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How families prepare their children for tooth extraction under general anaesthesia: Family and clinical predictors of non-compliance with a ‘serious game’

How families prepare their children for tooth extraction under general anaesthesia: Family and clinical predictors of non-compliance with a ‘serious game’
How families prepare their children for tooth extraction under general anaesthesia: Family and clinical predictors of non-compliance with a ‘serious game’

Objective: To explore family and clinical factors for usage of an online serious game designed to prepare children with ECC for dental treatment under general anaesthesia. Design: Observational study. Secondary data of 60 children, aged 5-to-7, randomised to the intervention group in a phase-III randomised controlled trial [NIHR Portfolio 10006, ISRCTN: 18265148] testing the efficacy of the serious game http://www.scottga.org (available online). Usage was captured automatically, with each click, in real time. The total number of replays and total number of missing slides per game-run performed by the child, were recorded and used to monitor usage. Compliance outcomes were: total time running the game and number of completely missed slides. Results: 57/60 played the game. Median age of parent/carer was 32. For 74% of the families, fathers resided at home and for 65% the parent/carer had A-levels-to-university education. At recruitment, 70% of the children were reported as anxious/highly-fearful and 37% as “significantly psychologically disturbed”. Conclusions: Factors for non-compliance were absence of a father at home (P = 0.01) and higher child-anxiety (P = 0.01) and, to a lesser extent, a low parent/carer education level (P = 0.09). Interactive cartoons featuring dental assessment, oral health messages and modelling featured in the more popular slides.

computer games, early childhood caries, general anaesthesia, psychological interventions, serious games
0960-7439
117-128
Reynolds, Patricia A.
9464d071-4194-48f0-8154-584514c55682
Donaldson, Ana N.
1c5e63f7-01a1-4966-8472-167443d71b21
Liossi, Christina
fd401ad6-581a-4a31-a60b-f8671ffd3558
Newton, Jonathon T.
be2936f5-a028-42c1-87de-90238198f720
Donaldson, Nicholas K.
e87160c8-035b-49dc-ad5c-4c6f438a0488
Arias, Ramiro
68f9ea99-fe5a-4090-becd-233e10e8be9c
Haria, Preemal
e00dfbe4-f41b-4c0d-a0ca-6adf9552769e
Huntington, Corinne
d0a856b1-b300-4a6b-a6aa-37d8b6dbbcf1
Alharatani, Reham
4be24174-ced5-479b-8d15-ca853f7cc84a
Hosey, Marie Therese
22678fa4-e2fe-4fa2-9ab0-ed8d944f28b8
Reynolds, Patricia A.
9464d071-4194-48f0-8154-584514c55682
Donaldson, Ana N.
1c5e63f7-01a1-4966-8472-167443d71b21
Liossi, Christina
fd401ad6-581a-4a31-a60b-f8671ffd3558
Newton, Jonathon T.
be2936f5-a028-42c1-87de-90238198f720
Donaldson, Nicholas K.
e87160c8-035b-49dc-ad5c-4c6f438a0488
Arias, Ramiro
68f9ea99-fe5a-4090-becd-233e10e8be9c
Haria, Preemal
e00dfbe4-f41b-4c0d-a0ca-6adf9552769e
Huntington, Corinne
d0a856b1-b300-4a6b-a6aa-37d8b6dbbcf1
Alharatani, Reham
4be24174-ced5-479b-8d15-ca853f7cc84a
Hosey, Marie Therese
22678fa4-e2fe-4fa2-9ab0-ed8d944f28b8

Reynolds, Patricia A., Donaldson, Ana N., Liossi, Christina, Newton, Jonathon T., Donaldson, Nicholas K., Arias, Ramiro, Haria, Preemal, Huntington, Corinne, Alharatani, Reham and Hosey, Marie Therese (2019) How families prepare their children for tooth extraction under general anaesthesia: Family and clinical predictors of non-compliance with a ‘serious game’. International Journal of Paediatric Dentistry, 29 (2), 117-128. (doi:10.1111/ipd.12450).

Record type: Article

Abstract

Objective: To explore family and clinical factors for usage of an online serious game designed to prepare children with ECC for dental treatment under general anaesthesia. Design: Observational study. Secondary data of 60 children, aged 5-to-7, randomised to the intervention group in a phase-III randomised controlled trial [NIHR Portfolio 10006, ISRCTN: 18265148] testing the efficacy of the serious game http://www.scottga.org (available online). Usage was captured automatically, with each click, in real time. The total number of replays and total number of missing slides per game-run performed by the child, were recorded and used to monitor usage. Compliance outcomes were: total time running the game and number of completely missed slides. Results: 57/60 played the game. Median age of parent/carer was 32. For 74% of the families, fathers resided at home and for 65% the parent/carer had A-levels-to-university education. At recruitment, 70% of the children were reported as anxious/highly-fearful and 37% as “significantly psychologically disturbed”. Conclusions: Factors for non-compliance were absence of a father at home (P = 0.01) and higher child-anxiety (P = 0.01) and, to a lesser extent, a low parent/carer education level (P = 0.09). Interactive cartoons featuring dental assessment, oral health messages and modelling featured in the more popular slides.

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More information

Accepted/In Press date: 5 November 2018
e-pub ahead of print date: 17 November 2018
Published date: 1 March 2019
Keywords: computer games, early childhood caries, general anaesthesia, psychological interventions, serious games

Identifiers

Local EPrints ID: 428704
URI: http://eprints.soton.ac.uk/id/eprint/428704
ISSN: 0960-7439
PURE UUID: b3f94aef-6e18-4a29-a2bb-6b76f7271a1d
ORCID for Christina Liossi: ORCID iD orcid.org/0000-0003-0627-6377

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Date deposited: 07 Mar 2019 17:30
Last modified: 07 Oct 2020 01:52

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Contributors

Author: Patricia A. Reynolds
Author: Ana N. Donaldson
Author: Jonathon T. Newton
Author: Nicholas K. Donaldson
Author: Ramiro Arias
Author: Preemal Haria
Author: Corinne Huntington
Author: Reham Alharatani
Author: Marie Therese Hosey

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