Observed child and parent toothbrushing behaviors and child oral health
Observed child and parent toothbrushing behaviors and child oral health
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DOI：
10.1111/ipd.12175
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发表时间：
2016-05-01
影响因子：
3.8
通讯作者：
Speltz, Matthew L.
中科院分区：
文献类型：
--
作者：
Collett, Brent R.;Huebner, Colleen E.;Speltz, Matthew L.
背景。家长主导的刷牙方法可有效减少儿童早期龋齿。然而，对父母用来促进这种行为的策略的研究却很缺乏。使用新开发的措施——刷牙观察系统（TBOS）来检查亲子刷牙互动与儿童口腔健康之间的关联。设计。一百名 18 至 60 个月大的儿童及其父母刷牙互动的过程被录像。利用这些录音，六名评估者对父母和孩子的行为以及刷牙的持续时间进行了编码。我们检查了编码系统的可靠性以及观察到的父母和儿童行为与三个口腔健康指标之间的关联：龋齿、牙龈健康和需要全身麻醉的牙科手术史。结果。 TBOS 儿童和家长评分的可靠性为中等到强。家长 TBOS 评分和家长主导的刷牙时间较长与牙齿表面腐烂、缺失或填充的情况较少，牙龈炎和需要全身麻醉的手术的发生率较低有关。儿童 TBOS 评分与牙科结果之间的关联不大，这表明父母与孩子在这个年龄的行为相对重要。结论。父母的儿童行为管理技能和家长主导的刷牙时间与儿童口腔健康状况良好相关。这些发现表明，育儿技能是未来口腔健康行为干预的重要目标。
Background. Parent-led toothbrushing effectively reduces early childhood caries. Research on the strategies that parents use to promote this behavior is, however, lacking.Aim. To examine associations between parent-child toothbrushing interactions and child oral health using a newly developed measure, the Toothbrushing Observation System (TBOS).Design. One hundred children ages 18-60 months and their parents were video-recorded during toothbrushing interactions. Using these recordings, six raters coded parent and child behaviors and the duration of toothbrushing. We examined the reliability of the coding system and associations between observed parent and child behaviors and three indices of oral health: caries, gingival health, and history of dental procedures requiring general anesthesia.Results. Reliabilities were moderate to strong for TBOS child and parent scores. Parent TBOS scores and longer duration of parent-led toothbrushing were associated with fewer decayed, missing or filled tooth surfaces and lower incidence of gingivitis and procedures requiring general anesthesia. Associations between child TBOS scores and dental outcomes were modest, suggesting the relative importance of parent versus child behaviors at this early age.Conclusions. Parents' child behavior management skills and the duration of parent-led toothbrushing were associated with better child oral health. These findings suggest that parenting skills are an important target for future behavioral oral health interventions.