Sensory Adapted Dental Environments to Enhance Oral Care for Children

感官适应牙科环境可增强儿童口腔护理

• 批准号: 10249780
• 负责人: Sharon Andrea Cermak
• 金额: $ 10.69万
• 依托单位: UNIVERSITY OF SOUTHERN CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-05-01 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10249780
• 关键词: Analysis of Covariance; Anxiety; Auditory; Behavior; California; Characteristics; Child; Child Care; Clinic; Crossover Design; Dental; Dental Care; Dental Clinics; Dental Offices; Developmental Disabilities; Distress; Environment; Exhibits; Family; Hispanics; Intervention; Latino; Los Angeles; Low income; Measures; Modeling; Oral health; Outcome; Participant; Pediatric Hospitals; Physiological; Population; Prevalence; Procedures; Randomized Clinical Trials; Sampling; Sensory; Tactile; Testing; Touch sensation; Treatment Cost; Universities; Visit; Visual; aged; autism spectrum disorder; autistic children; base; boys; child services; ethnic diversity; experience; girls; high risk; oral care; pain perception; recruit; response; school district; sound; statistics; successful intervention

ABSTRACT This study is a randomized clinical trial investigating the efficacy of a sensory adapted dental environment (SADE) compared to a regular dental environment (RDE) to decrease physiological anxiety, distress behavior, perception of pain, and discomfort during a dental cleaning in children with Autism Spectrum Disorder (ASD). The SADE procedure modifies the degree and type of visual, auditory, and tactile stimulation that children experience during dental cleanings. In this crossover design, the SADE will be compared to a RDE in a group of children with ASD with visits occurring four-six months apart. The outcome variables are physiological anxiety as measured by electrodermal activity (EDA) and child negative responses (distress behavior, perception of pain, sensory discomfort) exhibited by the child during dental cleaning visits. Analyses will include repeated measures ANCOVA models to examine the differences in the within- group factor (environment) in the ASD groups. Participants will be 220 ethnically diverse children with ASD aged 6-12 years. All children will be Southern California residents. Participants will be recruited primarily from Children’s Hospital Los Angeles (Dental Clinic, University Center for Excellence in Developmental Disabilities, Boone Fetter Clinic, AltaMed General Pediatrics Service) and the Los Angeles Unified School District (LAUSD), so the sample in this study will likely over-represent low income Hispanic/Latino families who are at high risk for poor oral health. Consistent with ASD prevalence statistics, we anticipate a ratio of approximately four boys for every girl in the sample.

摘要 这项研究是一项随机临床试验，调查感官适应的疗效。 牙科环境(SADE)与常规牙科环境(RDE)相比 减少生理性焦虑、痛苦行为、疼痛感觉和不适 在自闭症谱系障碍(ASD)儿童的牙科清洁中。《沙皇》 程序修改视觉、听觉和触觉刺激的程度和类型 儿童在清洁牙齿的过程中体验。在这个跨界设计中，Sade将是 与来访4-6个月的ASD儿童组的RDE相比 分开。结果变量是通过皮肤电刺激测量的生理性焦虑。 活动(EDA)和儿童负面反应(痛苦行为、疼痛感知、 儿童在清洁牙齿时表现出的感觉不适)。分析将 包括重复测量ANCOVA模型，以检查内部的差异- ASD组中的群体因素(环境)。参赛者将来自220个不同种族 6-12岁的自闭症儿童。所有儿童都将是南加州居民。 参与者将主要从洛杉矶儿童医院(牙科)招募 临床，大学发育障碍卓越中心，Boone Fetter 诊所、AltaMed综合儿科服务)和洛杉矶联合学区 (LAU.S.)，所以这项研究中的样本可能会过度代表低收入 口腔健康状况不佳的高风险西班牙裔/拉丁裔家庭。与ASD一致 根据流行率统计，我们预计中国男女比例约为4：1。 样本。

项目成果

Brief Report: Caregiver Confidence in Reporting Anxiety Symptoms in Children with Autism Spectrum Disorder.

• DOI: 10.1007/s10803-021-05210-6
• 发表时间: 2022-08
• 期刊: Journal of autism and developmental disorders
• 影响因子: 3.9
• 作者: Williams ME;Stein Duker LI;Vigen CLP;Wylde C;Cermak SA
• 通讯作者: Cermak SA

Oral Care Experiences and Challenges for Children with Down Syndrome: Reports From Caregivers.

唐氏综合症儿童的口腔护理经验和挑战：护理人员的报告。

• 发表时间: 2020
• 期刊: Pediatric dentistry
• 影响因子: 1.6
• 作者: SteinDuker,LeahI;Richter,Marinthea;Lane,ChristianneJ;Polido,JoséC;Cermak,SharonA
• 通讯作者: Cermak,SharonA

Strategies for Success: A Qualitative Study of Caregiver and Dentist Approaches to Improving Oral Care for Children with Autism.

成功策略：对护理人员和牙医改善自闭症儿童口腔护理方法的定性研究。

• 发表时间: 2019
• 期刊: Pediatric dentistry
• 影响因子: 1.6
• 作者: SteinDuker,LeahI;Floríndez,LucíaI;Como,DominiqueH;Tran,ChristineF;Henwood,BenjaminF;Polido,JoséC;Cermak,SharonA
• 通讯作者: Cermak,SharonA

Association between oral care challenges and sensory over-responsivity in children with Down syndrome.

• DOI: 10.1111/ipd.12933
• 发表时间: 2022-07
• 期刊: International journal of paediatric dentistry
• 影响因子: 3.8
• 作者: Stein Duker LI;Martinez M;Lane CJ;Polido JC;Cermak SA
• 通讯作者: Cermak SA

The Relationship between Dental Fear and Anxiety, General Anxiety/Fear, Sensory Over-Responsivity, and Oral Health Behaviors and Outcomes: A Conceptual Model.

• DOI: 10.3390/ijerph19042380
• 发表时间: 2022-02-18
• 期刊: International journal of environmental research and public health
• 作者: Stein Duker LI;Grager M;Giffin W;Hikita N;Polido JC
• 通讯作者: Polido JC