Aravind A, Sathyaprasad Savitha, Ilyas Irfana
Department of Pediatric and Preventive Dentistry, KVG Dental College and Hospital, Sullia, Karnataka, India.
Int J Clin Pediatr Dent. 2023 Mar-Apr;16(2):227-236. doi: 10.5005/jp-journals-10005-2567.
Early childhood caries (ECC) is a multifactorial disease with known etiologic factors and can be very devastating to the oral and general well-being of a child, including psychological impact on a growing child. The irony is among the different factors responsible for milk that is wholesome nutrition, if fed in a wrong pattern, can be the main factor that helps this type of rampant caries spread within no time, leading to pulp exposures and complicating proceedings. Awareness is the mainstay in prevention, and creating it becomes our sole responsibility as a pediatric dentists. A multidisciplinary approach with the involvement of mothers as a main stakeholder in this front becomes a very promising move, so this project is phase two of interprofessional collaboration involving mothers in prevention; the aim of the study is to create awareness among mothers during COVID lockdown so as to prevent ECC in this covid pandemic.
A total of 222 mothers with 9-24 months old children were selected and added to the e-groups. The allocated mothers were given a pretest questionnaire and collected back with a photo of their child's oral health, and anticipatory guidance and in-depth interviewing were given to them. Follow-up is done in 2, 4, and 6 months. Awareness is evaluated by pre- and posttest questionnaires. Reversal of the white spot is evaluated through indices, and progression is noted.
The data was analyzed using Statistical Package for the Social Sciences 13.
Pretest and postquestionnaire analysis were done using the Chi-squared test. The test shows the marked raise in knowledge, attitude, and practice of mothers on their children after postintervention, which was given through motivational interviewing (MI).
In summary, the MI intervention appeared to improve maternal knowledge but had no effect on oral health behaviors or on the progression of early childhood caries (ECC).
Aravind A, Sathyaprasad S, Ilyas I. Anticipatory Guidance through Online Motivational Interviewing for Mothers on Early Childhood Caries among Young Children of Age 9-24 Months amidst Pandemics: A Nonrandomized Clinical Trial. Int J Clin Pediatr Dent 2023;16(2):227-236.
幼儿龋（ECC）是一种具有已知病因的多因素疾病，对儿童的口腔和整体健康可能造成严重破坏，包括对成长中儿童的心理影响。具有讽刺意味的是，在导致牛奶成为有益健康营养物质的不同因素中，如果喂养方式不当，牛奶可能成为导致这种猖獗龋齿迅速蔓延的主要因素，进而导致牙髓暴露并使病情复杂化。提高认识是预防的关键，而作为儿科牙医，我们有责任让人们提高认识。让母亲作为这方面的主要利益相关者参与的多学科方法是一个非常有前景的举措，因此本项目是跨专业合作的第二阶段，让母亲参与预防；该研究的目的是在新冠疫情封锁期间提高母亲们的认识，以便在这场新冠大流行中预防幼儿龋。
共选取222名有9至24个月大孩子的母亲并加入电子群组。给分配到的母亲发放一份预测试问卷，并收集她们孩子口腔健康的照片，同时给予她们预期指导和深入访谈。在2个月、4个月和6个月时进行随访。通过预测试和后测试问卷评估认识情况。通过指数评估白斑的逆转情况，并记录进展情况。
使用社会科学统计软件包13对数据进行分析。
使用卡方检验对预测试和后问卷进行分析。测试表明，通过动机性访谈（MI）进行干预后，母亲们在孩子相关知识、态度和行为方面有显著提高。
总之，动机性访谈干预似乎提高了母亲的知识水平，但对口腔健康行为或幼儿龋（ECC）的进展没有影响。
Aravind A, Sathyaprasad S, Ilyas I. Anticipatory Guidance through Online Motivational Interviewing for Mothers on Early Childhood Caries among Young Children of Age 9 - 24 Months amidst Pandemics: A Nonrandomized Clinical Trial. Int J Clin Pediatr Dent 2023;16(2):227 - 236.
