Developing Brushing Performance in Second Graders through Behavior Modification

Martens, Leslie V.; Frazier, P. Jean; Hirt, K J; Meskin, L H; Proshek, J

doi:10.2307/4594929

Cited by 40 publications

(10 citation statements)

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“…Where both study and control populations are from the same school, it has been shown that control groups often show decreased mean plaque and/or gingival indices. This has been demonstrated in studies with both random (2) and non-random (3,4,12,16) assignment to study atid control groups. This phenomenon may be due to a "brush off" effect (Hawthorne Effect), where control classrooms in schools with project groups are itifluenced by the presence of the program.…”

Section: Discussionmentioning

confidence: 86%

“…Generally, information-oriented approaches designed to change attitudes have not been effective (17,18,20). The more effective approaches have included: 1) super-vised toothbrushing in school on a regular basis (3,5,7,11,13,17), 2) the use of plaque staining devices (17) and 3) discovery learning and a token reward system approach to dental health education (1,12).…”

mentioning

confidence: 99%

“…Although it has been widely applied to the modification of behavior (6,14,19), the only successful application of a token reward system to improved oral health behavior (brusliing) was that reported by MARTENS et al (12). They reported significant improvement in oral hygiene over a full year resulting from a treatment that combined discovery learnitig projects, token reward, and individual interaction with a dental hygienist.…”

mentioning

confidence: 99%

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A longitudinal study of multiple approaches to dental health education

Kaplis

Drolette

Boffa

et al. 1979

Comm Dent Oral Epid

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An evaluation was made of the separate effects on oral hygiene of token reward treatments, discovery (project) learning, and plaque staining feedback demonstrations with children in the first through fifth grades. Both short- and long-term effects were assessed in an open classroom setting. Twenty classrooms were non-randomly assigned to treatment and control groups. Plaque scores were recorded according to the Podshadley Patient Hygiene Performance Index (PHP) at time T0, before initiation of any of the educational interventions; and again at times T1, T2, and T3; 7 days, 74 days and 255 days, respectively, following cessation of the educational interventions. The combination of dental health interventions at this school had short-range effects at every grade level, and those effects persisted for 9 months among the third and fourth graders. It was not possible to identify which of the various treatments produced the observed differences, although the project learning method was generally less effective. A linear regression analysis was used to evaluate the shifts in oral hygiene behavior, a method not previously used in studies of this type.

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Section: Discussionmentioning

confidence: 86%

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confidence: 99%

mentioning

confidence: 99%

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A longitudinal study of multiple approaches to dental health education

Kaplis

Drolette

Boffa

et al. 1979

Comm Dent Oral Epid

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“…A similar situation exists in oral health behaviors. Several investigators attempting to improve oral hygiene behaviors among adults (90,(109)(110)(111)(112)(113)(114) and children (115,116) demonstrate initial success in increasing brushing, flossing or mouth-rinse use, but relapse inevitably occurs.…”

Section: Cognitive-behavioral Interventionsmentioning

confidence: 99%

Psychosocial and behavioral issues in early childhood caries

Reisine

Douglass

1998

Comm Dent Oral Epid

184

135

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Rampant caries in infants and young children has long been recognized as a clinical syndrome referred to by various names, including nursing caries, nursing bottle syndrome, night bottle mouth, and baby bottle tooth decay. The common theme among these terms is the perceived central role of inappropriate use of the baby bottle in the etiology and progression of carious lesions. Use of the baby bottle is not the only, and may not be the most important, factor in caries development. Because of questions about the role of the baby bottle in caries among young children, the Centers for Disease Control and Prevention recently suggested that the term for this clinical syndrome be replaced with early childhood caries (ECC). The purpose of this paper is to evaluate the literature on the influence of psychosocial and behavioral factors in early childhood caries. Prevalence of caries and maxillary anterior decay varies greatly in developed and undeveloped countries and among socioeconomic groups in developed countries. However, relatively little is known about the onset and progression of the disease or the antecedents of ECC, such as high risk behaviors, cultural norms, health beliefs and attitudes, or health care delivery factors. Furthermore, studies that do exist are limited by small and possibly biased samples and a lack of clear case definition. Future research should aim to develop a clear case definition of ECC, differentiate patterns of caries and conduct community-based epidemiological studies in order to obtain accurate estimates of the etiology and epidemiology of ECC in the general population, as well as in high risk groups.

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“…Many studies using dental preventive methods alone or in combination have been applied in school situations with varying degrees of success.' - 6 Most of these programs, however, have utilized an entire grade or school as participants. While this type of approach allows for involvement of each child, it does not necessarily meet the individual needs of certain children, and it may not be the most cost-effective type of program.…”

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confidence: 99%