Parents' perceptions of dental care challenges in male children with autism spectrum disorder: An initial qualitative exploration
Parents' perceptions of dental care challenges in male children with autism spectrum disorder: An initial qualitative exploration
复制标题
DOI：
10.1016/j.rasd.2017.03.002
复制
发表时间：
2017-07-01
影响因子：
2.5
通讯作者：
Cermak, Sharon A.
中科院分区：
文献类型：
--
作者：
Duker, Leah I. Stein;Henwood, Benjamin F.;Cermak, Sharon A.
背景：许多患有自闭症谱系障碍(ASD)的儿童在牙科诊所的环境中遇到了口腔护理的障碍。这项研究的目的是增加对患有自闭症儿童在牙科诊所进行口腔护理时遇到的这些挑战的理解。方法：这项研究是一个更大的混合方法设计的一部分，建立在对2-18岁自闭症儿童父母的调查结果的基础上，在调查中，父母报告在获得护理、感觉处理和不合作行为方面存在困难。在本研究中，我们对5-18岁自闭症男性儿童的父母进行了两个、三个小时的焦点小组，以更深入地探讨调查结果。根据第一阶段(调查)确定的办公室口腔护理挑战的三个领域，使用模板编码方法对焦点组成绩单进行分析。结果：出现了几个相关主题，包括：(1)接近：“很难找到合适的牙医”，(2)感官敏感性：“所有感官设备都让他非常不舒服”，(3)约束：“看起来像是他们在折磨他”，(4)药物：“一个混合袋”。结论：本研究的定性结果证实了我们之前的调查结果，并对其进行了扩展。这些发现可以帮助专业人员更好地了解患有自闭症儿童及其父母所面临的挑战，并帮助确定规划工作的优先事项，以满足这一人群与口腔健康相关的需求。(C)2017爱思唯尔有限公司。保留所有权利。
Background: Many children with autism spectrum disorders (ASD) experience barriers to oral care in the dental office setting. The purpose of this study was to provide an increased understanding of these challenges experienced during oral care in the dental office by children with ASD.Method: This study was part of a larger mixed methods design and builds on quantitative results from a survey of parents of children with ASD ages 2-18 in which parents reported difficulties with access to care, sensory processing, and uncooperative behaviors. For this study, we conducted two, three hour, focus groups of parents of male children with ASD age 5-18 years in order to explore the survey results in greater depth. Focus group transcripts were analyzed using a template coding approach based on the three domains of office based oral care challenges identified in the first phase (survey).Results: Several related themes emerged including: (1) Access: "Difficult to find the right dentist", (2) Sensory sensitivities: "All the sensory devices just make him so uncomfortable", (3) Restraint: "It looked like they were torturing him", and (4) Drugs: "A mixed bag".Conclusions: The qualitative findings from this study both confirmed our previous survey findings and expanded upon them. These findings can help professionals better understand the challenges experienced by children with ASD and their parents as well as help identify priorities for planning efforts to address the oral health-related needs of this population. (C) 2017 Elsevier Ltd. All rights reserved.