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Game Intervention: An Innovative Teaching and Learning Strategy to Promote Oral Hygiene Among Pediatric Cancer Clients

Manisha Pawar*, Moullik Nirmalaya, Supriya Ghanbahadur, Dholam Kanchan, Gurav Sandeep, Prabhu Seema

Abstract


Background: Gaming is an educational strategy that facilitates visual alertness, increases attention span, and assists with memory and reasoning as well as reinforces a child’s learning in a stimulated and dynamic way. Purpose: To differentiate the game intervention and standard care on oral hygiene status among children suffering from cancer. Method: A Randomized control trial research approach is used in this study to evaluate and compare the effect of game intervention (Snakes and Ladders) and Standard care protocol in pediatric cancer clients diagnosed with ALL receiving chemotherapy. The evaluative approach was used and the design was RCT, prospective observational design. The study was done with a sample size of 94 pediatric cancer clients diagnosed with ALL receiving chemotherapy at Tata Memorial Hospital. Allocation arms are: Study Arm: Game intervention + Standard care and Control Arm: Standard care. The children in the interventional group received a game of Snakes and Ladders as an intervention while standard care continued as per hospital policy. Participants in Arm A (Study arm) will receive Game intervention (Snakes and Ladders) and standard care, while receiving chemotherapy. The children received a game on day-1 and day-7 for 10 min during the chemotherapy treatment. Results: OHI-S index scores were compared over time points at day 1st, and day 7th, after 1 and 2 months. The Mann-Whitney test was carried out and it was found to be not significant at p<0.001 level on day-1 and day-7 and it found to be significant at p<0.01 at 1 and 2 months among study arm and control arm in pediatric cancer clients. Conclusion: The game intervention significantly increases oral hygiene status among pediatric cancer clients diagnosed with ALL receiving chemotherapy. The use of game in the therapeutic measures during chemotherapy also provides caregivers awareness on treatment adherence for this age group in general.


Keywords


Pediatric cancer clients, snakes and ladders board game, oral hygiene

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References


World Health Organization. International Childhood Cancer Day: Much remains to be done to fight childhood cancer. WHO Press Release No. 241. Lyon, France: World Health Organization; 2016. 2. Census India. Summary-Report on Causes of Death: 2001–03 in India. [Online]. Available from: URL: http://censusindia.gov.in/Vital_Statistics/Summary_Report_Death_01_03.pdf. Accessed September 24, 2013. 3. NCRP. Three year report of the population based cancer registries 2009–2011: Report of 25 PBCRs; National Cancer Registry Programme. Bangalore: Indian Council Medical Research; 2013. [Online]. Available from: URL: http://ncrpindia.org/Reports/PBCR_2009_2011.aspx. Accessed 24th September 2013. 4. Gurney JG, Severson RK, Davis S, Robison LL. Incidence of cancer in children in the United States. Sex-, race-, and 1-year age-specific rates by histologic type. Cancer. 1995; 75(8): 2186–95. 5. Ribera JM, Oriol A. Acute lymphoblastic leukemia in adolescents and young adults. Hematol Oncol Clin North Am. 2009; 23(5): 1033–42. Marcenes W, Kassebaum NJ, Bernabé E, Flaxman A, Naghavi M, Lopez A, Murray CJL. Global Burden of Oral Conditions in 1990–2010. 6. Marshall TA. Caries prevention in pediatrics: dietary guidelines. Quintessence Int. 2004; 35(4): 332–335. 7. Basvanthappa BT Community health nursing. New Delhi: Jaypee Brothers Medical Publisher Pvt. Ltd.; 2007; 536–537. 8. Sanpath K, Pannerselven A. Introduction to educational technology. New Delhi: Sterling Publications; 2007; 1–5. 9. Azher U, Shiggaon N. Oral health status of children with acute lymphoblastic leukemia undergoing chemotherapy. Indian J Dent Res. 2013; 24(4): 523. 10. Thomaz EB, Mouchrek JC Jr, Silva AQ, Guerra RN, Libério SA, da Cruz MC, Pereira AL. Longitudinal assessment of immunological and oral clinical conditions in patients undergoing anticancer treatment for leukemia. Int J Pediatr Otorhinolaryngol. 2013; 77(7): 1088–1093. 11. Dens F, Boute P, Otten J, Vinckier F, Declerck D. Dental caries, gingival health, and oral hygiene of long term survivors of paediatric malignant diseases. Arch Dis Child. 1995; 72(2): 129–132.12. Kinirons MJ, Fleming P, Boyd D. Dental caries experience of children in remission from acute lymphoblastic leukaemia in relation to the duration of treatment and the period of time in remission. Int J Paediatr Dent. 1995; 5(3): 169–172. 13. Pajari U, Ollila P, Lanning M. Incidence of dental caries in children with acute lymphoblastic leukemia is related to the therapy used. ASDC J Dent Child. 1995; 62(5): 349–352. 14. World Health Organization (WHO). The World Oral Health Report. Geneva: WHO; 2003; 38. 15. Li X, Koltveit KM, Tronstad L, Olsen I. Systemic diseases caused by oral infection. Clin Microbiol Rev. 2000; 13(4): 547–58. 16. US General Accounting Offices. Oral health: dental disease is a chronic problem among low-income populations. Washington, DC: US General Accounting Offices; 2000. 17. Marshall TA. Caries prevention in pediatrics: dietary guidelines. Quintessence Int. 2004; 35(4): 332–335. 18. Duke ES. A taxonomy of games and simulations for nursing education. J Nurs Educ. 2006; 25(5): 197–206.




DOI: https://doi.org/10.37591/rrjod.v14i2.3286

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