White Coat Syndrome Research Articles

HYPERTENSION IN THE ELDERLY: CHALLENGES IN MANAGEMENT AND TREATMENT

Hypertension is a prevalent and significant health issue among the elderly, contributing to increased risks of cardiovascular diseases, stroke, and kidney failure. Managing hypertension in older adults poses unique challenges due to age-related physiological changes, comorbidities, and polypharmacy. This review explores the complex pathophysiology of hypertension in the elderly, including age-related changes in vascular function and the impact of comorbid conditions. It examines the difficulties in diagnosing hypertension, such as variability in blood pressure readings, white coat syndrome, and masked hypertension, highlighting the need for accurate monitoring through home and ambulatory techniques. The review discusses current management strategies, emphasizing the importance of setting appropriate treatment goals, implementing lifestyle modifications, and utilizing pharmacological treatments, including new antihypertensive drugs and combination therapies. It also addresses challenges such as adverse drug reactions, medication adherence, and the management of polypharmacy. Recent advances, including innovations in drug delivery systems and digital health technologies, offer promising solutions for improving hypertension management. Future research directions include exploring precision medicine, understanding the role of the gut microbiome, and addressing health disparities. Clinicians are advised to adopt personalized treatment approaches, integrate technological tools, and address socioeconomic barriers to optimize hypertension management in the elderly. This review underscores the need for ongoing research and tailored strategies to improve outcomes and quality of life for older patients with hypertension.

Application of virtual reality technology in helping patients overcome treatment anxiety

Patients undergoing surgery face several medical anxieties such as White Coat Syndrome, Iatrophobia, and Trypanophobia, which cause great inconvenience to both the medical staff and the patients. In recent years, with the advancement of science, virtual reality technology has been developed widely and plays a significant role in dealing with anxiety issues. This paper, with the theme of VR technology helping patients overcome treatment anxiety, summarizes and discusses patients' anxiety and fear during treatment, how VR technology helps patients overcome anxiety and fear, and some challenges and prospects, analyzing the effects of VR technology in relieving patient anxiety. This paper finds that virtual reality technology is currently in the development stage in the field of medical applications, and it plays a significant role in the field of psychotherapy. It can serve as a very effective tool to help patients get better treatment.

TIME OF DAY, WEEKDAY, AND SEASON ARE ASSOCIATED WITH BLOOD PRESSURE MEASURED IN THE EMERGENCY DEPARTMENT

Objective: Elevated blood pressure is often observed in the emergency department. Although it sometimes is explained by factors such as pain, anxiety, or white coat syndrome, it is nevertheless associated with incident atherosclerotic CVD and should not be disregarded. However, the impact of other factors on blood pressure in this setting is largely unknown. Therefore, we aimed to investigate whether season, weekday, or time of day is associated with patients’ systolic blood pressure in the emergency department. Design and method: In this electronic health record study, we selected all visits by adult patients with at least one measured blood pressure from a university hospital emergency department between 2010 to 2016. Systolic and diastolic blood pressure, age, sex, time of day, weekday, and month of the visit were derived from the hospital's electronic health records. Linear regression was used to estimate the relationship between time factors and blood pressure. Sex, age with restricted cubic splines, inclusion year, and emergency desk were included as covariates in the analysis. Results: A total of 604,091 ED-visits were included in the study. The systolic blood pressure was higher in visits during winter; 2.3 mm Hg (95% CI: 2.1-2.4), spring; 1.6 mmHg (95% CI: 1.4–1.7) and autumn; 1.7 mmHg (95% CI 1.5–1.9) compared to visits in the summer. When accounting for confounders, the systolic blood pressure was higher in visits during evening; 2.8 mm Hg (95% CI: 2.7–3.0) and night; 2.2 mmHg (95% CI: 2.0–2.5) compared to visits in the morning. Minor differences were observed in the afternoon (+0.3 mm Hg, 95% CI 0.1-0.4) and on the weekend (+0.3 mmHg, 95% CI 0.2–0.5). Conclusions: The time and season of the visit are associated with blood pressure measured in the emergency department. The systolic blood pressure on a winter evening was 5 mm Hg higher on average compared to a summertime morning visit. Our findings suggest that these factors should be considered while assessing the patient's future risk associated with a high blood pressure reading in the emergency department.

