Stein Duker Leah I, Floríndez Lucía I, Como Dominique H, Tran Christine F, Henwood Benjamin F, Polido José C, Cermak Sharon A
Dr. Stein Duker is an assistant professor of Research, Chan Division of Occupational Science and Occupational Therapy at the Ostrow School of Dentistry at the University of Southern California, Los Angeles, Calif., USA;, Email:
Ms. Florindez is a PhD candidate, Chan Division of Occupational Science and Occupational Therapy at the Ostrow School of Dentistry at the University of Southern California, Los Angeles, Calif., USA.
Pediatr Dent. 2019 Jan 15;41(1):4E-12E.
Oral health is important to physical and psychological health. Individuals with autism spectrum disorder (ASD) experience significant oral care challenges, but little research exists that examines efficacious interventions to improve care. The purpose of this study was to qualitatively explore parental and dentist reports of successful strategies implemented during dental care with children with ASD. Focus groups were conducted with parents of children with ASD (N = two groups) and dentists treating children with ASD (N = two groups). Focus group transcripts were transcribed verbatim and analyzed using a thematic analysis approach. Three key themes were identified from the parent focus groups: (1) what makes a good dentist; (2) flexibility and techniques-strategies used by the dentist; and (3) preparation-strategies for parents and caregivers of children with ASD. Four themes emerged from the dentist groups: (1) parents know best; (2) practice; (3) flexibility; and (4) a network of colleagues. Areas of overlap between the parents and dental providers included the importance of preparation, necessity of flexibility and creativity, and value of collaboration. Our findings provide insight into techniques perceived by parents and dental providers to facilitate successful dental encounters for children with ASD.
口腔健康对身心健康至关重要。患有自闭症谱系障碍（ASD）的个体在口腔护理方面面临重大挑战，但很少有研究探讨有效的干预措施来改善护理。本研究的目的是定性探索家长和牙医关于对患有ASD的儿童进行牙科护理时实施的成功策略的报告。对患有ASD儿童的家长（N =两组）和治疗患有ASD儿童的牙医（N =两组）进行了焦点小组访谈。焦点小组记录逐字转录，并采用主题分析方法进行分析。从家长焦点小组中确定了三个关键主题：（1）什么样的牙医是好牙医；（2）牙医使用的灵活性和技术策略；（3）为患有ASD儿童的家长和照顾者准备的策略。从牙医小组中出现了四个主题：（1）家长最了解情况；（2）实践；（3）灵活性；（4）同事网络。家长和牙科服务提供者之间的重叠领域包括准备工作的重要性、灵活性和创造力的必要性以及合作的价值。我们的研究结果深入了解了家长和牙科服务提供者认为有助于为患有ASD的儿童成功进行牙科诊疗的技术。
