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Optimizing Parent Training to Improve Oral Health Behavior and Outcomes in Underserved Children with Autism Spectrum
Rachel M Fenning1,2,3, Eric M Butter4,5, Megan Norris4,5
1Department of Psychological Science and Claremont Autism Center, Claremont McKenna College, 850 Columbia Avenue, Seaman Hall 235, Claremont, CA, 91711, USA. rfenning@cmc.edu.
Journal of Autism and Developmental Disorders
|July 13, 2022
Summary
This study shows a parent training intervention is feasible and acceptable for improving oral health in children with autism spectrum disorder (ASD). The intervention demonstrated high engagement and satisfaction among underserved families.
Area of Science:
- Pediatric Dentistry
- Developmental Psychology
- Public Health
Background:
- Children with autism spectrum disorder (ASD) often have unmet dental needs.
- Previous research established initial efficacy of a parent training (PT) intervention for improving oral health in this population.
- An emic approach was used to develop a culturally sensitive PT intervention.
Purpose of the Study:
- To examine the feasibility, acceptability, and engagement of a novel parent training (PT) intervention for children with ASD.
- To gather treatment outcome data for an underserved population.
- To inform individualization of treatment for optimal engagement.
Main Methods:
- A randomized controlled trial comparing PT to a psychoeducational toolkit.
- Participants included Medicaid-eligible children with ASD (ages 3-13) and their families.
- Feasibility, acceptability, and engagement were assessed using quantitative and qualitative metrics.
Main Results:
- The PT intervention demonstrated strong retention, fidelity, and adherence.
- Quantitative and qualitative data indicated high treatment satisfaction and utilization.
- The intervention was found to be feasible and acceptable for underserved families.
Conclusions:
- The developed parent training intervention is a promising approach for improving oral health in underserved children with ASD.
- Individualizing treatment can optimize engagement for underrepresented families.
- Further research should focus on long-term outcomes and broader implementation.
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