Perception of oral health professionals towards oral health care in children with attention deficit hyperactivity disorder: a cross-sectional questionnaire study

Sanika Karmarkar, S. Hugar, Chandrashekhar M. Badakar, Niraj S. Gokhale, Bhuvanesh N. Bhusari, Krishna S Kadam
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Abstract

Background: Attention deficit hyperactivity disorder is one of the most common psychiatric disorders that affects both children and adults and is characterized by inattention, hyperactivity, and impulsivity. Around 9% of worlds’ child population and 20% of India’s is affected by ADHD. A child with ADHD can often have neglected or poor oral hygiene. Attending to the dental treatment of such children can be a challenging task for dentists. The aim of the study was to assess the knowledge, attitude, and practices of oral health care towards children with ADHD among oral health professionals. Methods: The study was carried out among 151 oral health professionals using a validated questionnaire. The results were tabulated in an excel sheet and analysed using SPSS software version 22.0. Results: It was found that among the participants, 71.52% had knowledge scores below the mean knowledge score, while 74.83% had attitude scores below the mean and likewise, 53.64% had practice scores below the mean practice scores. A positive correlation was found between knowledge, attitude, and practice by Karl Pearson’s correlation coefficient with a highly statistically significant p value of 0.0001 (p<0.05). This signified low knowledge correlated with less positive attitude leading to poor practices. Conclusions: Majority of the participating professionals perceive that their training did not prepare them well to treat ADHD affected children. However, practice levels were better among those with more years of experience.
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口腔保健专业人员对注意力缺陷多动障碍儿童口腔保健的看法:横断面问卷调查研究
背景:注意缺陷多动障碍是最常见的精神疾病之一,儿童和成年人都会受到影响,其特点是注意力不集中、多动和冲动。全世界约有 9% 的儿童和 20% 的印度儿童患有多动症。患有多动症的儿童通常会忽视口腔卫生或口腔卫生状况不佳。对牙医来说,为这类儿童进行牙科治疗是一项具有挑战性的任务。本研究旨在评估口腔卫生专业人员对多动症儿童的口腔保健知识、态度和做法:研究使用有效问卷对 151 名口腔卫生专业人员进行了调查。研究结果以 excel 表格形式列出,并使用 SPSS 软件 22.0 版进行分析:结果发现,71.52%的参与者的知识得分低于平均知识得分,74.83%的参与者的态度得分低于平均态度得分,同样,53.64%的参与者的实践得分低于平均实践得分。卡尔-皮尔逊相关系数(Karl Pearson's correlation coefficient)显示,知识、态度和实践之间存在正相关,P 值为 0.0001(P<0.05),具有高度统计学意义。这表明,知识水平低与态度不积极相关,从而导致实践能力差:大多数参与研究的专业人员认为,他们所接受的培训并没有为治疗多动症儿童做好充分准备。然而,工作年限较长的专业人员的实践水平较高。
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