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Brief Report: Remotely Delivered Video Modeling for Improving Oral Hygiene in Children with ASD: A Pilot Study

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Abstract

Children with autism have heightened risk of developing oral health problems. Interventions targeting at-home oral hygiene habits may be the most effective means of improving oral hygiene outcomes in this population. This randomized control trial examined the effectiveness of a 3-week video-modeling brushing intervention delivered to patients over the internet. Eighteen children with autism were assigned to an Intervention or Control video condition. Links to videos were delivered via email twice daily. Blind clinical examiners provided plaque index ratings at baseline, midpoint, and endpoint. Results show oral hygiene improvements in both groups, with larger effect sizes in the Intervention condition. The findings provide preliminary support for the use of internet-based interventions to improve oral hygiene for children with autism.

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References

  • American Academy of Pediatric Dentistry. (2013). Guideline on caries-risk assessment and management for infants, children, and adolescents. Pediatric Dentistry, 35(5), E157–E164.

    Google Scholar 

  • American Psychiatric Association. (2013). The diagnostic and statistical manual of mental disorders: DSM 5. bookpointUS. Retrieved from http://books.google.com/books?hl=en&lr=&id=_VzzAgAAQBAJ&oi=fnd&pg=PT2&dq=Diagnostic+and+statistical+manual+of+mental+disorders+(5th+ed.)&ots=oTXnrbMYXo&sig=HquBZDOR4lMNcsH8qAzS4KvXqro.

  • Capozza, L. E., & Bimstein, E. (2012). Preferences of parents of children with autism spectrum disorders concerning oral health and dental treatment. Pediatric Dentistry, 34(7), 480–484.

    PubMed  Google Scholar 

  • Cardon, T. A. (2012). Teaching caregivers to implement video modeling imitation training via iPad for their children with autism. Research in Autism Spectrum Disorders, 6(4), 1389–1400. doi:10.1016/j.rasd.2012.06.002.

    Article  Google Scholar 

  • Cardon, T. A., & Wilcox, M. J. (2011). Promoting imitation in young children with autism: A comparison of reciprocal imitation training and video modeling. Journal of Autism and Developmental Disorders, 41(5), 654–666.

    Article  PubMed  Google Scholar 

  • Constantino, J. N., & Gruber, C. P. (2002). The social responsiveness scale. Los Angeles: Western Psychological Services. Retrieved from http://www.giuntios.it/it/catalogo/SR011.

  • Cuvo, A. J., Godard, A., Huckfeldt, R., & DeMattei, R. (2010). Training children with autism spectrum disorders to be compliant with an oral assessment. Research in Autism Spectrum Disorders, 4(4), 681–696. doi:10.1016/j.rasd.2010.01.007.

    Article  Google Scholar 

  • Friedlander, A. H., Yagiela, J. A., Paterno, V. I., & Mahler, M. E. (2006). The neuropathology medical management and dental implications of autism. The Journal of the American Dental Association, 137(11), 1517–1527. doi:10.14219/jada.archive.2006.0086.

    Article  PubMed  Google Scholar 

  • Jaber, M. A. (2011). Dental caries experience, oral health status and treatment needs of dental patients with autism. Journal of Applied Oral Science, 19(3), 212–217. doi:10.1590/S1678-77572011000300006.

    Article  PubMed  PubMed Central  Google Scholar 

  • Klein, U., & Nowak, A. J. (1999). Characteristics of patients with autistic disorder (AD) presenting for dental treatment: A survey and chart review. Special Care in Dentistry, 19(5), 200–207. doi:10.1111/j.1754-4505.1999.tb01386.x.

    Article  PubMed  Google Scholar 

  • Kokina, A., & Kern, L. (2010). Social story™ interventions for students with autism spectrum disorders: A meta-analysis. Journal of Autism and Developmental Disorders, 40(7), 812–826. doi:10.1007/s10803-009-0931-0.

    Article  PubMed  Google Scholar 

  • Loo, C. Y., Graham, R. M., & Hughes, C. V. (2008). The caries experience and behavior of dental patients with autism spectrum disorder. The Journal of the American Dental Association, 139(11), 1518–1524. doi:10.14219/jada.archive.2008.0078.

    Article  PubMed  Google Scholar 

  • Mandell, D. S., Ittenbach, R. F., Levy, S. E., & Pinto-Martin, J. A. (2007). Disparities in diagnoses received prior to a diagnosis of autism spectrum disorder. Journal of Autism and Developmental Disorders, 37(9), 1795–1802.

