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Published on: October 13, 2017
Parental acceptance of pediatric behavior management techniques: a comparative study
I Elango1, D K Baweja, P K Shivaprakash
1Department of Pediatric and Preventive Dentistry, The Oxford Dental College and Hospital, Bangalore, Karnataka, India. indumathi.elango@rediffmail.com
Insights
Parental attitudes toward behavior management techniques (BMTs) differ based on a child's health status. Special needs children's parents showed less acceptance, with income and education influencing receptiveness.
Area of Science:
- Child Psychology
- Behavioral Science
- Pediatric Healthcare
Background:
- Parental acceptance of behavior management techniques (BMTs) is crucial for effective child-rearing.
- Understanding these attitudes within diverse socioeconomic and health contexts is essential.
Purpose of the Study:
- To compare attitudes toward BMTs among parents of healthy versus special needs children in India.
- To identify factors influencing parental acceptability of specific BMTs.
Main Methods:
- Parents of healthy (Group A) and special needs children (Group B) rated 10 BMTs using the Visual Analog Scale (VAS).
- Group B was further divided based on the type of disability: medical, physical, or neuropathological.
- Technique acceptability and ranking were analyzed across groups.
Main Results:
- All BMTs were deemed acceptable by both groups, though parents of special needs children were generally less accepting than parents of healthy children.
- Contingent escape and live modeling were top-ranked in Group A and Group B, respectively.
- Voice control and hand-over-mouth exercise (HOM) were least accepted; lower income and education correlated with higher receptiveness.
Conclusions:
- Parental attitudes toward BMTs are influenced by factors including having a child with a disability, low income, and limited education.
- The hand-over-mouth exercise (HOM) requires cautious application, emphasizing individualized informed consent.
Objectives:
To evaluate and compare the attitude toward behavior techniques among parents of healthy and special children in Indian subpopulation.
Materials And Methods:
Parents of healthy (Group A) and special children (Group B) watched videotape vignette of 10 behavior management techniques (BMTs) in groups and rated them using Visual Analog Scale (VAS). Group B parents were subgrouped as: Group B 1 (34 parents of medically compromised children), Group B 2 (34 parents of physically compromised children), and Group B 3 (34 parents of children with neuropathological disorders).
Results:
Both Group A and Group B subjects judged all techniques as "acceptable." Group B parents were less accepting to techniques than Group A parents, except live modeling. Contingent escape and live modeling were the first ranked techniques in Group A and Group B parents, respectively. Voice control (VC) and hand-over-mouth exercise (HOM) were the least accepted techniques in both groups. Parents with low income and less education were more receptive to the techniques studied. A total of 25.49% of parents in each group did not consent to the use of HOM.
Conclusion:
Factors such as having a disabled child, low income, and less education influenced parental acceptability. HOM should be used with great caution and clinicians should approach the issue of informed consent on an individual basis.
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