Improvements in tooth brushing behavior in children with autism spectrum disorder using mobile dentistry game application: study experimental
Abstract
ABSTRACT
Introduction: Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by abnormalities in social interaction, limited interests, and repetitive habits. ASD children have motor, sensory, and communication limitations and difficulties that affect daily activities, namely brushing teeth, therefore education is needed to improve the tooth brushing behavior of ASD children. Education can use the Mobile Dentistry Game Application, namely Pokémon Smile which is one application that can be used to help increase knowledge and education of children with ASD in brushing teeth. The purpose of the study was to analyze improvement in the tooth brushing behavior of children with ASD using the mobile dentistry game application. Methods: A quasi-experimental study with 16 children was conducted in November 2024. The study consisted of measuring tooth brushing behavior before using Pokémon Smile, followed by using the game and measuring tooth brushing behavior after using the game. Results: There was a significant change with a p-value (p<0.05) 0.004. The average score of children's tooth brushing behavior before the use of Pokémon Smile was 5.25 with most behavior levels being very poor and after the use 6.86 with most behavior levels being moderate. There was an increase in the mean score of tooth brushing behavior by 17.05, reflecting a change in the level of tooth brushing behavior of ASD children from the poor category to moderate. Conclusion: Tooth brushing behavior of children with autism spectrum disorder (ASD) using a mobile dentistry game application has improved. This improvement is reflected in positive behavioral changes observed after using the application.
KEY WORDS: mobile dentistry game application, health app, visual pedagogy, tooth brushing behavior, autism spectrum disorder, children
Perilaku menyikat gigi pada anak gangguan spektrum autisme menggunakan mobile dentistry game application: studi eksperimental
ABSTRAK
Pendahuluan: Gangguan Spektrum Autisme (GSA) merupakan gangguan neurodevelopmental yaitu gangguan perkembangan saraf yang memiliki ciri khas berupa kelainan pada interaksi sosial serta minat yang terbatas dan kebiasaan yang repetitif atau berulang. Anak GSA memiliki keterbatasan dan kesulitan motorik, sensorik, dan komunikasi yang mempengaruhi kegiatan sehari-hari diantaranya menyikat gigi sehingga diperlukan edukasi untuk meningkatkan perilaku menyikat gigi anak GSA. Edukasi dapat menggunakan Mobile Dentistry Game Application, yaitu Pokémon Smile yang merupakan salah satu aplikasi yang dapat digunakan untuk membantu meningkatkan pengetahuan serta edukasi anak dengan ASD dalam menyikat gigi. Tujuan penelitian adalah menganalisis perbaikan perilaku menyikat gigi anak dengan GSA menggunakan mobile dentistry game application. Metode: Penelitian berupa quasi eksperimental dengan sampel 16 anak telah dilaksanakan pada November 2024. Penelitian terdiri dari pengukuran perilaku menyikat gigi sebelum penggunaan Pokémon Smile, dilanjutkan dengan penggunaan permainan, dan pengukuran perilaku menyikat gigi setelah penggunaan permainan. Hasil: Terdapat perubahan signifikan dengan p-value (p<0,05) 0,004. Rerata skor perilaku menyikat gigi anak sebelum penggunaan Pokémon Smile 5,25 dengan mayoritas tingkat perilaku sangat buruk dan setelah penggunaan 6,86 dengan mayoritas tingkat perilaku menjadi cukup. Terdapat peningkatan rerata nilai perilaku menyikat gigi sebesar 17,05 mencerminkan adanya perubahan tingkat perilaku menyikat gigi anak GSA dari kategori buruk menjadi cukup. Simpulan: Perilaku menyikat gigi anak dengan Gangguan Spektrum Autisme (GSA) menggunakan mobile dentistry game application mengalami peningkatan. Peningkatan terlihat dari perubahan perilaku ke arah positif setelah menggunakan aplikasi.
KATA KUNCI: mobile dentistry game application, visual pedagogi, perilaku menyikat gigi, gangguan spektrum autisme, anak
Keywords
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DAFTAR PUSTAKA
Hodges H, Fealko C, Soares N. Autism spectrum disorder: definition, epidemiology, causes, and clinical evaluation. Transl Pediatr. 2020;9(Suppl 1):S55.
Zeidan J, Fombonne E, Scorah J, et al. Global prevalence of autism: A systematic review update. Autism Res. 2022;15(5):778-790.
Nurhidayah I, Hendrawati S, Anggia Y. Kualitas Hidup Sibling Anak dengan Autis. J Keperawatan Silampari. 2020;3(2):661-671.
Badiah A. Pengaruh stimulasi cuci tangan terhadap perilaku mencuci tangan anak autis di sekolah autis propinsi daerah istimewa yogyakarta (diy). J Ris Kesehat Nas. 2019;3(1):38-45.
