Effect of Virtual Reality Distraction versus Positive Pre-Visit Imagery Intervention on Children's Dental Fear and Anxiety during Local Anaesthesia Injection: Implications for Evidence‐Based Practice
Ibrahim Rashwan, Z., Salah Eweida, R., Ibrahim Hamad, N., Abd El Razik Ahmed Mohamed, A. (2020). Effect of Virtual Reality Distraction versus Positive Pre-Visit Imagery Intervention on Children's Dental Fear and Anxiety during Local Anaesthesia Injection: Implications for Evidence‐Based Practice. EKB Journal Management System, 11(4), 886-901. doi: 10.21608/ejhc.2020.187533
Zohour Ibrahim Rashwan; Rasha Salah Eweida; Nagwa Ibrahim Hamad; Abeer Abd El Razik Ahmed Mohamed. "Effect of Virtual Reality Distraction versus Positive Pre-Visit Imagery Intervention on Children's Dental Fear and Anxiety during Local Anaesthesia Injection: Implications for Evidence‐Based Practice". EKB Journal Management System, 11, 4, 2020, 886-901. doi: 10.21608/ejhc.2020.187533
Ibrahim Rashwan, Z., Salah Eweida, R., Ibrahim Hamad, N., Abd El Razik Ahmed Mohamed, A. (2020). 'Effect of Virtual Reality Distraction versus Positive Pre-Visit Imagery Intervention on Children's Dental Fear and Anxiety during Local Anaesthesia Injection: Implications for Evidence‐Based Practice', EKB Journal Management System, 11(4), pp. 886-901. doi: 10.21608/ejhc.2020.187533
Ibrahim Rashwan, Z., Salah Eweida, R., Ibrahim Hamad, N., Abd El Razik Ahmed Mohamed, A. Effect of Virtual Reality Distraction versus Positive Pre-Visit Imagery Intervention on Children's Dental Fear and Anxiety during Local Anaesthesia Injection: Implications for Evidence‐Based Practice. EKB Journal Management System, 2020; 11(4): 886-901. doi: 10.21608/ejhc.2020.187533

Effect of Virtual Reality Distraction versus Positive Pre-Visit Imagery Intervention on Children's Dental Fear and Anxiety during Local Anaesthesia Injection: Implications for Evidence‐Based Practice

Egyptian Journal of Health Care
Article 53, Volume 11, Issue 4, December 2020, Page 886-901  XML PDF (984.11 K)
Document Type: Original Article
DOI: 10.21608/ejhc.2020.187533
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Authors
Zohour Ibrahim Rashwan1, 2; Rasha Salah Eweida3; Nagwa Ibrahim Hamad4; Abeer Abd El Razik Ahmed Mohamed4
1Pediatric Nursing Department, Faculty of Nursing, Alexandria University.
2Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain.
3Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University
4Pediatric Nursing Department, Faculty of Nursing, Alexandria University
Abstract
Background: Virtual Reality (VR) immerses children in a simulated environment and diverts their
attention away from Dental Fear and anxiety (DFA). Likewise, Positive Pre-Visit Imagery (PPVI)
intervention serves as a psychological preparation vehicle for the Local Anaesthesia (LA) injection
in an attractive approach. Aim: this study aimed to investigate the effect of VR distraction versus
PPVI intervention on children's DFA during LA injection. Design: A quasi-experimental study was
conducted at Pedo-dentist Clinic, Dental Center, Alexandria. A sample of 90 children aged from 4-6
years were observed for their anxious behaviors in the waiting room. Participants randomly received
routine unit care, VR distraction, or PPVI intervention, and their fear and anxious behavioral
responses were quantified during LA injection. Findings: Majority of the VR group (83.3%) and
46.7% of the PPVI group experienced mild fear levels during dental LA injection compared to none
of the children in the control group. Regarding children's anxiety, 36.7% of the VR group and
10.0% of the PPVI group were relaxed during the LA injection, while 43.3% of children in the
control group were out-of-contact during the injection procedure. Conclusion: Both VR distraction
and PPVI intervention showed positive effects and had excellent potential as evidence-based
interventions for minimizing children's DFA during LA injection
Keywords
Child behavior; Dental Anxiety; Dental Fear; Virtual Reality; Positive Pre-Visit Imagery; Local Anaesthesia Injection
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