THE FEASIBILITY OF CUFFLESS, NON-OCCLUSIVE BLOOD PRESSURE ASSESSMENTS USING THE NOVEL LIFELEAF WRISTWATCH AND PLATFORM

Objective: Hypertension affects 1.3 billion people worldwide and is the leading cause of myocardial infarction and stroke. Successful treatment of hypertension continues to be a global challenge, likely given that the most common tool for assessment is the sphygmomanometer, which can be time-consuming and cumbersome to utilize on a consistently compliant basis. More straightforward means of blood pressure (BP) measurement may facilitate earlier detection and closer monitoring of hypertension, thereby helping to alleviate potential comorbidities. The ability to seamlessly collect longitudinal BP data could also enhance ambulatory blood pressure monitoring, which is preferred over in-office BPs for tracking hypertension and decisions regarding pharmacotherapy. BP measurements in the ambulatory setting may also be more representative of true BPs by eliminating white coat syndrome. We therefore investigated the reliability of performing BP measurements via a novel cuffless, non-occlusive photoplethysmography (PPG)-based wristwatch compared to a standard automatic BP cuff reference. Design and method: The LIFELEAF® wristwatch (LifePlus, Inc., San Jose, CA) utilizes novel signal processing and machine learning (ML) algorithms to predict real-time systolic and diastolic blood pressures (SBP and DBP) using features extracted from PPG signal at the wrist. 274 total subjects from 3 centers (Cleveland Clinic Abu Dhabi, UAE; Hospital Sebarang Jaya, Malaysia; and iKure Clinic, India) were enrolled. Subjects were outpatients 18 years of age or older; females who were gravid or actively trying to conceive were excluded. Automatic BP cuff reference measurement on the left arm was immediately followed by 1 minute of wristwatch PPG signal acquisition on that arm. An average of 10.77 paired data acquisitions per subject were collected. Datasets were randomly split for model training (60%) and prediction (40%). Results: There were no significant differences in mean SBP or mean DBP between cuff reference measurements and wristwatch predictions. The wristwatch-predicted SBPs and DBPs also demonstrated significant linear correlation with cuff reference values. Conclusions: Longitudinal SBP and DBP measurements are feasible via non-occlusive methods incorporating sophisticated signal processing and machine learning (ML) applied to wrist PPG. Further algorithmic improvements to accuracy may improve BP/hypertension tracking by facilitating assessments compared to conventional sphygmomanometers.

Nursing care for children on the autism spectrum

Introduction: Autistic Spectrum Disorder (ASD) is a condition in which the bearer can present a wide range of behavioral signs, varying according to the degree of impairment in social behavior, communication and language. The first signs of this condition usually appear during the first five years of life. Although some people with ASD are able to live independently, others already need a series of care, support and psychosocial interventions throughout their lives. Objective: To survey the performance of nurses in the face of different procedures in autistic children in health units. Identify the main causes of crises and difficulties in nursing care for autistic children. Raise nursing intervention solutions and strategies to avoid crises in autistic children. Methodology: This is an integrative literature review carried out by crossing the descriptors: Autistic Spectrum Disorder; Pediatrics; Nursing. The databases were: LILACS, BIREME, Web of Science and the SciELO electronic library, with the search for articles carried out between August and November 2021. The search resulted in 28 articles, of which 12 were excluded, making a final total of 16 articles. Results and discussion: Among the main characteristics of the nurse's performance, the exact description of the procedure to be performed on the patient stands out, as well as the complete explanation of all the steps of the procedure, aiming to avoid crises due to the child's surprise during the procedure. of the procedure. Among the main crises in autistic children, the following were raised as the main causes: pain, noise, surprise and the melt-down, the name given to a multisensory crisis, caused by several stimuli directed at these children at the same time. As the main solution to avoid crises, the use of Social Stories was found, which are animated conventions in book or video format, whose objective is to explain in detail to the child what sensations he will have during the performance of a certain procedure and the step by step of the process. itself, avoiding surprises during its realization. Conclusion: Through this review, it was possible to conclude that Social Stories are the main key to carrying out nursing procedures in autistic children, reducing crises and facilitating nursing care, in addition to avoiding future problems, such as refusal of assistance or the so-called “White Coat Syndrome”, whose cause is linked to trauma in childhood. The importance of training and expertise of nurses in this area is highlighted, as diagnoses of autism increase day by day.

