Protocol summary

Study aim
Investigating the effect of virtual reality in reducing pain, fear and anxiety in children during dental procedures
Design
A randomized clinical trial, with a parallel control group, without blinding, a sample size of 60. Randomization using Minitab 17 software.
Settings and conduct
The research location is a dental office in Kerman city. To compare the effectiveness of using virtual reality (VR) therapy versus usual care for patients. The control group will receive the standard care without any VR content while the intervention group will be treated with VR therapy. Pain, anxiety, and fear levels will be measured through self reports from patients, observations from researchers, and interviews with parents before, during, and after treatment.
Participants/Inclusion and exclusion criteria
Inclusion criteria: No auditory, visual, or speech impairments, require routine dental care. Exclusion criteria: nausea and dehydration, mental disorders, unstable physical or mental health, fear, under four years of age, manifest anxiety, unwilling to participate in the investigation.
Intervention groups
During the dental procedure, the intervention group will engage with virtual reality glasses that feature an animation portraying a benevolent woodland lion whose dentition emits mellifluous melodies as it traverses through the arboreal landscape during the seasons of spring, autumn, and winter. Control group: routine care.
Main outcome variables
Pain, fear and anxiety

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20210710051836N3
Registration date: 2023-05-14, 1402/02/24
Registration timing: registered_while_recruiting

Last update: 2023-05-14, 1402/02/24
Update count: 0
Registration date
2023-05-14, 1402/02/24
Registrant information
Name
Hamed Riyahi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 34 3246 0284
Email address
h.ehtemam@kmu.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2023-04-03, 1402/01/14
Expected recruitment end date
2023-10-23, 1402/08/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Clinical Trial Study on the Impact of Virtual Reality in Reducing Children's Dental Pain, Fear, and Anxiety
Public title
The Impact of Virtual Reality in Reducing Children's Dental Pain, Fear, and Anxiety
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
No vision problems No hearing problem No speech problems The need for routine dental treatment
Exclusion criteria:
The child displays a heightened level of anxiety Age under four years The child and her parents exhibited a lack of willingness to partake in the study Having symptoms such as nausea Having symptoms such as dehydration Use of sedatives Psychopathy Unstable state of physical or mental health Fear
Age
From 4 years old to 15 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 60
Randomization (investigator's opinion)
Randomized
Randomization description
The process of random assignment, whereby participants are divided into control and intervention groups without bias, was facilitated through the use of Minitab 18 software. This program generates a series of random numbers which we utilized to allocate individuals to their respective groups. The aim of this approach is to prevent any predictions regarding the type of intervention received by both the company providers and researchers. We enter a series of numbers as the number of sample size in the first column and after the Calc tab, we click the sample from column option and we say, give us the numbers we entered in a random form, which does this by sampling without placement. In order to achieve the random order of entry of people into each of the groups under study, first in the software and in the first column, we create an arithmetic sequence of numbers starting from 1 and ending at 60 (the number of the required sample size). Then, because the ratio of people in both groups is equal, through the mentioned path, we inform the software that the number of 50% or half of the numbers in the first column is placed in the two columns with the names of the control group and the intervention group. In this way, we have two sets of random numbers that can be used in the order in which people enter each group, for example, the column of the intervention group has random numbers 3, 4, and 7, which means it is the third. The fourth and seventh patients who refer to the office are included in the intervention group.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Kerman University of Medical Sciences
Street address
Deputy of Research, Jahad Blvd, Kerman
City
Kerman
Province
Kerman
Postal code
7619813159
Approval date
2023-03-15, 1401/12/24
Ethics committee reference number
IR.KMU.REC.1401.549

Health conditions studied

1

Description of health condition studied
Palpectomy
ICD-10 code
ICD-10 code description

Primary outcomes

1

Description
Pain
Timepoint
Since the inception of the research investigation
Method of measurement
Wong-Baker FACES (WBS) Pain Rating Scale

2

Description
Fear
Timepoint
Since the inception of the research investigation
Method of measurement
The Child Fear Scale (CFS)

3

Description
Anxiety
Timepoint
Since the inception of the research investigation
Method of measurement
Faces version of Modified Child Dental Anxiety Scale (MCDAS (f)), SCARED (parent version) and The Children’s Anxiety Meter-State (CAM-S)

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: The intervention is scheduled to utilize virtual reality headsets during their dental operation. These devices are designed specifically for children and feature a captivating animation depicting a benevolent woodland predator, whose dentition produces melodious sounds as it traverses through the seasonal transitions of autumn, spring, and summer.
Category
Rehabilitation

2

Description
Control group: The control group experiences the dental procedure without virtual reality glasses.
Category
Rehabilitation

Recruitment centers

1

Recruitment center
Name of recruitment center
Dentist's office
Full name of responsible person
Elham Farokh Gisoor
Street address
Esteghlal Ave, Kerman
City
Kerman
Province
Kerman
Postal code
7616913555
Phone
+98 34 3243 5531
Email
h.ehtemam@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Kerman University of Medical Sciences
Full name of responsible person
Davood Kalantar Neyestanaki
Street address
Research Deputy, Jahad Blvd, Kerman
City
Kerman
Province
Kerman
Postal code
7619813159
Phone
+98 34 3226 3787
Email
h.ehtemam@gmail.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Kerman University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Kerman University of Medical Sciences
Full name of responsible person
Houriyeh Ehtemam
Position
Principal Investigator
Latest degree
Bachelor
Other areas of specialty/work
Medical Informatics
Street address
Haft Bagh Alavi
City
Kerman
Province
Kerman
Postal code
7616913555
Phone
003431325415
Email
h.ehtemam@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Kerman University of Medical Sciences
Full name of responsible person
Houriyeh Ehtemam
Position
Principal Investigator
Latest degree
Bachelor
Other areas of specialty/work
Medical Informatics
Street address
Haft Bagh Alavi
City
Kerman
Province
Kerman
Postal code
7616913555
Phone
+98 34 3132 5415
Email
h.ehtemam@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Kerman University of Medical Sciences
Full name of responsible person
Houriyeh Ehtemam
Position
Principal Investigator
Latest degree
Bachelor
Other areas of specialty/work
Medical Informatics
Street address
Haft Bagh Alavi
City
Kerman
Province
Kerman
Postal code
7616913555
Phone
+98 34 3132 5415
Email
h.ehtemam@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Not applicable
Data Dictionary
Not applicable
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