Evaluating the Effects of Animal Therapy on Anxiety in Pediatric Dental Patients

评估动物疗法对小儿牙科患者焦虑的影响

基本信息

  • 批准号:
    10649010
  • 负责人:
  • 金额:
    $ 15.41万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2023
  • 资助国家:
    美国
  • 起止时间:
    2023-07-15 至 2025-07-14
  • 项目状态:
    未结题

项目摘要

ABSTRACT. Dental anxiety (DA) affects a striking 50-80% of adults and 6-22% of children. Individuals affected by DA often exhibit disruptive behavior and avoidance of dental care, leading to major adverse health outcomes, including increased rates of decay, pain, extractions, infections, emergent care and even hospitalization. DA frequently develops in childhood due to traumatic experiences and can lead to lifelong DA. Behavioral management techniques aimed at improving dental experiences must be employed during childhood to avoid these sequelae. For patients with severe anxiety and decay, pharmacological interventions may be used. However, sedatives and general anesthesia are frequently met with caregiver objections, as they carry low risks for adverse events, including neurological injury and death. Animal-Assisted Therapy (AAT) with a trained therapy dog has been used widely as a non-pharmacologic behavior guidance approach in numerous medical settings. Though in its nascent stages in dentistry, the novel use of AAT in a pediatric population holds promise for behavior management, reducing anxiety, mitigating pain, and creating positive associations. Furthermore, our data from 800 patients and parents confirm a pervasive desire for canine AAT in dentistry. The objective of this study is to evaluate whether AAT alleviates stress and improves perceptions during pediatric dental care. We hypothesize that AAT significantly alleviates biometric and self-reported measures of anxiety and pain in pediatric dental patients (with relative measure improvements of >20%). We propose to evaluate effects of AAT on objective measures of stress and pain during preventative treatment using salivary stress hormones, heart rate, sweat response, and observational coding data (Aim 1) along with patients' perceptions of dental pain, anxiety, and future visits with validated questionnaires (Aim 2). As part of an ongoing randomized clinical trial, data are collected from patients (age 4-7 years) randomized to a short AAT protocol, a long AAT protocol and an active control with a dental exam and cleaning (N=180, 60 per group). Altogether, data generated from these aims will be used to measure the impact of AAT on pediatric dental patients to guide implementation. This secondary data analysis project will generate results on feasible, rapidly implementable protocols for AAT use in dentistry to mitigate DA and improve experiences, to reduce dental avoidance and its significant health sequelae. Our interdisciplinary team is uniquely qualified to conduct the proposed work as we have the innovative methodologies, RCT patient data and samples, BLS2 facilities, and expertise to achieve our aims. This application includes collaboration between experienced and junior faculty across multiple disciplines to ensure the rigor and translatability of our findings.
摘要。

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
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Laura Anne Jacox其他文献

Educational debt and the gender gap: Understanding factors influencing orthodontists’ career decisions
  • DOI:
    10.1016/j.ajodo.2020.10.027
  • 发表时间:
    2022-01-01
  • 期刊:
  • 影响因子:
  • 作者:
    Catherine Campbell Worthington;Paul Mihas;Clare Bocklage;Sylvia A. Frazier-Bowers;Feng-Chang Lin;Ching-Chang Ko;Laura Anne Jacox
  • 通讯作者:
    Laura Anne Jacox
Pediatrics, Craniofacial and Orthognathic Surgery Track: Impacts of Dentofacial Disharmony and its Surgical Correction on Speech
  • DOI:
    10.1016/j.joms.2023.08.187
  • 发表时间:
    2023-10-01
  • 期刊:
  • 影响因子:
  • 作者:
    Laura Anne Jacox;Nare Ghaltakhchyan;Ellie Nanney;Ray White;George Blakey;Timothy Turvey;Jeff Mielke;David Zajac
  • 通讯作者:
    David Zajac

Laura Anne Jacox的其他文献

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{{ truncateString('Laura Anne Jacox', 18)}}的其他基金

Orthognathic speech pathology: Understanding how jaw disharmonies and their surgical correction influence speech
正颌言语病理学:了解下颌不和谐及其手术矫正如何影响言语
  • 批准号:
    10780297
  • 财政年份:
    2023
  • 资助金额:
    $ 15.41万
  • 项目类别:
Evaluating Efficacy of Antiseptic Mouth Rinses on Salivary SARS-CoV-2 Infectivity
评估抗菌漱口水对唾液 SARS-CoV-2 感染性的功效
  • 批准号:
    10354566
  • 财政年份:
    2022
  • 资助金额:
    $ 15.41万
  • 项目类别:
Evaluating Efficacy of Antiseptic Mouth Rinses on Salivary SARS-CoV-2 Infectivity
评估抗菌漱口水对唾液 SARS-CoV-2 感染性的功效
  • 批准号:
    10589946
  • 财政年份:
    2022
  • 资助金额:
    $ 15.41万
  • 项目类别:
Orthognathic speech pathology: Understanding how jaw disharmonies and their surgical correction influence speech
正颌言语病理学:了解下颌不和谐及其手术矫正如何影响言语
  • 批准号:
    10301902
  • 财政年份:
    2021
  • 资助金额:
    $ 15.41万
  • 项目类别:
Orthognathic speech pathology: Understanding how jaw disharmonies and their surgical correction influence speech
正颌言语病理学:了解下颌不和谐及其手术矫正如何影响言语
  • 批准号:
    10673772
  • 财政年份:
    2021
  • 资助金额:
    $ 15.41万
  • 项目类别:
Orthognathic speech pathology: Understanding how jaw disharmonies and their surgical correction influence speech
正颌言语病理学:了解下颌不和谐及其手术矫正如何影响言语
  • 批准号:
    10456146
  • 财政年份:
    2021
  • 资助金额:
    $ 15.41万
  • 项目类别:
Role of the Bradykinin Pathway in Craniofacial Development
缓激肽通路在颅面发育中的作用
  • 批准号:
    8725637
  • 财政年份:
    2012
  • 资助金额:
    $ 15.41万
  • 项目类别:
Role of the Bradykinin Pathway in Craniofacial Development
缓激肽通路在颅面发育中的作用
  • 批准号:
    8395642
  • 财政年份:
    2012
  • 资助金额:
    $ 15.41万
  • 项目类别:
Role of the Bradykinin Pathway in Craniofacial Development
缓激肽通路在颅面发育中的作用
  • 批准号:
    8904316
  • 财政年份:
    2012
  • 资助金额:
    $ 15.41万
  • 项目类别:
Role of the Bradykinin Pathway in Craniofacial Development
缓激肽通路在颅面发育中的作用
  • 批准号:
    8527501
  • 财政年份:
    2012
  • 资助金额:
    $ 15.41万
  • 项目类别:

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