title: Effect of audiovisual distraction on children's behaviour, anxiety and pain in the dental setting.
abstract: OBJECTIVE
  To evaluate whether the parental perception of the patient's anxiety, children's anxiety, pain, behaviour and heart rate of paediatric patients improves when an audiovisual technique is used as a distraction method during dental treatment.
  
  
  METHODS
  This non-randomised crossover trial was performed with 34 patients aged 6-8 years, who required a minimum of two treatment visits for restorative therapy. During the last visit, the patient was shown a cartoon film.
  
  
  RESULTS
  There was a significant improvement in the global behaviour when children were shown a cartoon film (P < 0.001). A significant increase in heart rate was recorded in both visits (P = 0.0001) when the anaesthetic was injected. A 97% of the sample would like to continue seeing their chosen film during subsequent visits. No statistically significant differences were found (P > 0.05) between the visits in terms of parental perception of the patient's anxiety, or the patient's self-reported anxiety, pain and heart rate.
  
  
  CONCLUSIONS
  The use of the audiovisual material used as a method of distraction produces a global improvement in patient behaviour, but not in parental perception of the patient's anxiety, self-reported anxiety, pain or heart rate according to the measurement scales used. This material is also highly accepted by paediatric patients.
authors.affiliation: Department of Paediatric Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
authors.forename: F
authors.initials: F
authors.lastname: Guinot Jimeno
authors.affiliation: Department of Paediatric Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
authors.forename: M
authors.initials: M
authors.lastname: Mercadé Bellido
authors.affiliation: Department of Paediatric Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Cuadros Fernández
authors.affiliation: Department of Paediatric Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.
authors.forename: A I
authors.initials: AI
authors.lastname: Lorente Rodríguez
authors.affiliation: Statistics Consultant, Universitat Internacional de Catalunya, Barcelona, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Llopis Pérez
authors.affiliation: Department of Paediatric Dentistry, Universitat de Barcelona, Barcelona, Spain.
authors.forename: J R
authors.initials: JR
authors.lastname: Boj Quesada
mesh_terms: D001288:Attention; D001296:Audiovisual Aids; D002359:Cartoons as Topic; D002648:Child; D002652:Child Behavior; D003299:Cooperative Behavior; D018592:Cross-Over Studies; D016854:Dental Anxiety / Q000145:classification / Q000523:psychology*; D003729:Dental Care / Q000523:psychology; D003812:Dentist-Patient Relations; D005260:Female; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D008297:Male; D010146:Pain / Q000145:classification / Q000523:psychology*; D010287:Parent-Child Relations; D057566:Self Report; D064232:Visual Analog Scale