Toothbrushing and Oral Care Activities of Autistic and Non-Autistic Latino Children

Background: Oral care activities, e.g., toothbrushing, are habitual occupations often considered routine. However, for autistic children, performing these routine dental practices can be challenging due to the child’s sensory sensitivities, unique executive function, and the complicated way in which...

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Main Authors: Lucía I. Floríndez, Dominique H. Como, Daniella C. Floríndez, Francesca M. Floríndez, Evelyn Law, Jose C. Polido, Sharon A. Cermak
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/5/741
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author Lucía I. Floríndez
Dominique H. Como
Daniella C. Floríndez
Francesca M. Floríndez
Evelyn Law
Jose C. Polido
Sharon A. Cermak
author_facet Lucía I. Floríndez
Dominique H. Como
Daniella C. Floríndez
Francesca M. Floríndez
Evelyn Law
Jose C. Polido
Sharon A. Cermak
author_sort Lucía I. Floríndez
collection DOAJ
description Background: Oral care activities, e.g., toothbrushing, are habitual occupations often considered routine. However, for autistic children, performing these routine dental practices can be challenging due to the child’s sensory sensitivities, unique executive function, and the complicated way in which autistic children conceptualize structure and habits. Limited research exists exploring the nuances of oral care routines in the autistic population, and more knowledge is needed to support targeted education interventions to improve oral care and address health inequities. The purpose of this study was to examine videos of oral care routines in the home to understand how oral care activities, such as toothbrushing, were performed by autistic and non-autistic Latino/a children. Methods: Parents/caregivers from eighteen Latino/a families with children between 6 and 12 years old (<i>n</i> = 10 autistic children and <i>n</i> = 8 non-autistic children) video recorded their child’s oral care routines for three days. The research team blindly coded and analyzed these videos using an oral care observation template to understand how these activities were uniquely performed by the children. Results: Eighty-five oral care videos were analyzed for this study. In addition to noting areas of oral care that can be improved, which included length of brushing and using the correct brushing technique, we identified two themes related to the differences between oral care practices in the autistic and non-autistic children: <i>parent involvement</i> and <i>modifications</i>. Conclusions: Qualitative findings show that parental involvement was documented especially in the case of autistic children, and that two types of modifications, habitual and sensory, were observed that demonstrated parents being aware of the needs of their autistic child and modifying the oral care activity to meet those needs. By synthesizing observations from the oral care videos into suggestions for practitioners working with families, we hope to supplement knowledge about effective oral care practices for autistic and non-autistic Latino/a children, thereby improving overall oral health and reducing oral health inequities in this population.
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spelling doaj.art-411cfef360964683bc8593f10148afc82023-11-23T10:31:41ZengMDPI AGChildren2227-90672022-05-019574110.3390/children9050741Toothbrushing and Oral Care Activities of Autistic and Non-Autistic Latino ChildrenLucía I. Floríndez0Dominique H. Como1Daniella C. Floríndez2Francesca M. Floríndez3Evelyn Law4Jose C. Polido5Sharon A. Cermak6Department of Nursing Research and Quality Improvement, Brawerman Nursing Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USAThe Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USASOS Mentor, Los Angeles, CA 90089, USAWillamette Academy, Willamette University, Salem, OR 97301, USADepartment of Occupational Therapy, University of California Irvine Medical Center, Irvine, CA 92868, USADivision of Dentistry, Children’s Hospital Los Angeles, Los Angeles, CA 90027, USAThe Mrs. T.H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA 90089, USABackground: Oral care activities, e.g., toothbrushing, are habitual occupations often considered routine. However, for autistic children, performing these routine dental practices can be challenging due to the child’s sensory sensitivities, unique executive function, and the complicated way in which autistic children conceptualize structure and habits. Limited research exists exploring the nuances of oral care routines in the autistic population, and more knowledge is needed to support targeted education interventions to improve oral care and address health inequities. The purpose of this study was to examine videos of oral care routines in the home to understand how oral care activities, such as toothbrushing, were performed by autistic and non-autistic Latino/a children. Methods: Parents/caregivers from eighteen Latino/a families with children between 6 and 12 years old (<i>n</i> = 10 autistic children and <i>n</i> = 8 non-autistic children) video recorded their child’s oral care routines for three days. The research team blindly coded and analyzed these videos using an oral care observation template to understand how these activities were uniquely performed by the children. Results: Eighty-five oral care videos were analyzed for this study. In addition to noting areas of oral care that can be improved, which included length of brushing and using the correct brushing technique, we identified two themes related to the differences between oral care practices in the autistic and non-autistic children: <i>parent involvement</i> and <i>modifications</i>. Conclusions: Qualitative findings show that parental involvement was documented especially in the case of autistic children, and that two types of modifications, habitual and sensory, were observed that demonstrated parents being aware of the needs of their autistic child and modifying the oral care activity to meet those needs. By synthesizing observations from the oral care videos into suggestions for practitioners working with families, we hope to supplement knowledge about effective oral care practices for autistic and non-autistic Latino/a children, thereby improving overall oral health and reducing oral health inequities in this population.https://www.mdpi.com/2227-9067/9/5/741oral healthLatinostoothbrushingactivities of daily livingdentalsensory
spellingShingle Lucía I. Floríndez
Dominique H. Como
Daniella C. Floríndez
Francesca M. Floríndez
Evelyn Law
Jose C. Polido
Sharon A. Cermak
Toothbrushing and Oral Care Activities of Autistic and Non-Autistic Latino Children
Children
oral health
Latinos
toothbrushing
activities of daily living
dental
sensory
title Toothbrushing and Oral Care Activities of Autistic and Non-Autistic Latino Children
title_full Toothbrushing and Oral Care Activities of Autistic and Non-Autistic Latino Children
title_fullStr Toothbrushing and Oral Care Activities of Autistic and Non-Autistic Latino Children
title_full_unstemmed Toothbrushing and Oral Care Activities of Autistic and Non-Autistic Latino Children
title_short Toothbrushing and Oral Care Activities of Autistic and Non-Autistic Latino Children
title_sort toothbrushing and oral care activities of autistic and non autistic latino children
topic oral health
Latinos
toothbrushing
activities of daily living
dental
sensory
url https://www.mdpi.com/2227-9067/9/5/741
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