The effect of the pop-up book aku dan gigiku on blood pressure in children aged 4–6 years

Kusuma P. Adriani, Margaretha Suharsini, Eva Fauziah, Meutia D. Citrawuni

Research output: Contribution to journalArticlepeer-review


Objective: This study aimed to evaluate the effectiveness of the pop-up book Aku dan gigiku as an intervention strategy in reducing anxiety in young children before dental treatment. Methods: 78 children aged 4–6 years were randomly divided into two groups: An intervention group with the pop-up book intervention and a control group without the pop-up book intervention. They were placed in a waiting room, and their blood pressure was measured. The experimental design of this clinical research was statistically analyzed using independent t-tests to compare decreased blood pressure between the intervention and control groups. Results: The result of the study revealed that there was a statistically significant difference in decreased blood pressure with the intervention of the pop-up book Aku dan gigiku. As dental anxiety leads to undesirable distresses, it generates physiological changes such as blood pressure. Interventions should thus be undertaken to reduce dentalanxiety, and the pop-up book is an example of an intervention medium as it educates children and presents interesting illustrations. Conclusion: The pop-up book Aku dan gigiku thus appears to be an effective method in reducing anxiety in children aged 4–6 years when used as an intervention strategy before dental treatment.

Original languageEnglish
Pages (from-to)165-167
Number of pages3
JournalInternational Journal of Applied Pharmaceutics
Issue numberSpecial Issue 2
Publication statusPublished - Dec 2017


  • Anxiety
  • Blood pressure
  • Children


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