Using Video Modeled Social Stories to Improve Oral Hygiene in Children With Autism Spectrum Disorder
| Status: | Completed |
|---|---|
| Conditions: | Other Indications, Neurology, Psychiatric, Psychiatric, Dental, Autism |
| Therapuetic Areas: | Dental / Maxillofacial Surgery, Neurology, Psychiatry / Psychology, Other |
| Healthy: | No |
| Age Range: | 8 - 12 |
| Updated: | 2/7/2015 |
| Start Date: | July 2014 |
| End Date: | May 2015 |
| Contact: | Ben S Popple, DMD |
| Email: | ben.popple@ynhh.org |
| Phone: | 203-688-3000 |
Using Video Modeled Social Stories to Improve Oral Hygiene in Children With Autism
We hypothesize that oral hygiene habits in children 8-12 years of age can be improved using
video format Social Story intervention techniques. The purpose of this study is to
investigate the effectiveness of video format social stories used to inform and educate
children and parents about proper dental hygiene technique over a 6 week intervention
period. We will measure the success of intervention using data collected from clinical exams
and caregiver/participant surveys. Evaluation of data collected will be used to determine
the effectiveness of the intervention.
video format Social Story intervention techniques. The purpose of this study is to
investigate the effectiveness of video format social stories used to inform and educate
children and parents about proper dental hygiene technique over a 6 week intervention
period. We will measure the success of intervention using data collected from clinical exams
and caregiver/participant surveys. Evaluation of data collected will be used to determine
the effectiveness of the intervention.
In this pilot study improvement of tooth brushing practices in children with Autism Spectrum
Disorder between the ages of eight and twelve years old will be evaluated. Participants
placed in two randomized groups will watch a Youtube format instructional video twice each
day immediately before each brushing during the three-week intervention period.
The video intervention will teach participants to use the usual and customary hygiene
skills. Participants will view a child in their age range demonstrating proper brushing
using the Bass brushing technique. The video will also have written narration at the bottom
of the screen delivering printed information using Social Story style prompts. The Social
Story prompts will also be read aloud for auditory delivery of information. The video will
be two to three minutes long.
Success of intervention will be determined using data collected at multiple times during the
pilot. First, clinical exams will be completed before the intervention, half way through the
intervention, and at the end of three weeks to evaluate how clean the patients oral cavity
appears. Exams should take no more than twenty minutes in the dental chair. Second,
Qualtrics emails will be sent to the patient's caregiver at 5:30 AM and 4:30 PM each day
during intervention providing access to the instructional video. After opening the email and
watching the video, there will be a simple "yes or no" survey question asking the caregiver
if the video was watching before that brushing session. Finally, more in depth caregiver
surveys will be completed at the end of each week during the intervention consisting of no
more than fifteen questions. The surveys will evaluate the caregiver's perception of
intervention success. At completion of the intervention the video will be made available to
all participants via Youtube.com. One final survey will be sent to caregivers three weeks
post intervention to determine if the video is still being used for hygiene reinforcement.
Multiple efforts for study control will be implemented. To control for the impact that
watching a video twice a day may have Group 2 will watch a control video. Group 1 will watch
a dental hygiene video. Clinical evaluators will also be blinded to prevent bias when
evaluating the two groups clinically. One examiner will conduct initial exams. A second
examiner will conduct all subsequent exams with no knowledge of what group each patient is
assigned. Evaluators will be calibrated pre-study evaluating hygiene patients at the dental
clinic.
All participants in this study will also be enrolled at Yale Child Study Center to measure
the participants IQ using autism specific IQ testing methods.
Disorder between the ages of eight and twelve years old will be evaluated. Participants
placed in two randomized groups will watch a Youtube format instructional video twice each
day immediately before each brushing during the three-week intervention period.
The video intervention will teach participants to use the usual and customary hygiene
skills. Participants will view a child in their age range demonstrating proper brushing
using the Bass brushing technique. The video will also have written narration at the bottom
of the screen delivering printed information using Social Story style prompts. The Social
Story prompts will also be read aloud for auditory delivery of information. The video will
be two to three minutes long.
Success of intervention will be determined using data collected at multiple times during the
pilot. First, clinical exams will be completed before the intervention, half way through the
intervention, and at the end of three weeks to evaluate how clean the patients oral cavity
appears. Exams should take no more than twenty minutes in the dental chair. Second,
Qualtrics emails will be sent to the patient's caregiver at 5:30 AM and 4:30 PM each day
during intervention providing access to the instructional video. After opening the email and
watching the video, there will be a simple "yes or no" survey question asking the caregiver
if the video was watching before that brushing session. Finally, more in depth caregiver
surveys will be completed at the end of each week during the intervention consisting of no
more than fifteen questions. The surveys will evaluate the caregiver's perception of
intervention success. At completion of the intervention the video will be made available to
all participants via Youtube.com. One final survey will be sent to caregivers three weeks
post intervention to determine if the video is still being used for hygiene reinforcement.
Multiple efforts for study control will be implemented. To control for the impact that
watching a video twice a day may have Group 2 will watch a control video. Group 1 will watch
a dental hygiene video. Clinical evaluators will also be blinded to prevent bias when
evaluating the two groups clinically. One examiner will conduct initial exams. A second
examiner will conduct all subsequent exams with no knowledge of what group each patient is
assigned. Evaluators will be calibrated pre-study evaluating hygiene patients at the dental
clinic.
All participants in this study will also be enrolled at Yale Child Study Center to measure
the participants IQ using autism specific IQ testing methods.
Inclusion Criteria:
- Diagnosed with Autism Spectrum Disorder
- Access to internet and email at home
- Patient of record at Yale New Haven Hospital Pediatric Dental Clinic
Exclusion Criteria:
- Outside of specified age range
- No home access to email and internet
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2
sites
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