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Title: Knowledge, Attitude and Practice of Health Care Professionals Towards Universally Applied Behavior Modification Techniques for Management of Pediatric Patients
Authors: Maham Wahid, Ajmal Yousuf, Pir Jaawad Ali Shah, Jawad Ali Shah, Faisal Bhangar, Muzammil Shah
Journal: Pakistan Armed Forces Medical Journal (PAFMJ)
Publisher: Army Medical College, Rawalpindi.
Country: Pakistan
Year: 2022
Volume: 72
Issue: 3
Language: English
DOI: 10.51253/pafmj.v72i3.4627
Keywords: Pediatric patientsDental anxietyBehavior management
Objective: To evaluate health care professionals' knowledge, preference and experience about various universally applied behaviour modification techniques for managing anxiety in pediatric patients.
Study Design: Cross-sectional survey.
Place and Duration of study: Operative Department Armed Forces Institute of Dentistry Rawalpindi in Apr 2020.
Methodology: An online questionnaire was circulated among 100 Health Care Professionals of Rawalpindi, including general practitioners, consultants and post-graduate residents of different fields of medicine and dentistry involved in the clinical care of pediatric patients, which included socio-demographic details, closed-ended questions about their knowledge about different universally applied behaviour modification techniques for management of anxiety, their preference in usage and factors affecting selection particular behaviour modification techniques for management of anxiety.
Results: 66 (84.61%) of the healthcare professionals were aware of the different universally accepted behaviour modification techniques; 12 (15.38%) were unaware of such techniques. 33 (42%) of the practitioners admitted that pediatric patients showed non-compliance to simple non-invasive procedures while 45 (58%) to invasive procedures. 49 (62.3%) of respondents used universally accepted behaviour modification techniques. 74 (94.87%) of the respondents opted Tell-Show-Do, while the majority opted combination of different behaviour modification techniques as the preferred method of universally accepted non-pharmacological behavior modification technique.
Conclusion: The majority of the health care professionals preferred Tell-Show-Do and positive reinforcement techniques along with the combination of various non-pharmacological techniques as the most commonly adopted techniques for management of anxiety in pediatric patients.
To evaluate health care professionals' knowledge, preference and experience about various universally applied behavior modification techniques for managing anxiety in pediatric patients.
A cross-sectional survey was conducted using an online questionnaire distributed to 100 Health Care Professionals (HCPs) in Rawalpindi, including general practitioners, consultants, and post-graduate residents involved in the clinical care of pediatric patients. The questionnaire collected socio-demographic details, knowledge about behavior modification techniques (BMTs), preference in usage, and factors affecting selection. Data was analyzed using frequency distributions, cross-tabulations, and the Chi-square test.
graph TD;
A["Ethical Approval"] --> B["Distribute Online Questionnaire to 100 HCPs"];
B --> C["Collect Responses"];
C --> D["Data Analysis: Frequency, Cross-tabulation, Chi-square"];
D --> E["Report Findings"];
Anxiety in pediatric patients is a significant challenge in healthcare, impacting treatment adherence and patient outcomes. Non-pharmacological behavior modification techniques are crucial for managing this anxiety. The study highlights that while awareness of these techniques is high among HCPs, actual usage varies. Tell-Show-Do and positive reinforcement are favored, often used in combination. Factors influencing technique selection are primarily child-related, with past experiences and social background playing a significant role. Younger practitioners and those in postgraduate training demonstrate greater familiarity and application of these techniques, suggesting potential improvements in current training curricula.
- 84.61% of HCPs were aware of universally accepted behavior modification techniques.
- 62.3% of respondents reported using universally accepted behavior modification techniques.
- Tell-Show-Do was the most opted technique (94.87%).
- A combination of different behavior modification techniques was the preferred method for most respondents.
- 42% of practitioners noted non-compliance to simple non-invasive procedures, while 58% noted non-compliance to invasive procedures.
- Child's past dental/medical experience (97.43%) and child's social background (92.30%) were the most influential factors in selecting a BMT.
- Younger HCPs and post-graduate trainees showed higher awareness and usage of BMTs.
The majority of health care professionals possess good knowledge of non-pharmacological behavior modification techniques. Tell-Show-Do and positive reinforcement are the most frequently adopted techniques, with a preference for combining various non-pharmacological methods for managing anxiety in pediatric patients.
- 84.61% of healthcare professionals were aware of universally accepted behavior modification techniques. (Confirmed in Results)
- Tell-Show-Do was opted by 94.87% of respondents. (Confirmed in Results)
- The study was conducted in April 2020. (Confirmed in Methodology)
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