Brief oral health promotion intervention among parents of young children to reduce early childhood dental decay

Background: Severe untreated dental decay affects a child’s growth, body weight, quality of life as well as cognitive development, and the effects extend beyond the child to the family, the community and the health care system. Early health behavioural factors, including dietary practices and eating...

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Main Authors: Arrow, P., Raheb, Joseph, Miller, M.
Format: Journal Article
Published: Elsevier Ltd. 2013
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/45380
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author Arrow, P.
Raheb, Joseph
Miller, M.
author_facet Arrow, P.
Raheb, Joseph
Miller, M.
author_sort Arrow, P.
building Curtin Institutional Repository
collection Online Access
description Background: Severe untreated dental decay affects a child’s growth, body weight, quality of life as well as cognitive development, and the effects extend beyond the child to the family, the community and the health care system. Early health behavioural factors, including dietary practices and eating patterns, can play a major role in the initiation and development of oral diseases, particularly dental caries. The parent/caregiver, usually the mother, has a critical role in the adoption of protective health care behaviours and parental feeding practices strongly influence children’s eating behaviours. This study will test if an early oral health promotion intervention through the use of brief motivational interviewing (MI) and anticipatory guidance (AG) approaches can reduce the incidence of early childhood dental decay and obesity.Methods: The study will be a randomised controlled study with parents and their new-born child/ren who are seen at 6–12 weeks of age by a child/community health nurse. Consenting parents will complete a questionnaire on oral health knowledge, behaviours, self-efficacy, oral health fatalism, parenting stress, prenatal and peri-natal health and socio-demographic factors at study commencement and at 12 and 36 months. Each child–parent pair will be allocated to an intervention or a standard care group, using a computer-generated random blocks. The standard group will be managed through the standard early oral health screening program; “lift the lip”. The intervention group will be provided with tailored oral health counselling by oral health consultants trained in MI and AG. Participating children will be examined at 24, and 36 months for the occurrence of dental decay and have their height and weight recorded. Dietary information obtained from a food frequency chart will be used to determine food and dietary patterns. Data analysis will use intention to treat and per protocol analysis and will use tests of independent proportions and means. Multivariate statistical tests will also be used to take account of socio-economic and demographic factors in addition to parental knowledge, behaviour, self-efficacy, and parent/child stress.Discussion: The study will test the effects of an oral health promotion intervention to affect oral health and general health and have the potential to demonstrate the “common risk factor” approach to health promotion
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spelling curtin-20.500.11937-453802017-09-13T14:22:50Z Brief oral health promotion intervention among parents of young children to reduce early childhood dental decay Arrow, P. Raheb, Joseph Miller, M. Early childhood dental decay Motivational interviewing Oral health promotion Anticipatory guidance Background: Severe untreated dental decay affects a child’s growth, body weight, quality of life as well as cognitive development, and the effects extend beyond the child to the family, the community and the health care system. Early health behavioural factors, including dietary practices and eating patterns, can play a major role in the initiation and development of oral diseases, particularly dental caries. The parent/caregiver, usually the mother, has a critical role in the adoption of protective health care behaviours and parental feeding practices strongly influence children’s eating behaviours. This study will test if an early oral health promotion intervention through the use of brief motivational interviewing (MI) and anticipatory guidance (AG) approaches can reduce the incidence of early childhood dental decay and obesity.Methods: The study will be a randomised controlled study with parents and their new-born child/ren who are seen at 6–12 weeks of age by a child/community health nurse. Consenting parents will complete a questionnaire on oral health knowledge, behaviours, self-efficacy, oral health fatalism, parenting stress, prenatal and peri-natal health and socio-demographic factors at study commencement and at 12 and 36 months. Each child–parent pair will be allocated to an intervention or a standard care group, using a computer-generated random blocks. The standard group will be managed through the standard early oral health screening program; “lift the lip”. The intervention group will be provided with tailored oral health counselling by oral health consultants trained in MI and AG. Participating children will be examined at 24, and 36 months for the occurrence of dental decay and have their height and weight recorded. Dietary information obtained from a food frequency chart will be used to determine food and dietary patterns. Data analysis will use intention to treat and per protocol analysis and will use tests of independent proportions and means. Multivariate statistical tests will also be used to take account of socio-economic and demographic factors in addition to parental knowledge, behaviour, self-efficacy, and parent/child stress.Discussion: The study will test the effects of an oral health promotion intervention to affect oral health and general health and have the potential to demonstrate the “common risk factor” approach to health promotion 2013 Journal Article http://hdl.handle.net/20.500.11937/45380 10.1186/1471-2458-13-245 Elsevier Ltd. fulltext
spellingShingle Early childhood dental decay
Motivational interviewing
Oral health promotion
Anticipatory guidance
Arrow, P.
Raheb, Joseph
Miller, M.
Brief oral health promotion intervention among parents of young children to reduce early childhood dental decay
title Brief oral health promotion intervention among parents of young children to reduce early childhood dental decay
title_full Brief oral health promotion intervention among parents of young children to reduce early childhood dental decay
title_fullStr Brief oral health promotion intervention among parents of young children to reduce early childhood dental decay
title_full_unstemmed Brief oral health promotion intervention among parents of young children to reduce early childhood dental decay
title_short Brief oral health promotion intervention among parents of young children to reduce early childhood dental decay
title_sort brief oral health promotion intervention among parents of young children to reduce early childhood dental decay
topic Early childhood dental decay
Motivational interviewing
Oral health promotion
Anticipatory guidance
url http://hdl.handle.net/20.500.11937/45380