Optimizing Parent Training to Improve Oral Health Behavior and Outcomes in Underserved Children with Autism Spectrum Disorder

Fenning, Rachel M.; Butter, Eric; Norris, Megan; Chan, James; Macklin, Eric A.; McKinnon-Bermingham, Kelly; Albright, Charles M.; Stephenson, Kevin G.; Scherr, Jessica; Moffitt, Jacquelyn; Hess, Amy; Steinberg-Epstein, Robin; Kuhlthau, Karen

doi:10.1007/s10803-022-05660-6

Cited by 7 publications

(4 citation statements)

References 90 publications

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“…A recent clinical trial explored the use of PT (parent training) interventions to improve dental care for children with ASD. The results of the randomized controlled trial had similar findings when compared with our study and showed that the PT intervention was effective in increasing the frequency of daily home oral hygiene and improving oral health [26]. The study also examined the feasibility, acceptability, and engagement of the PT intervention and showed similar caregiver experience, reporting that the intervention was well-received, with high retention, adherence, utilization, and satisfaction among participating families.…”

Section: Discussionsupporting

confidence: 75%

“…The lack of similar oral health trials for children and adolescents with ASD on smart e-toothbrushes limited our discussion; however, most studies emphasize the importance of flexibility from parents and caregivers in supporting oral care, including utilizing in-home services for educational sessions. This highlights the necessity to address practical and logistical barriers through innovative care models, such as leveraging telehealth and oral care devices and tools for this specific population [26].…”

Section: Discussionmentioning

confidence: 99%

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A Pilot Study Exploring Caregivers’ Experiences Related to the Use of a Smart Toothbrush by Children with Autism Spectrum Disorder

France,

Urquhart,

et al. 2024

Children

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Background: Research on caregivers for children with intellectual disabilities, particularly those with autism spectrum disorder (ASD), has highlighted several obstacles to achieving better oral health. These include challenges with tolerating oral care, sensory processing differences, uncooperative behaviors, and communication impairments. There is limited understanding of what caregivers would consider “successful assistance” in improving oral health for these children. Objectives: This pilot study aimed to examine caregivers’ and user’s experiences with a Kids Smart Electric Toothbrush used by children with ASD. Methods: It involved open-ended interviews and questionnaires with caregivers prior to utilization of the toothbrush and after 4 weeks of product use by the child. Results: Seventeen children with ASD, aged 5–12, participated. A total of 58.8% of caregivers said their child brushed more often, and all reported brushing at least twice a day by week 4. Caregivers reported that children became more independent while brushing their teeth and achieved better quality brushing. Caregivers’ frustration with the brushing process, satisfaction with the device, and need to assist the child with brushing were improved. Caregivers did encounter some technical difficulties with the app. Conclusion: This study will assist in exploring “smart” toothbrush technologies for oral hygiene in children with ASD.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

A Pilot Study Exploring Caregivers’ Experiences Related to the Use of a Smart Toothbrush by Children with Autism Spectrum Disorder

France,

Urquhart,

et al. 2024

Children

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“…Based on ndings in the present study, it is possible that complications associated with SNT, including impaction, delayed eruption, ectopic eruption, overcrowding, spacing anomalies, and the formation of follicular cysts, could be overlooked in children with ASD [14,46], especially given that SNT are asymptomatic and detected incidentally during radiographic examination [47]. According to reports from the American Academy of Paediatrics [48], screening for ASD has been emphasized to assist in treating ASDassociated medical conditions and potentially prevent complications in the context, SNT should also be taken into consideration using a multi-disciplinary approach by establishing referrals to oral and maxillofacial surgeons, dentists, behavioural therapists, and parent training interventions [49]. Speci cally, those approaches may involve desensitization that is essential for children with ASD to undergo panoramic radiography to identify SNT and receive tell-show-do, visual pedagogy and social stories [50,51], behavioural management techniques [52] and pharmacological management [11].…”

Section: Discussionmentioning

confidence: 99%

Autism spectrum disorder and the risk of supernumerary teeth: A multi-centre cohort study

