Parental psychosocial factors and childhood caries prevention: Data from an American Indian population

Albino, Judith; Tiwari, Tamanna; Henderson, William G.; Thomas, Jacob; Braun, Patricia A.; Batliner, Terrence S.

doi:10.1111/cdoe.12376

Cited by 17 publications

(19 citation statements)

References 15 publications

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“…We speculate that issues of perceived severity, barriers, and consequences of the problem may play a role in these responses. Furthermore, psychosocial factors-such as oral health locus of control, sense of coherence, stress, and fatalistic attitudes-could be underlying factors that influence the participant's response to a behavior change intervention such as MI (Albino et al 2018). These factors may offer valid explanations why MI interventions are not successful in one group or condition but work for another.…”

Section: Discussionmentioning

confidence: 99%

Randomized Trial of Motivational Interviewing to Prevent Early Childhood Caries in American Indian Children

Batliner

Tiwari

Henderson

et al. 2018

JDR Clinical & Translational Research

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The findings of this study suggest that motivational interviewing focusing on parental behaviors may not be as effective as previously hoped for slowing the development of childhood caries in some high-risk groups. Furthermore, social factors may be even more salient determinants of oral health than what we previously supposed, perhaps interfering with the capacity to benefit from behavioral strategies that have been useful elsewhere. The improvement of children's oral health in high-risk populations characterized by poverty and multiple related life stresses may require more holistic approaches that address these formidable barriers.

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Section: Discussionmentioning

confidence: 99%

Randomized Trial of Motivational Interviewing to Prevent Early Childhood Caries in American Indian Children

Batliner

Tiwari

Henderson

et al. 2018

JDR Clinical & Translational Research

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“…The nominal associations between OHF and dmft/DMFT and child age are of clinical interest for the dental practitioner and are potentially of interest for further study. OHF may be a cause of caries – the less control a caregiver perceives over caries, the less preventive care or behavior the family may adopt, and the worse the disease may become for the child 31,53 . Conversely, caries may be a cause of OHF – the worse disease a child has, the less control a caregiver may feel over the disease.…”

Section: Discussionmentioning

confidence: 99%

“…In a study of children identified as American Indian, parents with no caries experience had higher oral health knowledge, better caries‐prevention habits, and were more likely to perceive internal locus of control. While most children ultimately developed caries, caries progression (measured by increase in decayed, missing, and filled surfaces) was less than that of children of fatalistic parents 31 . Educational intervention decreased fatalistic views in a study of mothers in Turkey 33…”

Section: Introductionmentioning

confidence: 95%

“…Non‐fatalistic individuals who perceive internal locus of control and highly value their dental health are more likely to have good oral health habits than those who perceive an external locus of control over their oral health 28,29 . Conversely, parents’ fatalistic beliefs have been associated with higher caries levels in their children 30,31 . In a study of low‐income African‐American mothers, OHF was associated with nearly triple the odds for early childhood caries ( ECC ) in children aged 4‐5 years, and maternal knowledge of children's oral health needs was protective 26 .…”

Section: Introductionmentioning

confidence: 99%

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Correlates of oral health fatalism in caregivers of children with autism spectrum disorder

Hammersmith

Harlan

Fenning

et al. 2021

Special Care in Dentistry

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Aims To study correlates of oral health fatalism (OHF) in caregivers of children with autism spectrum disorder (ASD). Methods and results This exploratory analysis used baseline data from 118 Medicaid‐eligible families of children with ASD in a multi‐site randomized clinical trial of a parent training intervention supporting home oral hygiene and dental visits. About half (46%) of caregivers agreed with the statement “most children eventually develop dental cavities,” endorsing OHF. Hispanic caregivers more strongly endorsed OHF than non‐Hispanics (cumulative odds ratio = 2.4, 95% confidence interval [CI]: 1.2‐4.7, P = .014). Caregivers living alone with children less strongly endorsed OHF than caregivers cohabitating with other adults (cumulative odds ratio = 0.39, 95% CI 0.17‐0.86, P = .019). Multivariable analysis maintained significance of ethnicity (P = .030) but not living situation (P = .052). Additional analyses included demographics, parenting beliefs, and children's oral hygiene and oral health status. Conclusion About half the caregivers endorsed OHF, with Hispanic caregivers more strongly endorsing OHF. OHF was not significantly associated with oral health behaviors or status, consistent with emerging literature suggesting fatalism is not necessarily linked to health behavior. Further exploration of OHF correlates in families of children with ASD is needed; ethnicity, living situation, child age, and caries status are of interest.

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“…Miller and Rollnick assert that for an individual to change, they must feel both confident in their ability to change and believe change is of value to them [16]. Recent research is steering us in the direction of developing interventions focused on bolstering psychosocial strengths that support parents in achieving optimal oral health for themselves and their children [24][25][26][27]. Albino et al assert, "when a child's oral health is part of a meaningfully organized life, and financial stability is great enough to support their efforts, caregivers are able to ensure their children's oral health to a greater degree [25].…”

Section: Discussionmentioning

confidence: 99%

Using motivational interviewing to reduce parental risk related behaviors for early childhood caries: a pilot study

et al. 2020

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Background: Decades of epidemiological studies have documented high rates of early childhood caries (ECC) among American Indian and Alaska Native (AIAN) children. The aim of this pilot study was to investigate if a motivational interviewing (MI) intervention improved oral self-care behaviors of AIAN caregivers of infants, and determine if the MI intervention promoted positive changes in caregivers' ECC risk-related behaviors. Methods: Caregivers of infants presenting for well-child visits in a medical clinic were randomized to treatment and control groups. At the first visit, a caries risk test (CRT) for cariogenic bacteria was completed for both groups. The Parental Care of Child's Teeth (PCCT) was administered at the second visit and used to assess ECC risk-related behaviors. Over the course of four well-child visits, caregivers in the treatment group participated in a MI discussion focusing on behavior changes and desired outcomes for their personal oral health and their child's. The duration of the intervention was 1 year. The control group was given oral health information traditionally provided at well-child visits. At the fourth well-child visit, the CRT and PCCT questionnaire were administered again. Results: The mean bacterial load for mutans streptococcus (MS) was similar at both visits. A slight reduction in the mean bacterial levels of lactobacilli was observed in both the test and control groups after the last visit, although not at a level of statistical significance. The treatment group showed minimal improvement in child feeding practices and nighttime bottle habits. Conclusions: Motivational Interviewing had little effect on oral self-care behaviors as measured by bacterial load, nor did MI reduce parental risk related behavior for early childhood caries.

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Parental psychosocial factors and childhood caries prevention: Data from an American Indian population

Cited by 17 publications

References 15 publications

Randomized Trial of Motivational Interviewing to Prevent Early Childhood Caries in American Indian Children

Randomized Trial of Motivational Interviewing to Prevent Early Childhood Caries in American Indian Children

Correlates of oral health fatalism in caregivers of children with autism spectrum disorder

Using motivational interviewing to reduce parental risk related behaviors for early childhood caries: a pilot study

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