Impact of Music Distraction on Dental Anxiety in Children Having Intellectual Disability

Gowdham, Geethanjali; Shetty, Amarshree; Hegde, Amitha M; Suresh, Lekshmi R

doi:10.5005/jp-journals-10005-1902

Cited by 4 publications

(57 citation statements)

References 14 publications

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“…28,29 The choice of audio distraction in the current study was a pre-recorded Indian instrumental music of a low-tone, stringed instrument (Sarod), as the children are better acclimatized to it. 6 VR is a relatively new distraction technique that may be superior to traditional distraction tools since it offers more number and types of stimuli to the senses than just audio or visual ones alone or in combination. 9 In the current study, an age-appropriate video exhibiting the underwater world was introduced as a VR intervention to the children using a VR headset.…”

Section: Discussionmentioning

confidence: 99%

“…Children with mild intellectual disabilities were recruited in the current study as they could comprehend and follow behavior guidance instructions better when compared to moderate, severe, or profound intellectually disabled children. 5,6 Each participant was exposed to both distraction techniques over two appointments planned 1 month apart. The tell-show-do technique was employed to introduce distraction tools to minimize anxiety among the current study participants.…”

Section: Discussionmentioning

confidence: 99%

“…The parameters were recorded after an adaptation period of 5 min at each interval to familiarize the child with the dental examination instruments, headphones, and VR headsets to avoid any confounding bias caused by anxiety due to the dental instruments or distraction devices. 6 Data was subjected to statistical analysis using Statistical package for social sciences (SPSS v 26.0, IBM). The normality of numerical data was checked using the Shapiro-Wilk test and it was found that the data did not follow a normal curve.…”

Section: Methodsmentioning

confidence: 99%

“…Due to cognitive impairment, children with intellectual disabilities tend to exhibit more significant anxiety, making behavior guidance and communication more challenging during dental treatments. 6 Distraction, a non-pharmacological behavior guidance technique, has routinely alleviated children's anxiety during dental treatment. Music can be used as a passive distraction, and instrumental music has specifically been shown to produce a calming effect in children with intellectual disabilities.…”

Section: Introductionmentioning

confidence: 99%

“…Music can be used as a passive distraction, and instrumental music has specifically been shown to produce a calming effect in children with intellectual disabilities. [6][7][8] Virtual reality (VR) distraction is a relatively new distraction technique that has gained popularity over time. VR is a human-computer interface that works on the principle of sensory shielding.…”

Section: Introductionmentioning

confidence: 99%

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Effect of audio and virtual reality distraction on the dental anxiety of children with mild intellectual disability

Mehrotra,

Shetty,

Rai

et al. 2023

Special Care in Dentistry

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Background and AimIntellectual disability, is a neurodevelopmental disorder that typically manifests early in childhood and consists of both intellectual and adaptive functioning deficits in conceptual, social, and practical domains. It can be categorized into mild, moderate, severe, and profound based on its severity. Cognitive impairment may be observed predominantly in children with intellectual disabilities. Marked deficits in areas of learning, planning, communication, social participation, and personal independence in children with mild intellectual disabilities make behavior guidance and communication a challenge during dental treatments. The aim was to evaluate and compare the use of two different distraction tools, audio, and virtual reality (VR) on the dental anxiety of children with mild intellectual disability during dental treatment.MethodsTwenty children diagnosed with mild intellectual disability were equally divided into two groups. A cross‐over study design consisting of two appointments 1 month apart was employed. In the first appointment, audio and VR distractions were provided to participants in Groups 1 and 2, respectively, and the distraction tools provided to the participants were interchanged in the second appointment. A trained observer recorded physiological parameters (pulse rate and oxygen saturation) and observational parameters (Venham's anxiety rating scale) during both appointments at three‐time intervals. Statistical intra‐group and inter‐group comparison analyses were performed using Friedman's and Mann–Whitney U tests.ResultsA decrease in pulse, increase in oxygen saturation levels, and a decrease in Venham's Anxiety Rating Scores (statistically significant p < .05 / highly significant p < .01) was observed on introducing the distraction techniques in Groups 1 and 2 in both appointments. A statistically non‐significant difference (p > .05) in physiological and observational parameters was observed between Groups 1 and 2 in both appointments.ConclusionAudio and VR distraction techniques can be employed for behavior guidance in children with mild intellectual disability during restorative dental procedures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Effect of audio and virtual reality distraction on the dental anxiety of children with mild intellectual disability

