鼓励儿童参与口腔健康促进课程的沟通策略：一个典范的视频观察研究。
Communication strategies to encourage child participation in an oral health promotion session: An exemplar video observational study.
机构信息
School of Dentistry, University of Dundee, Dundee, UK.
Health Psychology, School of Medicine, University of St Andrews, St Andrews, UK.
出版信息
Health Expect. 2021 Apr;24(2):700-708. doi: 10.1111/hex.13219. Epub 2021 Feb 19.
BACKGROUND
The oral health promotion sessions for young children and parents in a clinical setting pose challenges to the dental team.
AIM
To apply PaeD-TrICS (Paediatric dental triadic interaction coding scheme) to investigate the interaction of child, parent and dental nurse and determine the effect of nurse and parental behaviours on child participation within an oral health promotion session.
METHOD
A video observational study was applied. The sample consisted of a dental nurse and 22 children aged 2-5 years in a general dental practice in Scotland. Behaviours were catalogued with time stamps using PaeD-TrICS. Analysis of behavioural sequences with child participation as the dependent variable was conducted using multilevel modelling.
RESULTS
Children varied significantly in their participation rate. The statistical model explained 28% of the variance. The older the child and longer consultations significantly increased child participation. Both nurse and parental behaviour had immediate influence on child participation. Parental facilitation had a strong moderating effect on the influence of the nurse on child participation.
CONCLUSIONS
Child participation was dependent on nurse and parent encouragement signalling an important triadic communication process. The coding scheme and analysis illustrates an important tool to investigate these advisory sessions designed for delivering tailored messages to young children and parents.
PATIENT OR PUBLIC CONTRIBUTION
The dental staff, child patients and their parents were involved closely in the conduct and procedures of the present study.
背景
在临床环境中为幼儿和家长提供的口腔健康促进课程给牙科团队带来了挑战。
目的
应用 PaeD-TrICS（儿科牙科三方互动编码方案）来考察儿童、家长和牙科护士的互动，并确定护士和家长行为对口腔健康促进课程中儿童参与的影响。
方法
采用视频观察研究。样本包括苏格兰一家普通牙科诊所的一名牙科护士和 22 名 2-5 岁的儿童。使用 PaeD-TrICS 对行为进行时间标记和分类。使用多层次模型对以儿童参与为因变量的行为序列进行分析。
结果
儿童的参与率差异显著。统计模型解释了 28%的方差。儿童年龄越大、就诊时间越长，儿童参与度越高。护士和家长的行为都对儿童的参与有直接影响。家长的促进作用对护士对儿童参与的影响有很强的调节作用。
结论
儿童的参与取决于护士和家长的鼓励，这表明了三方沟通过程的重要性。编码方案和分析说明了一种重要的工具，可以用来研究这些旨在向幼儿和家长传递个性化信息的咨询课程。
患者或公众贡献
牙科工作人员、儿童患者及其父母密切参与了本研究的开展和程序。
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