Agreement between self-reported and researcher-measured height, weight and blood pressure measurements for online prescription of the combined oral contraceptive pill: an observational study

Objective(s)To compare agreement between self-reported height, weight and blood pressure measurements submitted to an online contraceptive service with researcher-measured values and document strategies used for self-reporting.DesignAn observational study.SettingAn online sexual...

Influence of mental stress on intraocular pressure and visual field testing: is there a white coat syndrome in glaucoma?

To investigate the effects of mental stress stimulus on intraocular pressure (IOP) measurement and visual field (VF) testing. Patients with open angle glaucoma underwent a baseline IOP measurement and VF testing. Afterwards, they completed a computerized mental stress test (Stroop test) which is a known standardized method to induce mental stress. After test completion, patients underwent a second IOP measurement and VF testing. Seventy-two eyes of 36 patients were enrolled. Mean age was 67.0 ± 9.5years (range 47-84years). The mean baseline IOP was 15.0mmHg, and after the Stroop mental stress test, IOP increased to 16.0mm Hg (P < 0.001). There was a trend towards significant mean deviation decreased from -6.9 dB to -8.0 dB (P = 0.054, t-test) following the stress test. This difference becamesignificant using the Wilcoxon nonparametric test (P = 0.008).Correlation was found between glaucoma severity and change in IOP (P = 0.02) and PSD (P < 0.01). We found a small but statistically significant increase in IOP and a trend towards deterioration of visual field mean deviation, following a short mental stress test. Patients with more severe glaucoma showed more pronounced changes. Our results suggest that mental stress could affect IOP measurement in the clinic.

Influence of hypertension and other risk factors on the onset of sublingual varices

BackgroundSublingual varices (SV) are dilatations of tortuous veins that increased with age. Previous studies showed that this pathology could be correlated to some risk factors such as hypertension, age, gender and diabetes mellitus. In this study we evaluated, on a large number of subjects, the relationship between SV and different grades of hypertension as well as some risk factors extending the analysis to new risk factors such as dyslipidemia, obesity and antihypertensive therapy, modelling a possible dependence of SV on all these factors.MethodsIn the study 1008 subjects, 284 with and 724 without SV, were examined. The blood pressure was measured in office condition and, to exclude subjects with white coat syndrome or masked hypertension, also using a 24 h Holter pressure monitor. Hypertensive subjects were divided in resistant, drugs controlled (compensated) and patients with prior unknown hypertension (new diagnosed) groups. The presence or absence of SV as well as of the risk factors was assessed clinically. We tested the influence of age on the presence of SV by using the chi-square test and the relation between each risk factor and SV by the Cochran–Mantel–Haenszel test. Finally, we carried out a multivariate regression tree analysis in order to predict the presence of SV.ResultsWe confirmed the influence of age on SV and found a significant relationship between SV and both the compensated and resistant hypertension grades. We highlighted a relationship between SV and dyslipidemia in subjects with new diagnosed hypertension, and between SV and smoking in subjects with compensated hypertension grade. The regression tree showed a classification accuracy of about 75% using as variables hypertension grades, age and antihypertensive treatment.ConclusionsWe confirmed the SV dependence on age, resistant hypertension and smoking, highlighting a new association with dyslipidemia in new diagnosed hypertensive subjects and new relations depending on the hypertension grades. Thus, the SV inspection could be used to suggest a lipidologist as well as a hypertension specialist visit for a pharmacological and pressure check particularly in subjects presenting SV and dyslipidemia. However, further parameters are to be considered to improve the sensitivity of the prognostic tree model.

