Enhancement of high risk children's utilization of dental services.
(33/36)
One hundred twenty-four children identified as needing care in two elementary schools by a routine department of public health screening were randomly assigned to either a standard treatment group (notification to parents by a form letter) or an experimental group that added personal contact to the standard treatment. Overall, 53 percent of the subjects in the experimental condition who needed treatment at the initial screening had received this treatment at follow-up, while only 12 per cent of the subjects in the control group had received needed treatment. (+info)
Reducing child uncooperative behavior during dental treatment through modeling and reinforcement.
(34/36)
The uncooperative behavior of grade-school children during dental treatment was examined. Forty children enrolled in a government dental program were observed during treatment conditions involving instructions concerning the appropriate behavior required by the dental practitioner, description of the objective procedures and subjective experience the child could expect, praise for appropriate behavior, and a colorful stamp for coming to the clinic. Eight of these children whose behavior was still too disruptive for effective dentistry were formally introduced to additional intervention procedures of tangible consequences for cooperative behavior, and observation of peers and by peers during actual dental treatment. Within a multiple baseline design, the intervention conditions were effective in decreasing the children's uncooperative behavior to acceptable levels. (+info)
Dental screenings using telehealth technology: a pilot study.
(35/36)
BACKGROUND: This pilot study compared data obtained using traditional methods of visual dental screenings in a school setting with data obtained using an intraoral camera and transmitted to a distant location via telehealth technology. METHODS: For the study, 137 schoolchildren were screened using traditional methods. Two months later, 32 children were randomly selected and rescreened in a single day using the intraoral camera and the telehealth system. The measurement indices used were deft/DMFT. RESULTS: A comparison revealed no significant difference in the data collected by the two screening methods. The percentage agreement between the methods ranged from 89% to 100%. CONCLUSION: In under-serviced or remote areas, the telehealth system may allow for accurate identification of oral conditions and act as a means of consultation at a distance between specialists, general dental practitioners, dental hygienists and individual patients. (+info)
Smokeless tobacco cessation intervention for college athletes: results after 1 year.
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OBJECTIVES: The purpose of this study was to determine the efficacy of a college-based smokeless tobacco cessation intervention targeting college athletes. METHODS: Sixteen colleges were matched for prevalence of smokeless tobacco use in their combined baseball and football teams and randomly assigned within college pairs to the intervention or the control group. One-year prevalence of cessation among smokeless tobacco users was determined by self-report of abstinence for the previous 30 days. Differences between groups were analyzed in a weighted version of the Fisher 1-sided permutation test for paired samples after adjustment for significant predictors of quitting other than the intervention (i.e., smokeless tobacco uses per week and most frequently used brand). RESULTS: Cessation prevalences were 35% in the intervention colleges and 16% in the control colleges when subjects with unknown quit status were defined as nonquitters. After adjustment for other significant predictors of quitting, the difference of 19% increased to 21%. The intervention effect increased with level of smokeless tobacco use. CONCLUSIONS: This intervention was effective in promoting smokeless tobacco cessation, especially among those who were more frequent users. (+info)