Optimizing Parent Training to Improve Oral Health Behavior and Outcomes in Underserved Children with Autism Spectrum Disorder

J Autism Dev Disord. 2023 Sep;53(9):3683-3699. doi: 10.1007/s10803-022-05660-6. Epub 2022 Jul 14.

Abstract

A randomized controlled trial established initial efficacy of a novel parent training (PT) intervention for improving oral hygiene and oral health in underserved children with ASD (Fenning et al., 2022), a population at risk for unmet dental needs. The present study describes our emic approach to PT development alongside treatment outcome data examining feasibility, acceptability, and engagement. Families with Medicaid-eligible children with ASD ages 3 to 13 years (85% male, 62% with intellectual disability) were assigned to receive PT (n = 60) or a psychoeducational toolkit (n = 59). Results indicate strong retention, fidelity, and adherence, with quantitative and qualitative metrics revealing high treatment satisfaction and utilization. Discussion focuses on implications for individualizing treatment to optimize engagement of underrepresented families.

Keywords: Adaptive behavior; Autism spectrum disorder; Dental; Oral health; Parent training; Participatory research.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Autism Spectrum Disorder* / therapy
  • Child
  • Female
  • Health Behavior
  • Humans
  • Male
  • Parents / education
  • Treatment Outcome