773 Do Physician Apparel, Posture and Familiarity Impact Adolescent Girls’ Engagement in Post-burn Medical Care?

Abstract Introduction Pediatric burns require ongoing developmental adjustment to lifelong medical care. One well documented phenomenon, “white coat syndrome”, highlights the influence of physician status and medical settings on physiology, while data assessing patient perception of physician care highlights the importance of disarming power attributions by sitting at patient eye-level. The current qualitative report aimed to understand how adolescent patients engage with doctors and whether physician’s clothing, posture and white-coat influence willingness to engage. Methods As part of a 6-day therapeutic residential retreat for girls with burns, girls participated in three question-and-answer sessions with the retreat Medical Director, a burn reconstructive surgeon. In the first two sessions, the surgeon wore casual clothing and sat down in a circle with the girls. Session three, the surgeon wore a white coat and stood amongst the seated girls. Engagement with care was assessed via girls’ willingness to ask the surgeon medical care questions. Clinical quality assurance measures assessing nervousness and comfort with doctors were administered at baseline (T0) and post-second (T1) and third sessions (T2). Univariate t-tests were used to assess for mean differences across timepoints. Results Fifteen girls (range = 12–20 years old) attended and completed quality assurance questionnaires. Girls reported a significant reduction in nervousness from T1 (M = 2.70) to T2 (M = 1.60), t (9) = 2.54, p = .03, but no change from T0 to T1. Topics discussed included women’s health, scar revision for function vs aesthetic options and communication skills for conversing with medical professionals. Girls exhibited behavior consistent with increased comfort with the surgeon during the final session, as evidenced by spontaneous questions and candid discussion as the girls leapt from their chairs rolling up sleeves, pulling up pant legs and shifting their hair covering scars for a hands-on assessment. Conclusions Subtle shifts in physician apparel, posture and interaction may impact adolescent patient’s willingness to engage in their care via asking questions. Future research applying “white coat syndrome” theory to behavioral presentations and engagement with care may be warranted. Applicability of Research to Practice Future prospective quantitative research with a larger sample size may be warranted. Physicians treating adolescents who were burned as children may want to consider the formality of their clothes, white coat, stance and posture during initial encounters with patients in an attempt to increase patient comfort and engagement with care.

Knowledge and Attitude Regarding Telemedicine Among Doctors in Karachi

BackgroundTelemedicine is an affordable use of information and communication technology (ICT) to enable long-distance patient care and health care services. While the developed world continues to take advantage of this technology, its concept remains new to Pakistan. This study aims to assess the knowledge and perceptions regarding telemedicine among health care professionals in Karachi, Pakistan.Methods This cross-sectional study was carried out among doctors employed in the public health sector in Karachi from June 2018 to August 2018. Data were collected using a self-designed well-structured questionnaire using a five-point Likert scale, built after an extensive literature review. Statistical analysis was carried out using SPSS version 22. Categorical data were reported as frequencies and percentages.ResultsA total of 224 doctors, working in the Department of Internal Medicine (27.6%), Pediatrics (9.8%), Cardiology (6.6%), Gynecology (5.35%), Neurology (5.8%), and other specialties (44.6%), participated in the study. A total of 80.7 % of the doctors were aware of the definition of telemedicine. A total of 28.1% of them believed telemedicine to be effective in providing faster medical care while 23.2% thought of it as a means of reducing the white coat syndrome. A total of 42.9% believed that telemedicine disrupts the doctor-patient relationship and causes a breach of patient privacy. A total of 34.8% of the doctors favored the idea of introducing national standards for practicing telemedicine while 33.5% of doctors also agreed that providing a legal explanation of telemedicine to patients was of paramount importance. Poverty and lack of education (90.6%) was thought to be the biggest barrier to the practice of telemedicine in the developing world.ConclusionsThe knowledge regarding telemedicine among doctors in Karachi was found to be average. However, the perceptions about and attitude towards the introduction and implementation of this new technology were welcomed by the majority of participants with an emphasis on increasing awareness. Conferences and workshops are needed to increase knowledge about telemedicine in Pakistan.

