{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:19:07Z","timestamp":1787750347798,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Context:<\/jats:title>\n                    <jats:p>Dental anxiety significantly affects the delivery of dental care in children, often leading to poor cooperation. Behavior management techniques such as Tell-Show-Do (TSD), Reverse TSD (RTSD), and RTSD with Filmed Modeling (RTSD + FM) are commonly used to reduce anxiety and improve co-operation, but limited evidence exists comparing their effectiveness in highly anxious children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>To evaluate and compare the effectiveness of TSD, RTSD, and RTSD with FM in reducing dental anxiety among children aged 4\u20138 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>\n                      This randomized controlled trial included 45 anxious children aged 4\u20138 years (Venham\u2019s Picture Test [VPT] \u22654) who were randomly assigned to three groups: TSD, RTSD, and RTSD + FM (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 15 each). Pulse rate, oxygen saturation, and dental anxiety (VPT) were recorded before and after treatment, and data were analyzed using the one-way ANOVA, Kruskal\u2013Wallis, and\n                      <jats:italic toggle=\"yes\">post hoc<\/jats:italic>\n                      tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Subsequent to the intervention, all three groups showed statistically significant decrease in VPT scores and pulse rate. While RTSD and RTSD + FM demonstrated greater mean VPT reductions than TSD, RTSD had the largest mean pulse rate reduction. However, neither the VPT score nor the pulse rate showed statistically significant intergroup differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In children aged 4\u20138 years, TSD, RTSD, and RTSD + FM all significantly reduced dental anxiety. Although RTSD methods showed greater numerical reduction, the difference was not statistically significant, indicating that all three techniques are effective for managing dental anxiety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jisppd.jisppd_143_26","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T15:00:25Z","timestamp":1782745225000},"page":"296-302","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparative evaluation of effectiveness of Tell-Show-Do, Reverse Tell-Show-Do, and Reverse Tell-Show-Do with filmed modeling in managing dental anxiety among 4\u20138 years old children: A randomized controlled clinical trial"],"prefix":"10.4103","volume":"44","author":[{"given":"Sayali Hansraj","family":"Patil","sequence":"first","affiliation":[{"name":"Department of Paediatric and Preventive Dentistry, ACPM Dental College, Dhule, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prashant A","family":"Bondarde","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Preventive Dentistry, ACPM Dental College, Dhule, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandesh","family":"Bansal","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Preventive Dentistry, ACPM Dental College, Dhule, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pooja","family":"Dialani","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Preventive Dentistry, ACPM Dental College, Dhule, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahili","family":"Bansod","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Preventive Dentistry, ACPM Dental College, Dhule, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hetal","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Preventive Dentistry, ACPM Dental College, Dhule, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"R1-20260701","first-page":"215","article-title":"A comparative study of filmed modelling and tell-show-do technique on anxiety in children undergoing dental treatment","volume":"8","author":"Virupaxi","year":"2016","journal-title":"Indian J Dent Adv"},{"key":"R2-20260701","doi-asserted-by":"crossref","first-page":"81","DOI":"10.4103\/ccd.ccd_35_25","article-title":"Comparative evaluation of reframing and tell-show-do behavior guidance technique in the management of dental anxiety among children aged 6-12 years undergoing dental treatment without and with administration of local anesthesia: A single-blind 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