ArticleJournal of International Society of Preventive & Community Dentistry
A Randomized Controlled Trial Comparing Reverse Psychology with Other Nonpharmacological Behavior Management Techniques in Children Aged 4-6 Years.
Article in Journal of International Society of Preventive & Community Dentistry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Aim: Reverse psychology (RP) has recently emerged as a promising behavioral approach to enhance compliance in young children by leveraging psychological reactance-the natural tendency to assert autonomy when the choice is perceived as restricted. Encouraging cooperation through a playful challenge rather than directive instruction may foster intrinsic motivation, making RP a valuable alternative to traditional nonpharmacological techniques. This randomized controlled trial aimed to compare the effectiveness of RP with tell-show-do (TSD) and positive reinforcement (PR) techniques in promoting cooperative behavior among preschool children aged 4-6 years in Bhubaneswar, India. Methods: Thirty preschool children were randomly assigned to one of three groups: RP, TSD, or PR. Each participant completed a standardized toy-sorting task within 5 min. Primary outcome measures included task compliance (percentage of toys sorted), while secondary outcomes comprised task completion time, child-reported motivation, and parental perception of typical compliance. Standardized Odia-English bilingual scripts were used to ensure linguistic consistency. Intervention fidelity was verified through inter-rater reliability ( Results: Children in the RP group demonstrated significantly higher compliance ( Conclusion: RP significantly improved compliance and engagement among preschoolers compared with conventional behavioral methods. Its playful, autonomy-supportive nature makes RP a simple, low-cost, and culturally adaptable strategy for pediatric behavior management and early childhood education, particularly in resource-limited contexts.
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