Screening for hypertension using emergency department blood pressure measurements can identify patients with undiagnosed hypertension: A systematic review with meta-analysis.

Hypertension is the leading risk factor for death globally. A significant percentage of patients admitted to hospital have undiagnosed hypertension, yet recognition of elevated blood pressure (BP) in hospital and referral for post‐discharge assessment are poor. Physician perception that elevated inhospital BP is attributable to anxiety, pain, or white coat syndrome may underlie an expectation that BP will normalize following discharge. However, these patients frequently remain hypertensive. The authors conducted a systematic review to evaluate the extent to which elevated inhospital BP can predict the presence of hypertension in previously undiagnosed adults. The authors included cohort studies in which hospital patients whose BP exceeded the study threshold underwent further post‐discharge BP assessment following discharge. Twelve studies were identified as eligible for inclusion; a total of 2627 participants met review eligibility criteria, and follow‐up BP data were available for 1240 (47.2%). Median percentage of patients remaining hypertensive following discharge was 43.6% (range: 14.2‐76.5). Across 7 studies which identified people with possible hypertension using an index test threshold of 140/90, the pooled proportion subsequently identified with hypertension at follow‐up was 43.4% (95% CI: 25.1%‐61.8%). This review indicates that screening for hypertension in the emergency hospital environment consistently identifies groups of patients with undiagnosed hypertension. Unscheduled hospital attendance therefore offers an important public health opportunity to identify patients with undiagnosed hypertension.

White coat syndrome and its variations: differences and clinical impact.

Hypertension is closely linked to increased cardiovascular risk and development of target organ damage (TOD). Therefore, proper clinical follow-up and treatment of hypertensive subjects are mandatory. A great number of individuals present a variation on blood pressure (BP) levels when they are assessed either in the office or in the out-of-office settings. This phenomenon is defined as white coat syndrome – a change in BP levels due to the presence of a physician or other health professional. In this context, the term “white coat syndrome” may refer to three important and different clinical conditions: 1) white coat hypertension, 2) white coat effect, and 3) masked hypertension. The development of TOD and the increased cardiovascular risk play different roles in these specific subgroups of white coat syndrome. Correct diagnose and clinical guidance are essential to improve the prognosis of these patients. The aim of this review was to elucidate contemporary aspects of these types of white coat syndrome on general and hypertensive population.

Integration of Home Blood Pressure Monitoring in Hypertension Management

Background: White coat syndrome, masked hypertension, and poor technique may produce inaccurate offi ce-based blood pressure (BP) readings and lead to over diagnosis and over treatment with antihypertensive agents.

Patient use of blood pressure self-screening facilities in general practice waiting rooms: a qualitative study in the UK.

