The effect of video modeling and tell-show-do on anxiety during dental radiographic examinations among children
Laura Tania(1), Ryna Dwi Yanuaryska(2*), Putri Kusuma Wardani(3)
(1) Master of Clinical Dentistry Study Program, Faculty of Dentistry, Universita Gadjah Mada, Yogyakarta, Indonesia
(2) Master of Clinical Dentistry Study Program, Faculty of Dentistry, Universita Gadjah Mada, Yogyakarta, Indonesia Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Universita Gadjah Mada, Yogyakarta, Indonesia
(3) Department of Pediatric Dentistry, Faculty of Dentistry, Universita Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author
Abstract
Dental procedure anxiety refers to the fear experienced before and during dental treatment. To reduce anxiety levels in children undergoing radiographic examinations, non-pharmacological behavioral management techniques such as tell-show-do and modeling can be employed. This study aimed to compare the effectiveness of video modeling and the tell-show-do technique in reducing anxiety in children aged 5–7 years undergoing dental radiographic examinations at RSGM Prof. Soedomo, UGM. This quantitative study used a pretest–posttest control group design. The participants were children aged 5–7 years who underwent radiographic examinations at the Radiology Department of RSGM Prof. Soedomo, UGM, between September and December 2023. The sample was divided into three groups: Group A received the video modeling intervention, Group B received the tell-show-do intervention, and Group C served as the control group. Data were collected using the Modified Dental Anxiety Scale (MDAS) questionnaire and physiological anxiety measurements (blood pressure and pulse rate) using an Omron HEM-6161 digital tensiometer. MDAS scores were analyzed using the Kruskal-Wallis test, while blood pressure and pulse rate were analyzed using one-way ANOVA. A total of 146 participants were included. Significant differences were observed in MDAS scores, blood pressure, and pulse rate from pretest to posttest among all groups (p < 0.05). The tell-show-do group showed the greatest reduction in anxiety (3.74 ± 2.62), followed by the video modeling group (3.33 ± 2.30), and the control group (0.92 ± 2.33). Both the tell-show-do technique and video modeling are effective in reducing dental anxiety in children aged 5–7 years undergoing radiographic examinations at RSGM Prof. Soedomo, UGM.
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3. Laura TaniaReferences
1. Andiprastowo. Panduan Kreatif Membuat Bahan Ajar Inivatif. Yogyakarta: Pustaka
Pelajar; 2014.
2. Kaczkurkin AN, Foa EB. Cognitive-behavioral therapy for anxiety disorders: an update on
the empirical evidence. Clinical Research. 2015; 17(3): 337-346.
doi: 10.31887/DCNS.2015.17.3/akaczkurkin
3. Campbell C. Dental fear and anxiety in pediatric patients: Practical strategies to help
children cope. Springer Charm; 2017. 31-42. doi: 10.1007/978-3-319-48729-8.
4. Raseena KT, Jeeva PP, Kumar A, Balachandran D, Anil A, Ramesh R. A comparative study of tell show do technique with and without the aid of a virtual tool in the behavior management of 6–9 year old children: a nonrandomized, clinical trial. J Indian Soc Pedod Prev Dent. 2020; 38(4): 393-399. doi: 10.4103/JISPPD.JISPPD_280_20
5. Fathiyya F, Pramanik F, Firman RN. Kualitas radiografi periapikal dengan teknik paralel
di Rumah Sakit Gigi Mulut Universitas Padjajaran. J Dent Res Student. 2019; 3(1): 70-74. doi: 10.24198/pjdrs.v3i1.22178
6. Ramadhan AZ, Sitam S, Azhari, Epsilawati L. Gambaran Kualitas dan Mutu Radiografi.
Jurnal Radiologi Dentomaksilofasial Indonesia. 2019; 3(3): 43-48.
doi: 10.32793/jrdi.v3i3.445
7. Sukmana IB. Radiografi Bidang Kedokteran Gigi. Phoniex Publisher; 2019.
8. Mhaske RV, Kale LM, Madam VD, Kale AM, Ingle VM, Vispute SS. An efficient, time-saving
radiation-specified method of reducing dental anxiety in children undergoing panoramic radiographic imaging and IOPA radiographic imaging. Journal of Indian Academy of Oral Medicine and Radiology. 2019; 31(2): 147-151. doi: 10.4103/jiaomr.jiaomr_5_19
9. Koticha P, Katge F, Shetty S, Patil DP. Effectiveness of virtual reality eyeglasses as a distraction aid to reduce anxiety among 6–10-year-old children undergoing dental
extraction procedure. Int J Clin Pediatr Dent. 2019; 12(4): 297–302.
doi: 10.5005/jp-journals-10005-1640
10. Khandelwal D, Kalra N, Tyagi R, Khatri A, Gupta K. Control of anxiety in pediatric
patients using “tell show do” method and audiovisual distraction. J Contemp Dent
Pract. 2018; 19(9): 1058–1064. doi: 10.5005/JP-JOURNALS-10024- 2381
11. Nofiyanti D, Choirunnissa, Gracea SR, Diba FS, Cristiany L, Yanuaryska DR. Factors
influencing anxiety levels during dental radiographic examination among dental students. Mal J Med Health Sci. 2023; 19(5): 161-167.
12. Kothari S, Gurunathan D. Factors influencing anxiety levels in children undergoing dental
treatment in an undergraduate clinic. J Family Med Prim Care. 2019; 8(6): 2036-2041.
doi: 10.4103/jfmpc.jfmpc_229_19
13. Cahyani M, Widyaningsih V, Prasetya H, Simatupang N. Effect of “Tell Show Do” method on dental anxiety in pediatrics dentistry: a meta analysis. Indonesian Journal of Medicine. 2024; 9(1): 8-17. doi: 10.26911/theijmed.2024.9.1.726
14. Elicherla NR, Saikiran KV, Anchala K, Elicherla SR, Nuvvula S. Evaluation of the
effectiveness of tell-show-do and ask-tellask in the management of dental fear and
anxiety: a double-blinded randomized control trial. J Dent Anesth Pain Med. 2024; 24(1):
57–65.
15. Mathius NPNE, Sembiring LS, Rohinsa M. Tingkat kecemasan dental anak usia 7-12
tahun yang akan melakukan ekstraksi gigi di RSGM Maranatha. Padjajaran J Dent Res Student. 2019; 3(1): 33-42. doi: 10.24198/pjdrs.v3i1.22486
16. Jamil F, Khan SY, Jindal MK. Effectiveness of audiovisual distraction technique and filmed
modeling on anxiety and fear in pediatric dental patients. Int J Clin Pediatr Dent. 2023;
16(4): 598–602. doi: 10.5005/jp-journals-10005-2627
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