College of Dental Medicine, Nova Southeastern University, Fort Lauderdale, FL 33314, USA.
Abraham S. Fischler College of Education and School of Criminal Justice, Nova Southeastern University, Fort Lauderdale, FL 33314, USA.
Int J Environ Res Public Health. 2023 Jan 30;20(3):2454. doi: 10.3390/ijerph20032454.
(1) Background: The purpose of this study was to evaluate parent perception of behavior and level of cooperation to determine the success of a dental appointment with a child with autism spectrum disorder (ASD). (2) Methods: pre-treatment form, task analysis (TAS), and Frankl scale scores were extracted from patient charts. Values were calculated for patient demographics and other health characteristics (N = 235). Regression models were constructed to examine the success level during the first dental appointment (measured by TAS and Frankl scores) by several factors. (3) Results: The model to test patient characteristics: age, gender, ethnicity, and verbal communication, Hispanic ethnicity significantly predicted the TAS score, F (4, 191) = 2.45, = 0.03 [95% CI -17.18, -3.53], and age significantly predicted the Frankl score, F (4, 194) = 5.17, = 0.00 [95% CI 0.04, 0.12]. There was a significant association between parent perception of behavior and Frankl scores, F (2, 202) = 7.68, = 0.00 [ 95% CI -0.11, -0.02]. (4) Conclusion: The results indicate that ethnicity and age play a role in successful outcomes during the dental appointment. Additionally, parent perception of their child's behavior significantly predicted the Frankl score, thus coordinating with parents during the dental appointment can be a key factor in treatment planning for productive dental visits.
(1) 背景：本研究旨在评估家长对患儿行为的感知和配合程度，以确定自闭症谱系障碍（ASD）患儿就诊的成功率。(2) 方法：从患者病历中提取治疗前表格、任务分析（TAS）和 Frankl 量表评分。计算患者人口统计学和其他健康特征的数值（N=235）。构建回归模型，以检查首次牙科就诊时（通过 TAS 和 Frankl 评分衡量）的成功率，通过多个因素进行检验。(3) 结果：用于测试患者特征的模型：年龄、性别、种族和语言交流，西班牙裔显著预测 TAS 评分，F（4，191）=2.45， =0.03 [95%CI -17.18，-3.53]，年龄显著预测 Frankl 评分，F（4，194）=5.17， =0.00 [95%CI 0.04，0.12]。家长对患儿行为的感知与 Frankl 评分之间存在显著关联，F（2，202）=7.68， =0.00 [95%CI -0.11，-0.02]。(4) 结论：结果表明，种族和年龄在牙科就诊的成功结果中起着作用。此外，家长对孩子行为的感知显著预测了 Frankl 评分，因此在牙科就诊期间与家长协调可以成为治疗计划中提高就诊效果的关键因素。
