Feasibility and acceptability of home delivery of water for dental caries control in Latinx children—“Sediento por una Sonrisa,” Thirsty for a Smile: Single-arm feasibility study

BackgroundOutcomes of surgical treatments under general anesthesia for early childhood caries of young children from low-income groups are poor requiring retreatment within 2 years. Dietary sugar is an ideal intervention target given that it is the most prominent risk factor for dental caries and th...

Full description

Bibliographic Details
Main Authors: Joana Cunha-Cruz, Linda K. Ko, Lloyd Mancl, Marilynn L. Rothen, Catherine Harter, Juliana B. Hilgert, Mark K. Koday, Stephen Davis
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-09-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.916260/full
_version_ 1811272148867612672
author Joana Cunha-Cruz
Linda K. Ko
Lloyd Mancl
Marilynn L. Rothen
Catherine Harter
Juliana B. Hilgert
Mark K. Koday
Stephen Davis
author_facet Joana Cunha-Cruz
Linda K. Ko
Lloyd Mancl
Marilynn L. Rothen
Catherine Harter
Juliana B. Hilgert
Mark K. Koday
Stephen Davis
author_sort Joana Cunha-Cruz
collection DOAJ
description BackgroundOutcomes of surgical treatments under general anesthesia for early childhood caries of young children from low-income groups are poor requiring retreatment within 2 years. Dietary sugar is an ideal intervention target given that it is the most prominent risk factor for dental caries and there is increasing evidence of successful interventions to reduce its intake. Our aim is to investigate the feasibility and acceptability of the Thirsty for a Smile intervention, designed to promote consumption of water in lieu of sugar sweetened beverages, among children who underwent surgery for early childhood caries and their caregivers, mostly from Latino heritage.MethodsA single-arm feasibility study was conducted in a dental practice from a community health center in eastern Washington State. Bottled water was delivered to the participants' homes and caregivers received patient-centered counseling for setting goals to increase children's water intake and reduce sugar sweetened beverages consumption. We assessed the feasibility and acceptability of the intervention and study procedures through participation rates, interviews and a questionnaire completed by the caregivers. Data was analyzed and themes and descriptive statistics presented.ResultsTwenty-two dyads of caregivers and their children between 2 and 9 years old who recently had surgical treatment for early childhood dental caries were enrolled. All study assessments were completed by more than 90% of participants, except for the final 24-h dietary recall (73%). Dietary counseling, both in person and brief telephone calls, was highly acceptable to the caregivers, and they also reported their children enjoyed and used the water bottles. On a scale from 1 to 10, the average rating for the helpfulness of the dietary counseling component for changing child's drinking habits was 9.62 and for the water delivery component, 8.86.ConclusionsThis study tested the feasibility of conducting a trial in a dental practice setting, and the acceptability among caregivers of young children who underwent surgery for early childhood caries. It demonstrated that the Thirsty for a Smile intervention and study processes were feasible and acceptable. The study provides useful information for implementation of a two-arm randomized controlled trial in this setting and may also benefit other researchers attempting to test similar interventions.
first_indexed 2024-04-12T22:35:04Z
format Article
id doaj.art-91f57f1f5e0946bca598581c6adeaf57
institution Directory Open Access Journal
issn 2296-2565
language English
last_indexed 2024-04-12T22:35:04Z
publishDate 2022-09-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj.art-91f57f1f5e0946bca598581c6adeaf572022-12-22T03:13:52ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-09-011010.3389/fpubh.2022.916260916260Feasibility and acceptability of home delivery of water for dental caries control in Latinx children—“Sediento por una Sonrisa,” Thirsty for a Smile: Single-arm feasibility studyJoana Cunha-Cruz0Linda K. Ko1Lloyd Mancl2Marilynn L. Rothen3Catherine Harter4Juliana B. Hilgert5Mark K. Koday6Stephen Davis7Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL, United StatesDepartment of Health Systems and Population Health, School of Public Health, University of Washington, Seattle, WA, United StatesDepartment of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA, United StatesDepartment of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA, United StatesDepartment of Assessment, Planning and Development, Tacoma Pierce County Health Department, Tacoma, WA, United StatesDepartment of Preventive and Social Dentistry, Dental School, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, BrazilYakima Valley Farm Workers Clinic, Yakima, WA, United StatesYakima Valley Farm Workers Clinic, Yakima, WA, United StatesBackgroundOutcomes of surgical treatments under general anesthesia for early childhood caries of young children from low-income groups are poor requiring retreatment within 2 years. Dietary sugar is an ideal intervention target given that it is the most prominent risk factor for dental caries and there is increasing evidence of successful interventions to reduce its