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Feasibility of Tell-Play-Do Intervention in Outreach Programs: A Group-based Behavior Management Approach for Anxiety
Vedaa Naik1, Prajna P Nayak1, Kunal Bhatia2
1Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.
International Journal of Clinical Pediatric Dentistry
|October 3, 2025
Summary
The Tell-Play-Do (TPD) technique significantly reduced dental anxiety in children during school outreach programs compared to the Tell-Show-Do (TSD) method. TPD improved cooperation and comfort, highlighting its value in group pediatric dental settings.
Area of Science:
- Pediatric Dentistry
- Behavioral Science
- Public Health
Background:
- Effective behavior management is crucial in pediatric dentistry to mitigate dental anxiety and prevent long-term aversion to care.
- School dental outreach programs present unique challenges due to group dynamics and peer influence, necessitating tailored behavior management strategies.
- Limited research exists on specialized techniques for managing behavior and anxiety in group-based pediatric dental outreach settings.
Purpose of the Study:
- To evaluate the feasibility and effectiveness of the "Tell-Play-Do" (TPD) technique for behavior management in children attending school-based dental outreach programs.
- To assess TPD's impact on improving cooperation and reducing dental anxiety in a group setting.
- To compare the efficacy of TPD with the traditional "Tell-Show-Do" (TSD) method.
Main Methods:
- Cluster randomization was used to assign 130 children (aged 6-10 years) to either the TPD (study) or TSD (control) group (n=65 each).
- Participants received oral prophylaxis and Class I cavity restorations using glass ionomer cement.
- Anxiety was measured pre- and post-intervention and post-treatment using pulse rate, respiratory rate, Venham's Picture Test, and Frankl's Behavioral Rating Scale.
Main Results:
- Both groups showed reduced anxiety, but the TPD technique resulted in a significantly greater decrease in anxiety levels.
- Children in the TPD group exhibited notably positive behavior (60%) compared to the TSD group (33%).
- Qualitative and quantitative measures indicated enhanced comfort and cooperation with the TPD intervention.
Conclusions:
- The Tell-Play-Do (TPD) technique is more effective than the Tell-Show-Do (TSD) method for reducing anxiety and improving comfort in pediatric dental outreach programs.
- Integrating social and behavioral strategies like TPD is vital for addressing the complexities of group-based dental care.
- TPD demonstrates feasibility and efficacy as a group-based behavior management approach in school dental settings.
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