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Trial registered on ANZCTR
Registration number
ACTRN12623001321639
Ethics application status
Approved
Date submitted
1/07/2023
Date registered
15/12/2023
Date last updated
15/12/2023
Date data sharing statement initially provided
15/12/2023
Type of registration
Retrospectively registered
Titles & IDs
Public title
The influence of age and gender on the effectiveness of audiovisual distraction on pain and dental anxiety in children
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Scientific title
The influence of age and gender on the effectiveness of audiovisual distraction on pain and anxiety during inferior alveolar nerve block in children: a randomized controlled trial
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Secondary ID [1]
310020
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Dental anxiety
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Condition category
Condition code
Anaesthesiology
327389
327389
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0
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The participants were randomly allocated into three groups. Group 1 (Control group): Inferior alveolar nerve block (IANB) administrated with Tell-Show-Do (TSD) technique. Group 2: IANB administrated. Virtual reality box ‘VR Box’ was used for audiovisual distraction as an entertainment system, which can block the visual field of the child completely and the sound were delivered by a wireless headphone.
Group 3: IANB administrated. Tablet device was used for audiovisual distraction. The tablet is capable of playing MP4 audio-visual files, was fixed on the hand of the dental chair using tablet holder.
VR Box and tablet device was used as means of distraction during performing IANB by a dentist. The intervention was delivered for one time at Damascus University.
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Intervention code [1]
326441
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Treatment: Other
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Comparator / control treatment
IANB administrated by a dentist with Tell-Show-Do (TSD) technique, which is a basic behavior management technique.
The TELL phase involves an age appropriate explanation of the procedure. The SHOW phase is used to demonstrate a procedure up to the point where the instrument is performed. The DO phase is then initiated and the treatment is performed.
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Control group
Active
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Outcomes
Primary outcome [1]
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Anxiety levels using the FLACC scale or Face, Legs, Activity, Cry, Consolability scale
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Assessment method [1]
335260
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Timepoint [1]
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Within the first minute of injection
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Primary outcome [2]
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Pain levels using the Wong-Baker Faces Pain Rating Scale
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Assessment method [2]
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Timepoint [2]
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Five minutes following the injection
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Primary outcome [3]
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Change in pulse rate using pulse oximeter
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Assessment method [3]
335263
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Timepoint [3]
335263
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five minutes after the patient is seated comfortably on the dental chair, (2) five minutes following the injection
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Secondary outcome [1]
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Behavior rate Houpt behavior rating scale
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Assessment method [1]
423655
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Timepoint [1]
423655
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Within the first minute of injection
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Eligibility
Key inclusion criteria
1. No previous dental experience.
2. Healthy children.
3. Children that are definitely positive or positive according to Frank scale.
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Minimum age
6
Years
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Maximum age
10
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Special Health Care Needs (SHCNs)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
14/03/2023
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Date of last participant enrolment
Anticipated
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Actual
24/05/2023
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Date of last data collection
Anticipated
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Actual
24/05/2023
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Sample size
Target
90
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Accrual to date
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Final
90
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Recruitment outside Australia
Country [1]
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Syrian Arab Republic
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State/province [1]
25620
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Damascus University
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Address [1]
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Damascus University, Mazzeh Highway, Damascus, Syria
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Country [1]
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Syrian Arab Republic
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Primary sponsor type
Individual
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Name
Mawia Karkoutly
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Address
Mawia Karkoutly, Damascus University, Mazzeh Highway, Damascus, Syria
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Country
Syrian Arab Republic
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Secondary sponsor category [1]
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Individual
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Name [1]
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Nada Bshara
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Address [1]
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Nada Bshara, Damascus University, Mazzeh Highway, Damascus, Syria
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Country [1]
316117
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Syrian Arab Republic
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Institutional Review Board at Damascus University
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Ethics committee address [1]
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Damascus University, Mazzeh Highway, Damascus, Syria
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Ethics committee country [1]
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Syrian Arab Republic
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Date submitted for ethics approval [1]
313325
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Approval date [1]
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01/03/2023
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Ethics approval number [1]
313325
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Summary
Brief summary
There is a difference in perceived dental pain among different genders and age groups. Hence, the aim of this study was to evaluate the influence of age and gender on the effectiveness of two audiovisual distraction techniques in the anxiety comfort of pediatric patients receiving inferior alveolar nerve block (IANB). The participants were randomly allocated into three groups. Group 1 (Control group): IANB administrated with Tell-Show-Do (TSD) technique. Group 2: IANB administrated. AV eyeglasses ‘VR Box’ was used for audiovisual distraction. Group 3: IANB administrated. Tablet device was used for audiovisual distraction.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Mawia Karkoutly
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Address
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Mawia Karkoutly, Damascus University, Mazzeh Highway, Damascus, Syria
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Country
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Syrian Arab Republic
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Phone
127738
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+963992647528
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Fax
127738
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Email
127738
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[email protected]
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Contact person for public queries
Name
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Mawia Karkoutly
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Address
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Mawia Karkoutly, Damascus University, Mazzeh Highway, Damascus, Syria
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Country
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Syrian Arab Republic
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Phone
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+963992647528
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Fax
127739
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Email
127739
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[email protected]
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Contact person for scientific queries
Name
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Mawia Karkoutly
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Address
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Mawia Karkoutly, Damascus University, Mazzeh Highway, Damascus, Syria
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Country
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Syrian Arab Republic
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Phone
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+963992647528
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Fax
127740
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Email
127740
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Demographic data
Outcomes
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When will data be available (start and end dates)?
Currently available with no end date
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Available to whom?
Editors/reviewers
None has reviewed or edited research publications yet.
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Available for what types of analyses?
Descriptive (frequencies, percentages)
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How or where can data be obtained?
On a reasonable request by emailing the principal investigator (
[email protected]
)
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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