intake. Our aim is to investigate the feasibility and acceptability of the Thirsty for a Smile intervention, designed to promote consumption of water in lieu of sugar sweetened beverages, among children who underwent surgery for early childhood caries and their caregivers, mostly from Latino heritage.MethodsA single-arm feasibility study was conducted in a dental practice from a community health center in eastern Washington State. Bottled water was delivered to the participants' homes and caregivers received patient-centered counseling for setting goals to increase children's water intake and reduce sugar sweetened beverages consumption. We assessed the feasibility and acceptability of the intervention and study procedures through participation rates, interviews and a questionnaire completed by the caregivers. Data was analyzed and themes and descriptive statistics presented.ResultsTwenty-two dyads of caregivers and their children between 2 and 9 years old who recently had surgical treatment for early childhood dental caries were enrolled. All study assessments were completed by more than 90% of participants, except for the final 24-h dietary recall (73%). Dietary counseling, both in person and brief telephone calls, was highly acceptable to the caregivers, and they also reported their children enjoyed and used the water bottles. On a scale from 1 to 10, the average rating for the helpfulness of the dietary counseling component for changing child's drinking habits was 9.62 and for the water delivery component, 8.86.ConclusionsThis study tested the feasibility of conducting a trial in a dental practice setting, and the acceptability among caregivers of young children who underwent surgery for early childhood caries. It demonstrated that the Thirsty for a Smile intervention and study processes were feasible and acceptable. The study provides useful information for implementation of a two-arm randomized controlled trial in this setting and may also benefit other researchers attempting to test similar interventions.https://www.frontiersin.org/articles/10.3389/fpubh.2022.916260/fulldental cariesbehavioral interventionenvironmental restructuringpractice-based research (PBR)sugar consumptionnutrition
spellingShingle Joana Cunha-Cruz
Linda K. Ko
Lloyd Mancl
Marilynn L. Rothen
Catherine Harter
Juliana B. Hilgert
Mark K. Koday
Stephen Davis
Feasibility and acceptability of home delivery of water for dental caries control in Latinx children—“Sediento por una Sonrisa,” Thirsty for a Smile: Single-arm feasibility study
Frontiers in Public Health
dental caries
behavioral intervention
environmental restructuring
practice-based research (PBR)
sugar consumption
nutrition
title Feasibility and acceptability of home delivery of water for dental caries control in Latinx children—“Sediento por una Sonrisa,” Thirsty for a Smile: Single-arm feasibility study
title_full Feasibility and acceptability of home delivery of water for dental caries control in Latinx children—“Sediento por una Sonrisa,” Thirsty for a Smile: Single-arm feasibility study
title_fullStr Feasibility and acceptability of home delivery of water for dental caries control in Latinx children—“Sediento por una Sonrisa,” Thirsty for a Smile: Single-arm feasibility study
title_full_unstemmed Feasibility and acceptability of home delivery of water for dental caries control in Latinx children—“Sediento por una Sonrisa,” Thirsty for a Smile: Single-arm feasibility study
title_short Feasibility and acceptability of home delivery of water for dental caries control in Latinx children—“Sediento por una Sonrisa,” Thirsty for a Smile: Single-arm feasibility study
title_sort feasibility and acceptability of home delivery of water for dental caries control in latinx children sediento por una sonrisa thirsty for a smile single arm feasibility study
topic dental caries
behavioral intervention
environmental restructuring
practice-based research (PBR)
sugar consumption
nutrition
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.916260/full
work_keys_str_mv AT joanacunhacruz feasibilityandacceptabilityofhomedeliveryofwaterfordentalcariescontrolinlatinxchildrensedientoporunasonrisathirstyforasmilesinglearmfeasibilitystudy
AT lindakko feasibilityandacceptabilityofhomedeliveryofwaterfordentalcariescontrolinlatinxchildrensedientoporunasonrisathirstyforasmilesinglearmfeasibilitystudy
AT lloydmancl feasibilityandacceptabilityofhomedeliveryofwaterfordentalcariescontrolinlatinxchildrensedientoporunasonrisathirstyforasmilesinglearmfeasibilitystudy
AT marilynnlrothen feasibilityandacceptabilityofhomedeliveryofwaterfordentalcariescontrolinlatinxchildrensedientoporunasonrisathirstyforasmilesinglearmfeasibilitystudy
AT catherineharter feasibilityandacceptabilityofhomedeliveryofwaterfordentalcariescontrolinlatinxchildrensedientoporunasonrisathirstyforasmilesinglearmfeasibilitystudy
AT julianabhilgert feasibilityandacceptabilityofhomedeliveryofwaterfordentalcariescontrolinlatinxchildrensedientoporunasonrisathirstyforasmilesinglearmfeasibilitystudy
AT markkkoday feasibilityandacceptabilityofhomedeliveryofwaterfordentalcariescontrolinlatinxchildrensedientoporunasonrisathirstyforasmilesinglearmfeasibilitystudy
AT stephendavis feasibilityandacceptabilityofhomedeliveryofwaterfordentalcariescontrolinlatinxchildrensedientoporunasonrisathirstyforasmilesinglearmfeasibilitystudy