Control of Anxiety in Pediatric Patients using “Tell Show Do” Method and Audiovisual Distraction

Abstract

Introduction: Visiting a dentist can easily evoke strong fear reactions and acute anxiety in children. It is one of the most basic reasons for avoidance and neglect of dental care. It may obstruct delivery of dental care, as the child may be unwilling to accept the treatment being provided by the dentist.

The Efficacy of Little Lovely Dentist, Dental Song, and Tell-Show-Do Techniques in Alleviating Dental Anxiety in Paediatric Patients: A Clinical Trial

“…Similar to this was observed with patients shown the dental song technique along, but the tell-show-do technique further exacerbated anxiety in the already anxious child with further increase in their heart rates after performing it, respectively. This corresponds to the previous studies which also fail to demonstrate any significant reduction in anxiety levels of the paediatric patients after demonstrating the "tell-showdo" technique [26,27].…”

Stress Management Methods in Children and Adolescents: Past, Present, and Future

“…Relaxation exercises are known to boost vagal activity, increase the production of neurotransmitters against pain such as serotonin, and decrease the stress hormone levels [67]. Counter stimulation and virtual reality methods could be used to reduce pain and anxiety in the local anesthesia (LA) injection during extraction and pulp treatments [70]. VR uses fantasy worlds, and 3D real-life virtual situations with high ecological validity are more acceptable to the children [4, 66].…”

“…VR uses fantasy worlds, and 3D real-life virtual situations with high ecological validity are more acceptable to the children [4, 66]. In a recent randomized trial of 400 children by Khandelwal et al [70], it was found that audiovisual distraction is superior to the “Tell Show Do” (TSD) method in the management of anxious children aged 5–8 years [71]. Likewise, with this result, the study of Nunna et al [72] revealed a significant reduction in mean pulse rates in children who had their injection while watching cartoons under VR distraction [70].…”

“…In a recent randomized trial of 400 children by Khandelwal et al [70], it was found that audiovisual distraction is superior to the “Tell Show Do” (TSD) method in the management of anxious children aged 5–8 years [71]. Likewise, with this result, the study of Nunna et al [72] revealed a significant reduction in mean pulse rates in children who had their injection while watching cartoons under VR distraction [70]. But also, providing LA with music or 3D video glasses as distraction has been found to have an added advantage in the majority of children, as 3D video glasses proved to be superior to music [71].…”

Studi Kasus Penerapan Teknik Distraksi Untuk Mengurangi Kecemasan Saat Dilakukan Tindakan Nebulizer Pada Anak Dengan Bronkopneumoni

“…Audiovisual merupakan media penyampaian informasi terdiri dari audio (suara) dan visual (gambar) yang mencakup dua indera sekaligus yakni indera pendengaran dan indera penglihatan (Risnawati, 2018). Pemberian audiovisual khususnya kartun merupakan bentuk distraksi yang mampu mengambil kendali dengan cara menyenangkan dua jenis sensasi yaitu pada pendengaran dan visual yang pada saat bersamaan akan mengisolasi sebagian besar suara disekeliling anak dan mengisolasi pemandangan klinis yang tidak bersahabat bagi pasien anak (Tyagi, Gupta, Khatri, Khandelwal, & Kalra, 2018). Hasil studi ini didukung dengan penelitian yang dilakukan oleh (Habiba et al, 2021) yang mengungkapkan bahwa ada pengaruh distraksi video film kartun terhadap kecemasan anak dengan bronkopneumonia yang dilakukan terapi inhalasi menggunakan nebulizer.…”