Widyaningrum R, Siwi IN, Fajrin RA. Literature Review: Efektivitas Penyuluhan Kebersihan Gigi Mulut Melalui Simulasi Audiovisual Terhadap Keterampilan Menggosok Gigi Anak Autis. J Keperawatan Dan Kesehat. 2022;13(2):7-12.
Fageeh HN, Mansour MA, Thubab HY, et al. The Role of Applied Behavior Analysis to Improve Knowledge on Oral Hygiene Practices among Cooperative Autistic Children: A Cross-Sectional Study from Jazan, Saudi Arabia. Leite Cavalcanti A, ed. Int J Dent. 2021;2021:1-10. DOI: https://doi.org/10.1155/2021/9491496
Tul Hikmah S, Larasati R, Ayu Kusuma IG, Ahmad AB. Oral Health Assessment of Children with Autism Spectrum Disorder: Literature Review. Int J Adv Health Sci Technol. 2022;2(3):175-182. doi:10.35882/ijahst.v2i3.8
Esposito M, Piersanti C, Fadda R, Boitani M, Mazza M, Marrocco G. Oral Hygiene in Children with Autism: Teaching Self-Toothbrushing via Behavioural Intervention Including Parents. Children (Basel). 2024;12(1):5. DOI: https://doi.org/10.3390/children12010005.
Balian A, Cirio S, Salerno C, Wolf TG, Campus G, Cagetti MG. Is Visual Pedagogy Effective in Improving Cooperation towards Oral Hygiene and Dental Care in Children with Autism Spectrum Disorder? A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2021;18(2):789. DOI: https://doi.org/10.3390/ijerph18020789
Chen J, Wang G, Zhang K, Wang G, Liu L. A pilot study on evaluating children with autism spectrum disorder using computer games. Comput Hum Behav. 2019;90:204-214. doi: 10.1016/j.chb.2018.08.057
Hwang CH, Song HJ, Jung MJ, Choi YJ, Hwang YS. Effect of Toothbrushing Application for Kids on Dental Plaque Removal and Interest in Toothbrushing of Preschool Children. J Dent Hyg Sci. 2023;23(3):208-215. DOI: https://doi.org/10.17135/jdhs.2023.23.3.208
Gitimoghaddam M, Chichkine N, McArthur L, Sangha SS, Symington V. Applied Behavior Analysis in Children and Youth with Autism Spectrum Disorders: A Scoping Review. Perspect Behav Sci. 2022;45(3):521-557. DOI: https://doi.org/10.1007/s40614-022-00338-x
Ahmed SK. How to choose a sampling technique and determine sample size for research: A simplified guide for researchers. Oral Oncology Reports. Volume 12, December 2024, 100662. DOI: https://doi.org/10.1016/j.oor.2024.100662
Mahajan A, Anand S, Kriti, et al. Evaluation of visual pedagogy teaching method for improving oral hygiene practice in children with Autism: An interventional study. J Educ Health Promot. 2023;12(1):223. DOI: https://doi.org/10.4103/jehp.jehp_259_23
Lim JN, Jung YR. Development proposal of oral health educational media based on the oral health care and educational needs of college students. J Korean Soc Dent Hyg. 2013;13(2):323-334. DOI: https://doi.org/10.13065/jksdh.2013.13.2.323
Cihak DF, Moore EJ, Wright RE, McMahon DD, Gibbons MM, Smith C. Eva luating Augmented Reality to Complete a Chain Task for Elementary Students With Autism. J Spec Educ Technol. 2016;31(2):99-108. DOI: https://doi.org/10.1177/0162643416651724
Zheng ZK, Sarkar N, Swanson A, Weitlauf A, Warren Z, Sarkar N. CheerBrush: A Novel Interactive Augmented Reality Coaching System for Toothbrushing Skills in Children with Autism Spectrum Disorder. ACM Trans Access Comput. 2021;14(4):1-20. DOI: https://doi.org/10.1145/3481642
Narzisi A, Bondioli M, Pardossi F, et al. “Mom Let’s Go to the Dentist!” Preliminary Feasibility of a Tailored Dental Intervention for Children with Autism Spectrum Disorder in the Italian Public Health Service. Brain Sci. 2020;10(7):444. DOI: https://doi.org/10.3390/brainsci10070444
Krishnan L, Iyer K, Kumar PDM. Effectiveness of two sensory‐based health education methods on oral hygiene of adolescent with autism spectrum disorders: An interventional study. Spec Care Dentist. 2021;41(5):626-633. DOI: https://doi.org/10.1111/scd.12606
Melati F, Indriyanti R, Setiawan AS. Effectiveness of Applied Behavior Analysis (ABA) with regard to tooth brushing in autistic children. Dent J. 2019;52(3):117-121. DOI: https://doi.org/10.20473/j.djmkg.v52.i3.p117-121
DOI: https://doi.org/10.24198/pjdrs.v9i2.60752
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