    Article  PubMed  Google Scholar 

  • Marshall, J., Sheller, B., & Mancl, L. (2010). Caries-risk assessment and caries status of children with autism. Pediatric Dentistry, 32(1), 69–75.

    PubMed  Google Scholar 

  • Podshadley, A. G., & Haley, J. V. (1968). A method for evaluating oral hygiene performance. Public Health Reports, 83(3), 259.

    Article  PubMed  PubMed Central  Google Scholar 

  • Stein, L. I., Polido, J. C., Najera, S. O. L., & Cermak, S. A. (2012). Oral care experiences and challenges in children with autism spectrum disorders. Pediatric Dentistry, 34(5), 387–391.

    PubMed  Google Scholar 

  • Wang, S.-Y., Cui, Y., & Parrila, R. (2011). Examining the effectiveness of peer-mediated and video-modeling social skills interventions for children with autism spectrum disorders: A meta-analysis in single-case research using HLM. Research in Autism Spectrum Disorders, 5(1), 562–569. doi:10.1016/j.rasd.2010.06.023.

    Article  Google Scholar 

  • Weil, T. N., & Inglehart, M. R. (2012). Three- to 21-year-old patients with autism spectrum disorders: Parents’ perceptions of severity of symptoms, oral health, and oral health-related behavior. Pediatric Dentistry, 34(7), 473–479.

    PubMed  Google Scholar 

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Acknowledgments

The authors thank Michael Perlmutter, for his expert video editing, and for N.P., for starring in the intervention video used in this study. We thank the children and their families for contributing to this research.

Author Contributions

BP, FV, and FS conceptualized the study. BP, CW, LF, and FS designed the protocol. BP oversaw dental clinical study components and recruitment with aid from KD & DK. CW, LF, and FS designed and oversaw internet, digital, and questionnaire administration. KP designed the behavioral clinical battery. CW, FS, and MM conducted statistical analyses and with BP interpreted the findings. BP, CW, and FS drafted the manuscript, and all authors contributed to manuscript editing.

Funding

This work benefited from funding by NIH awards K01 MH104739, R21 MH103550; the NSF Expedition in Socially Assistive Robotics #1139078; IES EDIES13C0046 I+II; the FAR Fund; the Nancy Taylor Foundation for Chronic Diseases, and the Hilibrand Family Foundation.

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Authors and Affiliations

  1. White Oak Pediatric Dentistry, 1635 East Highway 34, Suite D, Newnan, GA, 30265, USA

    Ben Popple

  2. Yale Child Study Center, 40 Temple St, Suite 7D, New Haven, CT, 06510, USA

    Carla Wall, Kelly Powell, Marilena Mademtzi & Frederick Shic

  3. Thomas Jefferson University, 309 S 12th St, Philadelphia, PA, 19107, USA

    Lilli Flink

  4. University of Connecticut Pediatric Dentistry, 65 Kane Street, West Hartford, CT, 06119, USA

    Keri Discepolo

  5. Yale Pediatric Dentistry, 1 Long Wharf Drive, Suite 403, New Haven, CT, 06511, USA

    Douglas Keck

  6. Yale Child Study Center, School of Medicine, Yale University, 230 S Frontage Rd, New Haven, CT, 06520, USA

    Carla Wall, Lilli Flink, Kelly Powell, Marilena Mademtzi, Fred Volkmar & Frederick Shic

  7. Pediatric Dentistry, Yale-New Haven Hospital, New Haven, CT, USA

    Ben Popple, Keri Discepolo & Douglas Keck

Authors
  1. Ben Popple
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  2. Carla Wall
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  3. Kelly Powell
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  4. Keri Discepolo
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  5. Douglas Keck
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  6. Marilena Mademtzi
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  7. Fred Volkmar
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  8. Frederick Shic
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Corresponding author

Correspondence to Frederick Shic.

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Conflict of interest

Ben Popple is owner of White Oak Pediatric Dentistry, PC. Frederick Shic has received research funding from Janssen and Roche. All other authors declare that they have no conflicts of interest.

Ethical Standards

All procedures performed were in accordance with the ethical standards of the institutional review board.

Informed Consent

Informed consent was obtained from an authorized representative (parent or guardian) for all participants in the study.

Human and Animal Rights

This article does not contain any studies with animals performed by any of the authors.

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Popple, B., Wall, C., Flink, L. et al. Brief Report: Remotely Delivered Video Modeling for Improving Oral Hygiene in Children with ASD: A Pilot Study. J Autism Dev Disord 46, 2791–2796 (2016). https://doi.org/10.1007/s10803-016-2795-4

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  • DOI: https://doi.org/10.1007/s10803-016-2795-4

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