Evidence map›Paper›PMID 41041003›Full record

ArticleInternational journal of clinical pediatric dentistry2025

Feasibility of Tell-Play-Do Intervention in Outreach Programs: A Group-based Behavior Management Approach for Anxiety Reduction.

Vedaa Naik, Prajna P Nayak, Kunal Bhatia, Ramprasad Vasthare, Nekkanti Sridhar, Nithya A Thomas, Neha R Kini

Abstract read
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Article in International journal of clinical pediatric dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Vedaa NaikDepartment of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Prajna P NayakDepartment of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0000-0002-1467-7130
Kunal BhatiaDepartment of Pediatric and Preventive Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Ramprasad VasthareDepartment of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0000-0002-0181-7069
Nekkanti SridharDepartment of Pediatric and Preventive Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Nithya A ThomasDepartment of Pediatric and Preventive Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID https://orcid.org/0000-0002-9314-4171
Neha R KiniDepartment of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims and background: Effective behavior management is essential in pediatric dentistry to reduce dental anxiety and ensure successful treatment outcomes. Negative dental experiences in childhood can lead to long-term aversion to dental care, negatively impacting oral health. In school dental outreach programs, the shift from one-on-one clinical care to group-based environments presents unique challenges for pediatric dentists, as peer influence and group dynamics can affect children's behavior and anxiety levels. Despite the need for specialized behavior management techniques tailored to these settings, research on their application and effectiveness in pediatric dentistry is limited. This study aims to evaluate the feasibility of the "Tell-Play-Do" (TPD) technique as a behavior management tool for improving cooperation and reducing dental anxiety in children during school-based dental outreach programs. Materials and methods: Employing cluster randomization, 130 children aged 6-10 years were assigned to either the study group (TPD) or the control group [Tell-Show-Do (TSD)], with 65 participants in each group. Each child underwent a single appointment for oral prophylaxis and simple class I cavity restorations using glass ionomer cement. Anxiety levels were measured at three points-preintervention, postintervention, and posttreatment using pulse rate (PR), respiratory rate (RR), Venham's Picture Test (VPT), and Frankl's Behavioral Rating Scale. Results: Both intervention groups demonstrated reductions in anxiety through qualitative and quantitative measures. However, the TPD technique resulted in a more significant decrease in anxiety levels, with 60% of children showing notably positive behavior compared to 33% in the TSD group. Conclusion: The TPD technique proved to be more effective in reducing anxiety and enhancing comfort during dental treatments compared to the TSD method in school outreach settings. This highlights the importance of integrating social and behavior management strategies to address the unique challenges of group-based dental care environments. How to cite this article: Naik V, Nayak PP, Bhatia K,

Indexed as

Behavior therapyChildCommunity healthDental anxietyOral healthPediatric

Identifiers

PMID41041003
PMCPMC12486470

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.