Anxiety Assessment Intervention in Dental Patients

NCT01190774 | Completed Phase 2 DMC

• 1 other identifier: Denanx0103
• Study Type: interventional
• Target: 182
• Locations: 1 country
• Sites: 1

Brief Summary

Dental anxiety is a significant barrier to the acceptance of regular dental care, and has many negative consequences. A study by Dailey et al. (2002) found that providing the dentist with information of the high level of a patient's dental anxiety prior to treatment using the Modified Dental Anxiety Scale (MDAS, Humphris et al., 1995), lead to a significant reduction in state anxiety from pre- to post- dental consultation compared to a control group. The current study aimed to replicate the study by Dailey et al. (2002), and to further explore whether the reduction in state anxiety associated with the MDAS could be explained by a change in dentist behaviour on receiving it, or a change in patient expectancy about the treatment session, or both. The design was a randomised control trial involving three groups, which aimed to manipulate possible changes in dentist behaviour and patient expectancy. In Group 1, the MDAS was left at reception, as expected by the patient. In Group 2, the dentist received the MDAS, although the patient did not expect this. In Group 3 the dentist received the MDAS and the patient did expect this. The sample (N=182) was taken from two dental access centres, and included participants obtaining a score of 19 or above, or 5 on any one item of the MDAS. Pre- and post-dental consultation measures of state anxiety were taken using the six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI-S, Marteau \& Bekker, 1992).

Conditions

Anxiety State

Keywords

dental anxiety; state anxiety; randomised control trial; psychological intervention

Outcome Measures

Primary Outcomes (1)

• State Anxiety

  Speilberger's State-Trait Anxiety Inventory, short form

  immediately after dental appointment

Secondary Outcomes (1)

• Discussion of dental anxiety with dentist

  during appointment

Study Arms (2)

Dentist behaviour

EXPERIMENTAL

Patient completes the MDAS which is handed to receptionist who then gives the information to the dentist with patient knowledge

Behavioral: Information to health provider without patient knowledge

Dentist behaviour and patient expectancy

EXPERIMENTAL

Patient completes the MDAS and hands to the dentist

Behavioral: dentist behaviour and patient expectancy

Interventions

Information to health provider without patient knowledge BEHAVIORAL

The intervention consists of the assessment information from the MDAS questionnaire being given to the dentist via the receptionist without the knowledge of the patient

Dentist behaviour

dentist behaviour and patient expectancy BEHAVIORAL

patient give information about their dental anxiety to the dentist

Dentist behaviour and patient expectancy

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• scores 19 and above on MDAS
• read and write English
• years of age and above

You may not qualify if:

• mental illness

Sponsors & Collaborators

• University of St Andrews: lead
• University of Manchester: collaborator

Study Sites (1)

University of Manchester

Manchester, M13 9PL, United Kingdom

Location

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Study Officials

• Gerald M Humphris, PhD

  University of St Andrews

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: August 25, 2010
• First Posted: August 30, 2010
• Study Start: September 1, 2003
• Primary Completion: April 1, 2004
• Study Completion: September 1, 2004
• Last Updated: August 30, 2010

Record last verified: 2003-07

Locations

GB (1)