Inside the waiting room: process drama and dramatic distancing for involving children in research on dental anxiety

ABSTRACT Background Dental anxiety in children is a major health concern. Process drama adopts distancing techniques that allow children to examine the possible causes of dental anxiety safely and with authority. Using this method to inform paediatric dentistry is novel and could be adopted in other fields where children experience health-related anxiety. Methods A 90-minute process drama workshop was conducted in three primary schools in Batley,West Yorkshire. Sixty-three children participated in the study. Sessions were audio-recorded, transcribed and thematic analysis conducted. Results Four key concepts emerged: 1) Fear of the unknown; 2) Unpleasant sensory experience; 3) Society’s perception and portrayal of the dentist and 4) Learnt negative associations with the dentist. Conclusion Process drama offers a novel approach to develop an understanding of dental anxiety in children. It elicits critical insights from a child’s perspective and offers a participatory model for engaging children in health research on sensitive issues.

[1]  Xiaoli Gao,et al.  Children’s dental fear and anxiety: exploring family related factors , 2018, BMC oral health.

[2]  S. Pagano,et al.  Dental fear/anxiety among children and adolescents. A systematic review. , 2017, European journal of paediatric dentistry.

[3]  C. Creswell,et al.  Children's experiences of dental anxiety , 2017, International journal of paediatric dentistry.

[4]  F. S. Zahra,et al.  Learning to look from different perspectives – what can dental undergraduates learn from an arts and humanities-based teaching approach? , 2017, BDJ.

[5]  James Thompson Towards an aesthetics of care , 2015, Performing care.

[6]  H. Buchanan,et al.  Assessing children's dental anxiety: a systematic review of current measures. , 2013, Community dentistry and oral epidemiology.

[7]  G. Humphris,et al.  Systematic review of the effect of dental staff behaviour on child dental patient anxiety and behaviour. , 2011, Patient education and counseling.

[8]  Stig A. Eriksson Distancing at close range: making strange devices in Dorothy Heathcote's process drama Teaching Political Awareness Through Drama , 2011 .

[9]  G. Humphris,et al.  A prospective study of dental anxiety in a cohort of children followed from 5 to 9 years of age. , 2009, International journal of paediatric dentistry.

[10]  C. Gorenstein,et al.  Dental anxiety and trait anxiety: an investigation of their relationship , 2009, BDJ.

[11]  G. Klingberg,et al.  Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. , 2007, International journal of paediatric dentistry.

[12]  I. Singh Capacity and competence in children as research participants , 2007, EMBO reports.

[13]  A. Spencer,et al.  The vicious cycle of dental fear: exploring the interplay between oral health, service utilization and dental fear , 2007, BMC oral health.

[14]  Shigeru Okuyama,et al.  Involvement of melanocortin-4 receptor in anxiety and depression , 2005, Peptides.

[15]  John Somers Drama making as a research process , 2002 .

[16]  J. Norris Drama as Research: Realizing the Potential of Drama in Education as a Research Methodology , 2000 .

[17]  H R Chapman,et al.  Dental Fear in Children – a proposed model , 1999, British Dental Journal.

[18]  D. Locker,et al.  Age of Onset of Dental Anxiety , 1999, Journal of dental research.

[19]  Dorothy Heathcote,et al.  Drama for Learning: Dorothy Heathcote's Mantle of the Expert Approach to Education. Dimensions of Drama Series. , 1995 .

[20]  J. Neelands Making Sense of Drama: A Guide to Classroom Practice , 1985 .

[21]  G. Bolton A History of Drama Education: A Search for Substance , 2007 .

[22]  Cecily O'Neill,et al.  Dorothy Heathcote : collected writings on education and drama , 1991 .

[23]  Jonothan Neelands,et al.  Structuring drama work : a handbook of available forms in theatre and drama , 1990 .

[24]  Cecily O'Neill,et al.  Drama Structures : A Practical Handbook for Teachers , 1982 .

[25]  Bertolt Brecht,et al.  Brecht on Theatre: The Development of an Aesthetic , 1964 .