BackgroundBlood pressure (BP) self-screening, whereby members of the public have access to BP monitoring equipment outside of healthcare consultations, may increase the detection and treatment of hypertension. Currently in the UK such opportunities are largely confined to GP waiting rooms.AimTo investigate the reasons why people do or do not use BP self-screening facilities.Design and settingA cross-sectional, qualitative study in Oxfordshire, UK.MethodSemi-structured interviews with members of the general public recruited using posters in GP surgeries and community locations were recorded, transcribed, and coded thematically.ResultsOf the 30 interviewees, 20% were hypertensive and almost half had self-screened. Those with no history of elevated readings had limited concern over their BP: self-screening filled the time waiting for their appointment or was done to help their doctor. Patients with hypertension self-screened to avoid the feelings they associated with ‘white coat syndrome’ and to introduce more control into the measurement process. Barriers to self-screening included a lack of awareness, uncertainty about technique, and worries over measuring BP in a public place. An unanticipated finding was that several interviewees preferred monitoring their BP in the waiting room than at home.ConclusionBP self-screening appeared acceptable to service users. Further promotion and education could increase awareness among non-users of the need for BP screening, the existence of self-screening facilities, and its ease of use. Waiting room monitors could provide an alternative for patients with hypertension who are unwilling or unable to monitor at home.

Diagnosis of Resistant Hypertension

Hypertension is a major risk factor of cardiovascular death in Bangladesh and worldwide. Resistant hypertension as well as uncontrolled hypertension with 3 or more antihypertensive agents is increasingly common in clinical practice. Clinicians should exclude pseudoresistant hypertension, which results from nonadherence to medications or from elevated blood pressure related to the white coat syndrome. Resistant hypertension may be associated with secondary causes of hypertension including obstructive sleep apnea or primary aldosteronism.Northern International Medical College Journal Vol.8(1) July 2016: 196-198

Transferring from Clinical Pharmacy Practice to Qualitative Research: Questioning Identity, Epistemology and Ethical Frameworks

Researcher identity can present methodological and practical, as well as epistemological and ethical tensions, in sociological research. Identity management, such as the presentation of the self during a research interview, can have significant effects on the research encounter and data collected. ‘White coat syndrome’, the disjointed interaction between clinicians and patients arising from unequal power and expertise, can occur in research encounters. For clinicians engaged in social science research, identity management can be particularly challenging given the added potential for ‘white coat syndrome’. Drawing on the experiences of a registered pharmacist undertaking qualitative research, we discuss the epistemological transition many clinicians go through when embarking on sociological research. We suggest that identity management is not just a matter of optimising data collection but also has ethical tensions. Drawing on Goffman's social role theory, we discuss the epistemic tensions between researchers’ dual identities through positivist and constructivist frames, discussing the professional and legal implications, as well as the methodological practicalities of identity negotiation. We discuss conflicting professional and regulatory ethical frameworks, and ethics committees’ negotiation of intervention and elicitation during research encounters and the conflict in managing professional, legal and clinical responsibilities whilst adhering to expected social research conventions.

0270 : Ambulatory blood pressure monitors in our daily practice: why use it more often?

Discordance between blood pressure (BP) measurement methods can occur and create ambiguity. The automated BP monitors (ABPM) are already available for years, In addition to 24-hour values, the circadian variation of BP adds prognostic significance in predicting cardiovascular outcome. But this devises are no often prescribed in our population. The objective of this study is to quantify concordance among BP measurement methods and to define the diagnostic sensitivity, specificity, and prognostic value of ABPM in a Moroccan population of hypertensive patients. The office mercury sphygmomanometer, the ambulatory BP monitor (ABPM), with an oscillometric device, and home self-measurement with an automatic device were compared in an observational prospective study. 50 patients were enrolled. Ambulatory BP monitoring was performed. A nondipping pattern was defined when nocturnal systolic BP dip was < 10% of daytime systolic BP Average BP results were similar between measurement methods with the exception of daytime ABPM, which was significantly higher: sphygmomanometer, 127.9±12.3/83.9±7.3 mm Hg; 24-hour ABPM, 132.6±10.7/ 84,2±8.7 mm Hg; day ABPM, 136.5±12.5/86.0±11.9 mm Hg; home self-measurement, 131.0±14.3/82.5±8.2 mm Hg. Discordance in the achievement of therapeutic goals was observed in 23 patients, with only 6 cases being explained by masked hypertension or “white coat syndrome” according to all measurements. The prevalence of nondipping was 44%, the nondipping pattern was associated with advanced age, obesity, diabetes, and overt cardiovascular or renal disease. the 3 measurement strategies provide similar average BP estimates. The ABPM device can be very valuable to rise some ambiguity and can give important prognostic information. The author hereby declares no conflict of interest

