Perception of oral health professionals towards oral health care in children with attention deficit hyperactivity disorder: a cross-sectional questionnaire study
DOI:
https://doi.org/10.18203/2349-3291.ijcp20240345Keywords:
ADHD, Attitude, Children, Dentists, Knowledge, PracticesAbstract
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.
References
Joseph JK, Devu BK. Prevalence of attention-deficit hyperactivity disorder in India: A systematic review and meta-analysis. Indian J Psy Nsg. 2019;16:118-25.
Al-Ahmari AA, Bharti RK, Al-Shahrani MS, Alharthi MH, Alqarni HM, Alshehri HM. Knowledge, attitude, and performance of primary healthcare physicians in Aseer Region, Saudi Arabia about attention deficit hyperactivity disorder. J Fam Community Med. 2018; 25:194-8.
Shahwan M, Suliman A, Jairoun A, Alkhoujah S, Mohammed H, Abdullah H. Attention-deficit hyperactivity disorder: Knowledge and perception of dental care providers at Ajman. J Pharm Bioallied Sci. 2020;12:16.
Sharma P, Gupta RK, Banal R, Majeed M, Kumari R, Langer B, et al. Prevalence, and correlates of Attention Deficit Hyperactive Disorder risk factors among school children in a rural area of North India. J Family Med Prim Care. 2020;9:115.
Drumond VZ, Souza GL, de Carvalho Pereira MJ, Mesquita RA, Amin M, Abreu LG. Dental caries in children with attention deficit/hyperactivity disorder: a meta-analysis. Caries Res. 2022;56:3-14.
Drumond VZ, Andrade AA, de Arruda JAA. Periodontal outcomes of children and adolescents with attention deficit hyperactivity disorder: a systematic review and meta-analysis. Eur Arch Paediatr Dent. 2019;23:537-46.
Basu S, Banerjee B. Current scenario of diagnosis and treatment of attention-deficit/hyperactivity disorder in urban India: a pilot study. Ment Health Rev J. 2021; 26:298-314.
Hugar SM, Soneta SP, Gokhale N, Badakar C, Joshi RS, Davalbhakta R. Assessment of Dentist's Perception of the Oral Health Care toward Child with Special Healthcare Needs: A Cross-sectional Study. Int J Clin Pediatr Dent. 2020;13:240.
Al-Omari H, Al-Motlaq MA, Al-Modallal H. Knowledge of and attitude towards attention-deficit hyperactivity disorder among primary school teachers in Jordan. Child Care Pract. 2015;21:128-39.
Louw C, Oswald M, Perold M. General practitioners' familiarity, attitudes and practices with regard to attention deficit hyperactivity disorder in children and adults. South Afr Fam Pract. 2009;51(2):23-9.
Qashqari HF, Alsulami AO, Kamal EK, Jan MM. ADHD awareness among medical students. World J Res Rev. 2017;4:262834.
Verma P, Bhatt K. Attention Deficit Hyperactivity Disorder. In Verma P. Pediatric dentistry for special child. India: Jaypee Brothers Medical Publishers; 2016.
Cem T, Burcu SG, Elif AE, Ebru TR. Randomised clinical trial of investigating different oral hygiene education techniques in children with attention deficit hyperactivity disorder. J Oral Health Dent Sci. 2020;4: 2.
Blumer S, Khoury RS, Peretz B. The prevalence of ADHD patients among pediatric dentists in Israel and knowledge of dental and behavioral aspects of treating them. J Clin Pediatr Dent. 2018;42:212-6.
Abeer N, Heba E, Omar M, Lana S, Elham A, Shuroog A. Attention Deficit Hyperactivity Disorder: Knowledge and Perception of Dental Care Providers. Oral Health Dent Manag. 2017;16:1-7.
Chau YC, Peng SM, McGrath CP, Yiu CK. Oral health of children with attention deficit hyperactivity disorder: systematic review and meta-analysis. J Atten Disord. 2020;24:947-62.
Begnini GJ, Brancher JA, Guimarães AT, de Araujo MR, Pizzatto E. Oral health of children and adolescents with attention deficit hyperactivity disorder. Int J Clin Pediatr Dent. 2019;12:543.