Effectiveness of “Oral Health Care for Children with Autism  Spectrum Disorder Module” in Improving Tooth-Brushing  Practice among Children with Autism Spectrum Disorder in  Hospital Universiti Sains Malaysia 
	    		
	    			
	    			
		        		
			        		
		        		
			        
		   		
		   		
		   			
		   		
	    	
    	 
    	https://doi.org/10.47836/mjmhs.19.1.11
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Roslina Mohd Fadzillah Mah
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Normastura Abd Rahman
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Munirah Mohd Adnan
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Norzila  Zakaria
			        		
			        		
			        		
			        			2
			        			
			        		
			        		
			        		
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Dental Public Health Unit, School of Dental Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian,  Kelantan, Malaysia
			        		
			        			2. Department of Psychiatry, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, 16150 Kubang Kerian,  Kelantan, Malaysia
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Journal Article
 
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Oral health care module, Autism spectrum disorder, Caregivers, Tooth-brushing, Behavioural problems
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:Malaysian Journal of Medicine and Health Sciences
	            		
	            		 2023;19(No.1):71-79
	            	
            	
 
            
            
            	- CountryMalaysia
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Introduction: Autism spectrum disorder (ASD) is associated with behavioural problems which may affect children’s 
oral health statuses. Caregivers have crucial roles in caring for these children’s oral health. Thus, this study is aimed 
to evaluate the effectiveness of the Oral Health Care for Children with ASD (OHASD) Module in improving caregivers’ tooth-brushing difficulties in children ASD. Methods: Quasi-experimental study on caregivers of children with 
ASD aged 7 to 12 years who were registered at the Psychiatry Clinic Hospital Universiti Sains Malaysia (USM), Kelantan. The sociodemographic data obtained, and behavioural problems were assessed. Tooth-brushing difficulties were 
evaluated at pre- and six months post-intervention using OHASD Module. Data were analysed using IBM SPSS 26.0. 
Results: A total of 32 Malay children with ASD including their caregivers participated in this study. Caregivers were 
mostly mothers (78.1%) and children were mostly boys (84.4%), with mean age (SD) of 39.1 (4.19) and 8.8 (1.52) 
years respectively. Parent-reported questionnaire using the Modified Checklist for Autism in Toddlers (M-CHAT) 
showed 65.6% of children were highly sensitive to noises, 53.1% sometimes stared at nothing or wandered without 
purpose and 59.4% were unable to imitate caregivers’ faces. Significant differences between pre- and post-intervention for items; children who liked to close their mouths, turn their heads in different directions, did not understand 
the purpose of tooth-brushing (P<0.05). Conclusion: OHASD Module is useful in assisting caregivers in practising 
daily tooth-brushing of children with ASD.
				        	
				        
				    
			    
 
	        
	        
	        	- Full text:11.2023my1411.pdf