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基于视频的刷牙干预措施相较于其他干预措施对改善自闭症谱系障碍(ASD)儿童口腔卫生的有效性:一项系统评价和荟萃分析。

Effectiveness of 'video-based interventions' of toothbrushing over other interventions on improvement of oral hygiene in children with Autism Spectrum Disorders (ASD): a systematic review and meta-analysis.

作者信息

Tirupathi Sunny Priyatham, Afnan Lamea

机构信息

Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, Tamil Nadu, 600077, India.

Department of Public Health Dentistry, Coorg Institute of Dental Sciences, Virajpet, Karnataka, 571218, India.

出版信息

Evid Based Dent. 2025 Jan 9. doi: 10.1038/s41432-024-01099-z.

DOI:10.1038/s41432-024-01099-z
PMID:39780018
Abstract

BACKGROUND

Children with Autism exhibit impairment of fine motor co-ordination and sensory sensibilities and hence can directly affect the toothbrushing leading to poor oral hygiene.

AIM

This current systematic review and meta-analysis (SRMA) aims to evaluate the effectiveness of Video-based intervention of toothbrush training over other methods on improvement of oral hygiene in children with autism spectrum disorders (ASD) MATERIALS AND METHODS: Prospero no: (CRD42023450168). 'PubMed', 'Cochrane', 'Ovid' databases were searched from 1 January 1980 to 1 August 2023 using pre-defined search strategy.

RESULTS

212 titles were retrieved after, duplicate exclusion, removal of irrelevant titles led to the final inclusion of 13 articles for full text screening out of which 7 articles were included for the final analysis.

CONCLUSION

Even though video intervention reported better outcomes in individual studies, pooled data showed no significant superiority over other interventions such as social stories and picture-based interventions in relation to toothbrushing in children with ASD as indicated by the Plaque Index score (PI-S) and Oral hygiene index score (OHI-S).

摘要

背景

自闭症儿童存在精细运动协调和感觉敏感性受损的情况,因此会直接影响刷牙,导致口腔卫生状况不佳。

目的

本系统评价和荟萃分析旨在评估基于视频的牙刷训练干预相对于其他方法对改善自闭症谱系障碍(ASD)儿童口腔卫生的有效性。

材料与方法

国际前瞻性注册系统评价号:(CRD42023450168)。使用预定义的检索策略,于1980年1月1日至2023年8月1日检索了“PubMed”“Cochrane”“Ovid”数据库。

结果

在排除重复项后检索到212个标题,去除不相关标题后,最终纳入13篇文章进行全文筛选,其中7篇文章纳入最终分析。

结论

尽管在个别研究中视频干预报告了更好的结果,但汇总数据显示,根据菌斑指数评分(PI-S)和口腔卫生指数评分(OHI-S),在ASD儿童刷牙方面,视频干预相对于社会故事和基于图片的干预等其他干预措施并无显著优势。

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Evid Based Dent. 2025 Jan 9. doi: 10.1038/s41432-024-01099-z.
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本文引用的文献

1
Evaluation of visual pedagogy teaching method for improving oral hygiene practice in children with Autism: An interventional study.评估视觉教学法对改善自闭症儿童口腔卫生习惯的作用:一项干预性研究。
J Educ Health Promot. 2023 Jul 29;12:223. doi: 10.4103/jehp.jehp_259_23. eCollection 2023.
2
Social Story Based Toothbrushing Education Versus Video-Modeling Based Toothbrushing Training on Oral Hygiene Status Among Male Students Aged 7-15 Years Old with Autism Spectrum Disorders in Tehran, Iran: A Quasi-Randomized Controlled Trial.基于社会故事的刷牙教育与基于视频示范的刷牙训练对伊朗德黑兰自闭症谱系障碍 7-15 岁男童口腔卫生状况的影响:一项半随机对照试验。
J Autism Dev Disord. 2023 Oct;53(10):3813-3824. doi: 10.1007/s10803-022-05679-9. Epub 2022 Jul 24.
3
Association of children's toothbrushing and fine motor skills: a cross-sectional study.儿童刷牙与精细运动技能的关系:一项横断面研究。
Braz Oral Res. 2022 Jul 11;36:e103. doi: 10.1590/1807-3107bor-2022.vol36.0103. eCollection 2022.
4
Global prevalence of autism: A systematic review update.全球自闭症患病率:系统综述更新。
Autism Res. 2022 May;15(5):778-790. doi: 10.1002/aur.2696. Epub 2022 Mar 3.
5
Picture Examination Communication System Versus Video Modelling in Improving Oral Hygiene of Children with Autism Spectrum Disorder: A Prospective Randomized Clinical Trial.图片检查交流系统与视频示范在改善自闭症谱系障碍儿童口腔卫生中的比较:一项前瞻性随机临床试验。
Pediatr Dent. 2022 Jan 15;44(1):25-31.
6
Motor Development in Children With Autism Spectrum Disorder.自闭症谱系障碍儿童的运动发育
Front Pediatr. 2021 Sep 15;9:598276. doi: 10.3389/fped.2021.598276. eCollection 2021.
7
Challenges of the Caregivers in Managing a Child with Autism Spectrum Disorder- A Qualitative Analysis.照顾自闭症谱系障碍儿童的照顾者所面临的挑战——一项定性分析
Indian J Psychol Med. 2021 Sep;43(5):416-421. doi: 10.1177/02537176211000769. Epub 2021 Apr 12.
8
Developing a Toothbrushing Visual Pedagogy (TBVP) for Preschool Children with Autism Spectrum Disorder.为自闭症谱系障碍的学龄前儿童开发刷牙视觉教学法 (TBVP)。
J Autism Dev Disord. 2022 Jan;52(1):327-338. doi: 10.1007/s10803-021-04946-5. Epub 2021 Mar 10.
9
Oral hygiene and habits of children with autism spectrum disorders and their families.自闭症谱系障碍儿童及其家庭的口腔卫生与习惯
J Clin Exp Dent. 2020 Aug 1;12(8):e719-e724. doi: 10.4317/jced.56440. eCollection 2020 Aug.
10
Risk-of-bias VISualization (robvis): An R package and Shiny web app for visualizing risk-of-bias assessments.风险偏倚可视化 (robvis):一个用于可视化风险偏倚评估的 R 包和 Shiny 网络应用程序。
Res Synth Methods. 2021 Jan;12(1):55-61. doi: 10.1002/jrsm.1411. Epub 2020 May 6.