Remove White Coat Syndrome

A smartphone pilot study has highlighted a potential solution for White Coat Syndrome – the medical phenomenon responsible for sending some patients' blood pressure soaring in the GP surgery…

Morning Hypertension and Non-dipper Behavior in Pregnant Women with White Coat Syndrome

Background: White coat syndrome (WCS) is common during pregnancy, although little is known about its clinical outcomeduring gestation. Morning hypertension and the non-dipper behavior, measured by ambulatory blood pressure monitoring(ABPM), are associated with greater risk of cardiovascular events. However, there are few studies during pregnancy.Objectives: The primary aim of the study was to evaluate morning hypertension and the non-dipper behavior in pregnantwomen with WCS versus a control normotensive group. A secondary objective was to evaluate whether WCS, morning hypertensionand the non-dipper behavior in the second trimester of pregnancy were associated with greater hypertension inthe third trimester.Methods: This prospective study included 95 primiparae in the 20th week of gestation, 50 with WCS and 45 as normotensivecontrol group. Routine lab tests, office blood pressure and ABPM at inclusion and in the 32th week of gestation were recorded.Morning hypertension and the non-dipper behavior were evaluated by ABPM.Results: Age, and baseline blood glucose level and daytime and nighttime blood pressure by ABPM were similar in both groups.Conversely, patients presenting WCS had significantly higher values of morning hypertension and non-dipper behavior, whichwere independently associated with sustained hypertension in the third trimester of pregnancy.Conclusions: Pregnant women with WCS in the 20th week of gestation presented greater morning hypertension and non-dipperbehavior and progressed more frequently to sustained hypertension than the control normotensive group.

Children and Parent's Attitude and Preferences of Dentist's Attire in Pediatric Dental Practice.

ABSTRACTBackground: Before arrival into doctor’s clinic, child might have acquired an impression of a clinical environment and doctor’s appearance. Different kind of doctor’s attire may evoke different reactions. By understanding children and parent’s perception and preferences about dentist’s attire, a suitable dress code could be adopted to establish good rapport with children.Aim: To evaluate children and parental perceptions and preferences towards dentist attire.Materials and methods: A questionnaire designed with series of photographs of male and female dental students in different attires was responded by 150 parents aged 29 to 63 years and 150 children aged 9 to 13 years.Results: Seventy percent of children participants (n = 104) and 42% of parents participants (n = 63) favored the traditional white coat attire. However, 58% parents (n = 87) significantly preferred non-white coat attires in comparison to 30% of children (n = 46) (χ2 = 21.61, p < 0.001). No statistical significant difference was noted among the children and the parents, both favoring the use of protective wear (χ2 = 0.99 p > 0.05), no-significant association was found between parents and children response to white coat (χ2 = 0.39, p = 0.53). A highly significant difference was found between the male participants, who favored the male dentist and female participants preferring the female dentist (χ2 = 47.16, p < 0.001).Conclusion: Our study attempted to rule out the stereotyped concept of ‘white coat fear’ among children, both children and parents favored traditional white coat attire, contrary to popular misconception ‘white coat syndrome’. However, use of child friendly attires could be useful in anxious children for better practice management.How to cite this article: Ellore VPK, Mohammed M, Taranath M, Ramagoni NK, Kumar V, Gunjalli G. Children and Parent’s Attitude and Preferences of Dentist’s Attire in Pediatric Dental Practice. Int J Clin Pediatr Dent 2015;8(2):102-107.