Lai,

Chan,

Misra

et al. 2023

Preprint

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Aim To assess whether children diagnosed with autism spectrum disorder (ASD) are at risk of having supernumerary teeth (SNT). Methods This was a multi-centre cohort study conducted between 2008 and 2022 to recruit children under 18 years of age who were previously diagnosed with ASD. Data on age, sex, and comorbidities history were collected and adjusted in the analyses. Cox proportional hazard models and Kaplan-Meier analyses were conducted to determine the effect of ASD on SNT. Subgroup analyses based on age and sex stratification were developed to identify at-risk subpopulations. Results A total of 3,372 cases with ASD and 25,942 controls were included. 15 children with ASD and 31 non-ASD children were diagnosed with SNT during the follow-up period. The incidence of SNT was significantly higher in the ASD group compared to the non-ASD group (1.827 vs 0.671 per 1000 person-years, adjusted hazard ratio, aHR=2.583, 95% CI=1.312-5.085). Male children with ASD (aHR=3.863, 95% CI=1.781-8.376) and children with ASD aged below 6 years (aHR= 2.655, 95% CI=1.117-6.308) presented with significant risk of having SNT. Conclusions Male children with ASD are at a significant risk of SNT. Screening for children with ASD may facilitate early detection and management of ASD-associated SNT.

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“…Following intervention assignment, we deployed an adapted version of Nock and Kazdin’s (2005) Participation Enhancement Intervention (PEI) at the conclusion of the baseline visit (see also Fenning, Butter, Macklin et al, 2022; Fenning, Butter, Norris et al, 2022). Our adapted PEI represented a brief motivational interviewing module designed to optimize intervention engagement and reduce anticipated barriers.…”

Section: Methodsmentioning

confidence: 99%

Comparative effects of mindfulness-based stress reduction and psychoeducational support on parenting stress in families of autistic preschoolers

Neece

Fenning

Morrell

et al. 2023

Autism

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Relative to parents of children with neurotypical development and other developmental disabilities, parents of autistic children experience higher levels of parenting stress, which are associated with deleterious consequences for parents’ mental and physical health and child functioning. Despite urgent calls to action, parenting stress is rarely addressed directly in interventions for families of autistic children, and less so in underserved and racial/ethnic minority populations where clinical needs are greater. This study tested the efficacy of mindfulness-based stress reduction, compared to a psychoeducation and support intervention, in reducing parenting stress among diverse families of autistic preschoolers. Participants ( N = 117) were randomly assigned to the mindfulness-based stress reduction or psychoeducation and support groups; assessments were conducted at baseline, immediately postintervention, and 6 and 12 months postintervention. Results indicated significant reductions in parenting stress across both the mindfulness-based stress reduction and psychoeducation and support intervention conditions; however, reductions in parenting stress were greater for parents in mindfulness-based stress reduction than in psychoeducation and support. Furthermore, the benefit of mindfulness-based stress reduction relative to psychoeducation and support increased over time, with significant group differences in parenting stress detected at 12-month follow-up. Lay abstract Parents of autistic children often experience high levels of parenting stress, which can have negative mental and physical effects on both the parent and child. This study tested the efficacy of mindfulness-based stress reduction in reducing parenting stress in parents of preschool-aged autistic children compared to a psychoeducation and support intervention. We assessed parenting stress before and after the interventions and at 6- and 12-month follow-up. Both interventions significantly decreased parenting stress, but mindfulness-based stress reduction reduced stress more than did psychoeducation and support, with the strongest effect observed 1 year later. This suggests that the stress-reducing benefits of mindfulness-based stress reduction persist and may increase over time.

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Optimizing Parent Training to Improve Oral Health Behavior and Outcomes in Underserved Children with Autism Spectrum Disorder

Cited by 7 publications

References 90 publications

A Pilot Study Exploring Caregivers’ Experiences Related to the Use of a Smart Toothbrush by Children with Autism Spectrum Disorder

A Pilot Study Exploring Caregivers’ Experiences Related to the Use of a Smart Toothbrush by Children with Autism Spectrum Disorder

Autism spectrum disorder and the risk of supernumerary teeth: A multi-centre cohort study

Comparative effects of mindfulness-based stress reduction and psychoeducational support on parenting stress in families of autistic preschoolers

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