisco Mercade, Montserrat Oprysnyk, L. Veloso Durán, Ana Boj, J. R. Ansietat Distracció audiovisual Comportament Gestió d'infants Dolor Ansiedad Distracción audiovisual Conducta Manejo infantil Dolor Anxiety Audiovisual distraction Behaviour Child management Pain Aim: To determine the effect of active distraction when playing PlayStation® video games, compared to passive distraction when watching a cartoon with audiovisual eyeglasses, on parental perception of patients' anxiety, and children's anxiety, pain, behaviour and heart rate during restorative procedures in paediatric dentistry. Materials and methods: Study design: Randomised crossover clinical trial. There were 34 patients in the cartoon film group (passive distraction) and 34 in the Playstation® video game group (active distraction), aged 6-8 years, who required a minimum of 2 visits for restorative treatment. Rimax® iVision 5.0 eyeglasses were used in both groups. Parental perception of patients' anxiety (Modified Corah Dental Anxiety Scale), and children's anxiety (Venham Picture Test), pain (Wong-Baker Faces Scale), behaviour (Frankl Scale) and heart rate were evaluated at each of the treatment visits. Preference for and satisfaction with the audiovisual product were also assessed. Results: There were significant differences in self-reported pain between control (P=0.016) and experimental (P=0.013) visits in both groups, with lower values in the Playstation® video game group. No significant differences were found (P>0.05) in the other variables evaluated with the use of active distraction. A significant increase in heart rate was recorded at each treatment visit (P=0.0001) when the anaesthetic was injected. All the patients wanted to continue watching or playing their chosen cartoon or Playstation® video game during subsequent visits. Conclusion: The use of PlayStation® video games for active audiovisual distraction, compared with passive distraction with a cartoon, improved self-reported pain but did not reduce parents' perception of patients' anxiety, pain, global behaviour, or heart rate. Both distraction methods were accepted by paediatric patients. 2025-05-16T12:49:22Z 2025-05-16T12:49:22Z 2021 info:eu-repo/semantics/article Guinot Jimeno, Francisco; Mercade, Montserrat; Oprysnyk, L. [et al.]. Comparison of active versus passive audiovisual distraction tools on children's behaviour, anxiety and pain in paediatric dentistry: a randomised crossover clinical trial. European Journal of Paediatric Dentistry, 2021, 22, p. 230-236. Disponible en: <https://pubmed.ncbi.nlm.nih.gov/34544253/>. Fecha de acceso: 20 nov. 2024. DOI: 10.23804/ejpd.2021.22.03.10 2035-648X http://hdl.handle.net/20.500.12328/4453 https://www.dx.doi.org/10.23804/ejpd.2021.22.03.10 eng European Journal of Paediatric Dentistry 22 https://creativecommons.org/licenses/by-nc/4.0/ info:eu-repo/semantics/openAccess This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Ariesdue