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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 1/2014

01-08-2014 | Original Article

Reassurance and Distress Behavior in Preschool Children Undergoing Dental Preventive Care Procedures in a Community Setting: a Multilevel Observational Study

Authors: Yuefang Zhou, Ph.D., Gerry Michael Humphris, Ph.D.

Published in: Annals of Behavioral Medicine | Issue 1/2014

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Abstract

Background

The effect of reassurance in managing distress among children who receive procedures of a less aversive nature has not been fully investigated.

Purpose

This study aimed to investigate the relationship between reassurance by dental staff and distress behavior of preschool children receiving preventive procedures in a community setting.

Methods

Nurse–child interactions (n = 270) during fluoride varnish application were video recorded and coded. Multilevel logistic regression modeled the probability of the occurrence of child distress behavior as a function of reassurance provision, controlling for child-level and nurse-level variables.

Results

Child distress behavior was positively related to nurse verbal reassurance but negatively linked to the time that this reassurance occurred. Both child initial anxiety and nurse nonprocedural training increased the probability of observable distress behavior.

Conclusions

The use of verbal reassurance to promote reception of mild invasive procedures was counterindicated, especially when offered early in the intervention (ClinicalTrials.​gov number: NCT00881790).
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Metadata
Title
Reassurance and Distress Behavior in Preschool Children Undergoing Dental Preventive Care Procedures in a Community Setting: a Multilevel Observational Study
Authors
Yuefang Zhou, Ph.D.
Gerry Michael Humphris, Ph.D.
Publication date
01-08-2014
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 1/2014
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-013-9566-7

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