School of Population and Global Health, The University of Western Australia, Perth, WA, Australia.
Torrens University, Research Centre for Public Health, Equity and Human Flourishing, Adelaide, South Australia, Australia.
Community Dent Oral Epidemiol. 2024 Oct;52(5):677-689. doi: 10.1111/cdoe.12973. Epub 2024 May 20.
This study comprises a synthesis of published qualitative studies from developed countries on the perspectives of carers regarding the oral hygiene toothbrushing practices of preschool children, through the lens of social practice theory.
A search of the following electronic databases was conducted for all available years: MEDLINE, EMBASE and Global Health using the Ovid platform; Dentistry & Oral Sciences Source (DOSS), Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Scopus. Included qualitative studies reported primary caregivers' perceptions of oral hygiene practices (focusing on toothbrushing) in preschool children (0-5 years old) in developed countries. A thematic synthesis of the qualitative findings was undertaken for the results of each study.
Eleven articles were included in this meta-synthesis. The focus of this paper was toothbrushing practices. A conceptual map of toothbrushing as a social practice was developed. Key findings included practice elements (meanings, competences, and materials), spatial and temporal aspects, and barriers and facilitators to performance.
The application of a social practice lens to published qualitative research on the oral hygiene of preschool children provided insights into the meanings and competences related to toothbrushing, as perceived by primary caregivers. However, it also revealed limited information on material, spatial and temporal aspects of toothbrushing practices, indicating the importance of considering social practice theory as a framework in future research to address this gap. Furthermore, exploring toothbrushing in connection with related social practices has the potential to increase understanding of factors influencing oral health in preschool children.
本研究综合了来自发达国家已发表的定性研究，从社会实践理论的角度探讨了照顾者对学龄前儿童口腔卫生牙刷使用习惯的看法。
在 Ovid 平台上对以下电子数据库进行了所有可用年份的检索：MEDLINE、EMBASE 和全球健康；Dentistry & Oral Sciences Source (DOSS)、Cumulative Index to Nursing and Allied Health Literature (CINAHL) 和 Scopus。纳入的定性研究报告了发达国家主要照顾者对学龄前儿童（0-5 岁）口腔卫生习惯（重点是刷牙）的看法。对每项研究的定性发现进行了主题综合分析。
本meta 综合共纳入 11 篇文章。本文的重点是刷牙习惯。制定了一个关于刷牙作为社会实践的概念图。主要发现包括实践要素（意义、能力和材料）、空间和时间方面以及绩效的障碍和促进因素。
将社会实践视角应用于已发表的关于学龄前儿童口腔卫生的定性研究，深入了解了主要照顾者对刷牙相关的意义和能力的看法。然而，它也揭示了有关刷牙实践的物质、空间和时间方面的信息有限，表明在未来的研究中考虑社会实践理论作为框架来解决这一差距非常重要。此外，探索与相关社会实践相关的刷牙行为有潜力增进对影响学龄前儿童口腔健康的因素的理解。
