Short-term effect of two education methods on oral health among hearing impairment children

Document Type: Original Article(s)

Authors

1 Epidemiologist, Oral and ‎Dental Diseases Research Center AND Kerman Social Determinants on Oral Health Research ‎‎Center, Kerman University of Medical Sciences, Kerman, Iran

2 Associate Professor, Oral and ‎Dental Diseases Research Center AND Kerman Social Determinants on Oral Health Research ‎‎Center AND Department of Oral Medicine, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran

3 Assistant Professor, Department of Epidemiology, School of Health, Regional Knowledge Hub for HIV/AIDS Surveillance, Kerman University of Medical Sciences, Kerman, Iran

4 Associate Professor, Department of Biostatistics, School of Health, Modeling in Health Research Center, Institute of Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

5 Department of Health Education and Promotion, School of Health, Tehran University of Medical Sciences, Tehran, Iran

6 PhD Student, Oral and ‎Dental Diseases Research Center AND Kerman Social Determinants on Oral Health Research ‎‎Center, Kerman University of Medical Sciences, Kerman, Iran

Abstract

BACKGROUND AND AIM: Poor oral health among children with impaired hearing has been reported frequently due to lack of communication skills and effective health educations. In this study, we assessed the effect of two training methods on short-term oral health outcomes among children with impaired hearing.METHODS: In this experimental study, 80 hearing impairment (HI) student aged 7-19 years old were randomized into two groups, one group watched a guided training video and the other group was educated by a dental model. The training sessions were weekly and continued for 1 month. A trained dentist examined all participants using O’Leary plaque index (PI) at baseline, 1-month, and 3-month visits.RESULTS: At baseline, the difference between the mean O’Leary PI in the video training and dental model training groups was not significant (34.3% vs. 35.6%). In the video training group, sharp decrease was seen at the 1-month visit (reinforcement periods), i.e., 18.7% (P = 0.001), followed by a slight increase at the 3-month visit (non-reinforcement periods), i.e., 19.1% (P = 0.100), respectively. On the other hand, in the dental model, a decreasing trend was seen 24.7% at 1-month (reinforcement periods) and 19.9% (P = 0.001) at 3-month visits (non-reinforcement periods). Overall, there were no significant differences between the two methods of training (P = 0.300).CONCLUSION: Both video and dental model effectively improve the oral health of children with HI in short term. Continuous school-based oral health education programs, particularly for HI children, need to be considered.

Keywords


  1. Seema Alse AS, Anandkrishna L, Chandra P, Ramya M, Kamath PS, Shetty AK. Educational intervention on the plaque score among hearing impaired children. Journal of Advanced Clinical & Research Insights 2015; 2(1): 26-30.
  2. Singh N, Ramakrishnan TS, Khera A, Singh G. Impact evaluation of two methods of dental health education among children of a primary school in rural India. Medical Journal of Dr D Y Patil University 2016; 9(1): 66-71.
  3. Gambhir RS, Sohi RK, Nanda T, Sawhney GS, Setia S. Impact of school based oral health education programmes in India: a systematic review. J Clin Diagn Res 2013; 7(12): 3107-10.
  4. Arsang Jang S, Amani F, Jafari Koshki T, Mozafariyanpour E, Jafari Kaffash K, Sajadimanesh M, et al. The level of availability and use of oral and dental health services in 6-7 years old children, Qom, Iran. Qom Univ Med Sci J 2015; 9(4): 55-63. [In Persian].
  5. Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet 2007; 369(9555): 51-9.
  6. Munro CL, Grap MJ. Oral health and care in the intensive care unit: state of the science. Am J Crit Care 2004; 13(1): 25-33.
  7. Gace E, Kelmendi M, Fusha E. Oral health status of children with disability living in Albania. Mater Sociomed 2014; 26(6): 392-4.
  8. Al-Dafaai RR. Oral health status among children with impaired hearing in Sumawa city, Iraq. J Bagh College Dentistry 2010; 22(3): 115-8.
  9. Shetty V, Kumar J, Hegde A. Breaking the sound barrier: oral health education for children with hearing impairment. Spec Care Dentist 2014; 34(3): 131-7.
  10. Ajami BA, Shabzendedar M, Rezay YA, Asgary M. Dental treatment needs of children with disabilities. J Dent Res Dent Clin Dent Prospects 2007; 1(2): 93-8.
  11. Sadler GR, Gunsauls DC, Huang J, Padden C, Elion L, Galey T, et al. Bringing breast cancer education to deaf women. J Cancer Educ 2001; 16(4): 225-8.
  12. Orsi JM, Margellos-Anast H, Perlman TS, Giloth BE, Whitman S. Cancer screening knowledge, attitudes, and behaviors among culturally Deaf adults: implications for informed decision making. Cancer Detect Prev 2007; 31(6): 474-9.
  13. Kaskowitz SR 3rd, Nakaji MC, Clark KL, Gunsauls DC, Sadler GR. Bringing prostate cancer education to deaf men. Cancer Detect Prev 2006; 30(5): 439-48.
  14. Sandeep V, Vinay C, Madhuri V, Rao VV, Uloopi KS, Sekhar RC. Impact of visual instruction on oral hygiene status of children with hearing impairment. J Indian Soc Pedod Prev Dent 2014; 32(1): 39-43.
  15. Biria M, Soleimani M. An assessment of oral & teeth's health status of 12 and 15 years old Boys of Tehran deaf's schools. Iran 2000. J Dent Sch Shahid Beheshti Univ Med Sci 2003; 21(3): 310-8.
  16. World Health Organization. Oral health [Online]. [cited 2012]; Available from: URL: http://www.who.int/mediacentre/factsheets/fs318/en
  17. Newman MG, Takei H, Klokkevold PR, Carranza FA. Carranza's clinical periodontology. Philadelphia, PA: Elsevier Health Sciences; 2011.
  18. Doichinova L, Peneva M. Motivational training programme for oral hygiene of deaf children. Int J Sci Res (Raipur) 2015; 4(2): 1124-6.
  19. Sanjay V, Shetty SM, Shetty RG, Managoli NA, Gugawad SC, Hitesh D. Dental health status among sensory impaired and blind institutionalized children aged 6 to 20 years. J Int Oral Health 2014; 6(1): 55-8.
  20. Rawlani S, Rawlani S, Motwani M, Bhowte R, Baheti R, Shivkumar S. Oral health status of deaf and mute children attending special school in Anand-Wan, Warora, India. J Kor Dent Sci 2010; 3(2): 20-5.
  21. Doichinova L, Peneva M. Prevalence of dental caries in hearing impaired children than 5 to 12 years old in Sofia. Int J Sci Res (Raipur) 2015; 4(1): 1088-91.
  22. Livny A, Vered Y, Slouk L, Sgan-Cohen HD. Oral health promotion for schoolchildren-evaluation of a pragmatic approach with emphasis on improving brushing skills. BMC Oral Health 2008; 8: 4.
  23. Arunakul M, Kuphasuk Y, Boonyathanasit R. Effectiveness of oral hygiene instruction media on periodontal health among hearing impaired children. Southeast Asian J Trop Med Public Health 2012; 43(5): 1297-303.
  24. Lees A, Rock WP. A comparison between written, verbal, and videotape oral hygiene instruction for patients with fixed appliances. J Orthod 2000; 27(4): 323-8.