Mehrotra,

Shetty,

Rai

et al. 2023

Special Care in Dentistry

View full text Add to dashboard Cite

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Effectiveness of sensory adaptive dental environments to reduce psychophysiology responses of dental anxiety and support positive behaviours in children and young adults with intellectual and developmental disabilities: a systematic review and meta-analyses

Reynolds,

Chimoriya,

Chandio

et al. 2023

BMC Oral Health

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Background People with Intellectual and developmental disabilities (IDDs) experience oral health inequality due to myriad of risk factors and complex needs. Sensory processing difficulties, maladaptive behaviours and dental anxiety contribute to difficulties in receiving preventive and routine dental treatments. This study aimed to systematically review the evidence on the effectiveness of sensory adaptive dental environments (SADE) for children and young adults (up to the ages 24 years) with IDD to address cooperation and dental anxiety. Methods This review was reported according to The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. MEDLINE (Ovid), The Cochrane Library, Embase, Google Scholar, Web of Science and OT Seeker were searched using appropriate terms to identify Randomised Control Trails (RCTs) that matched inclusion criteria. Screening was conducted by two reviewers after de-duplication based on titles and abstracts followed by full text retrieval. Quality of the included studies was assessed using Cochrane Risk of Bias (ROB)-2 for crossover trials and data extracted by two reviewers. The details of the interventions and effectiveness were compared and discussed narratively, and comparable outcomes were included to meta-analyses using R software. Results A total of 622 articles were identified and five articles met eligibility for inclusion. Three studies used multi-sensory adaptations and one used single sensory adaptation of music. Narrative synthesis showed some evidence of SADE reducing magnitude and duration, although, questionable for reducing the number of maladaptive behaviours. Two studies demonstrated conflicting evidence of the effect of SADE on cooperation. Three studies demonstrated significant positive impact of SADE on psychophysiological outcomes. Despite an overall tendency to favour SADE, no statistically significant difference of maladaptive behaviours was found between SADE and regular dental environment (RDE) (Standardised mean change (SMC) = 0.51; 95% Confidence Interval (CI) -0.20 to 1.22; p = 0.161). SADE was superior to RDE (SMC -0.66; 95% CI -1.01 to -0.30; p = < 0.001) in reducing psychophysiological responses of dental anxiety. Conclusion Current evidence suggests that adapting visual, tactile, and auditory aspects of the dental environment in a single or multi-sensory approach demonstrates small positive effects on psychophysiological responses and maladaptive behaviours of dental anxiety for people with IDD. Trial registration The title of this review was registered with PROSPERO (CRD42022322083).

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Monitoring Inattention in Construction Workers Caused by Physical Fatigue Using Electrocardiograph (ECG) and Galvanic Skin Response (GSR) Sensors

Ouyang,

Liu,

Cheng

et al. 2023

Sensors

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Physical fatigue is frequent for heavy manual laborers like construction workers, but it causes distraction and may lead to safety incidents. The purpose of this study is to develop predictive models for monitoring construction workers’ inattention caused by physical fatigue utilizing electrocardiograph (ECG) and galvanic skin response (GSR) sensors. Thirty participants were invited to complete an attention-demanding task under non-fatigued and physically fatigued conditions. Supervised learning algorithms were utilized to develop models predicting their attentional states, with heart rate variability (HRV) features derived from ECG signals and skin electric activity features derived from GSR signals as data inputs. The results demonstrate that using HRV features alone could obtain a prediction accuracy of 88.33%, and using GSR features alone could achieve an accuracy of 76.67%, both through the KNN algorithm. The accuracy increased to 96.67% through the SVM algorithm when combining HRV and GSR features. The findings indicate that ECG sensors used alone or in combination with GSR sensors can be applied to monitor construction workers’ inattention on job sites. The findings would provide an approach for detecting distracted workers at job sites. Additionally, it might reveal the relationships between workers’ physiological features and attention.

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Impact of Music Distraction on Dental Anxiety in Children Having Intellectual Disability

Cited by 4 publications

References 14 publications

Effect of audio and virtual reality distraction on the dental anxiety of children with mild intellectual disability

Effect of audio and virtual reality distraction on the dental anxiety of children with mild intellectual disability

Effectiveness of sensory adaptive dental environments to reduce psychophysiology responses of dental anxiety and support positive behaviours in children and young adults with intellectual and developmental disabilities: a systematic review and meta-analyses

Monitoring Inattention in Construction Workers Caused by Physical Fatigue Using Electrocardiograph (ECG) and Galvanic Skin Response (GSR) Sensors

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