CDA Essentials 2018 • Volume 5 • Issue 7

S upporting Y our P ractice Music interventions modify the state of consciousness of the patient and produce a sedative effect while enhancing communication between clinicians and patients in non-traditional ways. dental anxiety and phobia are less likely to seek dental care, they are more prone to have poorer oral health. 49,50 ❙  Anxiety is a physiological emotional response toward an anticipated threat and is the result of the integrated activity of affect-generating brain systems and emotional effector systems. 51 ❙  Dental and medical anxiety and phobia can lead to sleep disturbance, impaired life-activities, and psychological difficulties. 52 ❙  Addressing dental and medical anxiety and phobia control has public health implications but needs an innovative, personalized, and culturally adapted behavioural approach. ❙  Music interventions are a non-pharmaceutical, non- invasive, and inexpensive approach 53–55 ,which can be used to prevent the side effects of medication used for pain and anxiety control such as sleep disturbance, impaired life activities, and psychological difficulties 56 . Music interventions modify the state of consciousness of the patient and produce a sedative effect while enhancing communication between clinicians and patients in non-traditional ways. ❙  Music interventions should be tailored based on individuals’ preferences, taking into account the cultural dimension of pleasant music that could potentially enhance activation of the reward system.  38–40, 57 ❙  The translation of innovative patient-centred and culturally adapted interventions into practice requires robust, high-quality interdisciplinary and intersectorial research within a real setting, where we can expect a high magnitude of “intervention effects.” 14, 58–60 Interactive discussions were brought up after each presentation, which was followed by round-table discussions reflecting on research objectives, design, outcomes, and measures of a clinical trial to test the effect of culturally adapted music on patients’ anxiety and pain. Dental care has been chosen as a model for a stressful care setting, with the long-term objective of adapting the intervention for other clinical settings where the patients may experience pain, anxiety, and treatment phobia. Workshop short-term outcomes Overall, participants gave positive evaluations of the workshop and expressed a successful achievement of its main objectives. The workshop was followed by a musical intervention training activity in late August, for dental clinicians participating in the future research project. A start- up fund from the faculty of dental medicine at the University of Montreal has been secured to run a pilot project in 2018–19. The research team are presently working on a number of research proposals to expand the pilot project and to conduct a demonstration project with an expansion to other health care disciplines. a References Complete list of references available at: jcda.ca/h13 39 Issue 7 | 2018 |