Toothbrushing and Oral Care Activities of Autistic and Non-Autistic Latino Children.

Toothbrushing and Oral Care Activities of Autistic and Non-Autistic Latino Children.
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DOI:
10.3390/children9050741
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发表时间:
2022-05-18
期刊:
影响因子:
2.4
通讯作者:
Cermak, Sharon A.
Cermak, Sharon A.
中科院分区:
医学4区
文献类型:
--
作者:
Florindez, Lucia, I;Como, Dominique H.;Florindez, Daniella C.;Florindez, Francesca M.;Law, Evelyn;Polido, Jose C.;Cermak, Sharon A.

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背景:口腔护理活动,例如,刷牙是经常被认为是例行的习惯性职业。然而,对于自闭症儿童来说,由于儿童的感官敏感性,独特的执行功能以及自闭症儿童概念化结构和习惯的复杂方式,执行这些常规牙科实践可能具有挑战性。有限的研究探索自闭症人群口腔护理常规的细微差别,需要更多的知识来支持有针对性的教育干预,以改善口腔护理和解决健康不平等问题。本研究的目的是检查口腔护理程序在家里的视频,以了解如何口腔护理活动,如刷牙,自闭症和非自闭症拉丁美洲/儿童进行。研究方法:来自18个拉丁裔/a家庭的父母/照顾者,他们的孩子在6岁和12岁之间(n = 10个自闭症儿童和n = 8个非自闭症儿童),视频记录了他们孩子的口腔护理程序三天。研究小组使用口腔护理观察模板对这些视频进行盲编码和分析,以了解这些活动是如何由儿童独特地执行的。结果:本研究分析了85个口腔护理视频。除了注意到口腔护理方面可以改进的地方,包括刷牙的时间和使用正确的刷牙技术,我们还确定了两个主题与自闭症和非自闭症儿童口腔护理实践之间的差异有关:父母的参与和修改。结论:定性研究结果表明,父母的参与记录,特别是在自闭症儿童的情况下,两种类型的修改,习惯和感官,观察到,证明父母意识到他们的自闭症儿童的需要,修改口腔护理活动,以满足这些需求。通过将口腔护理视频中的观察结果合成为与家庭合作的从业者的建议,我们希望补充有关自闭症和非自闭症拉丁美洲/a儿童有效口腔护理实践的知识,从而改善整体口腔健康并减少这一人群的口腔健康不公平现象。
Background: Oral care activities, e.g., toothbrushing, are habitual occupations often considered routine. However, for autistic children, performing these routine dental practices can be challenging due to the child’s sensory sensitivities, unique executive function, and the complicated way in which autistic children conceptualize structure and habits. Limited research exists exploring the nuances of oral care routines in the autistic population, and more knowledge is needed to support targeted education interventions to improve oral care and address health inequities. The purpose of this study was to examine videos of oral care routines in the home to understand how oral care activities, such as toothbrushing, were performed by autistic and non-autistic Latino/a children. Methods: Parents/caregivers from eighteen Latino/a families with children between 6 and 12 years old (n = 10 autistic children and n = 8 non-autistic children) video recorded their child’s oral care routines for three days. The research team blindly coded and analyzed these videos using an oral care observation template to understand how these activities were uniquely performed by the children. Results: Eighty-five oral care videos were analyzed for this study. In addition to noting areas of oral care that can be improved, which included length of brushing and using the correct brushing technique, we identified two themes related to the differences between oral care practices in the autistic and non-autistic children: parent involvement and modifications. Conclusions: Qualitative findings show that parental involvement was documented especially in the case of autistic children, and that two types of modifications, habitual and sensory, were observed that demonstrated parents being aware of the needs of their autistic child and modifying the oral care activity to meet those needs. By synthesizing observations from the oral care videos into suggestions for practitioners working with families, we hope to supplement knowledge about effective oral care practices for autistic and non-autistic Latino/a children, thereby improving overall oral health and reducing oral health inequities in this population.
DOI: 10.3390/ijerph18073751
发表时间: 2021-04-03
影响因子: --
作者:
Floríndez LI;Floríndez DC;Price ME;Floríndez FM;Como DH;Polido JC;Baezconde-Garbanati L;Pyatak E;Cermak SA
通讯作者: Cermak SA
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影响因子: 2.2
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