Effectiveness of Skit Video to Improve Oral Hygiene Status of Children With Hearing Impairment

Study Overview
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Brief Summary
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Introduction: Oral health is considered as a vital component of overall health and its importance in children may not be disregarded. In children with hearing impairment, communication barriers may hamper their understanding of oral hygiene practices, making them particularly vulnerable to dental problems. Objective: The objective of this study was to compare effectiveness of skit video, pictorial and sign language interventions to improve oral hygiene status of children with hearing impairment. Methods: Sixty children were completed the study and allocated randomly into each group with twenty children as follows: group A: Skit video, group B: Pictorial, and group C: Sign language. Mean gingival and OHI scores were recorded before and after implementation of interventions. Oral hygiene habits, oral hygiene and gingival index scores were recorded by structured questionnaire.

Official Title
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Enhancing Oral Hygiene in Children With Hearing Impairment: The Impact of Skit Video Interventions - A Randomized Controlled Trial

Conditions
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Hearing Impaired Children

Intervention / Treatment
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* Behavioral: Skit video, Pictorial, Sign language


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children with hearing impairment and total hearing loss at birth Aged 7 to 20 years for both genders, Minimum of 20 teeth in the oral cavity Children with mild, moderate, and severe gingivitis Exclusion Criteria: Children with dental plaque covered more than two-thirds of their tooth surface, had a plaque score of >1.0 Children with fair to poor oral hygiene Children who had previously participated in any activity or programme promoting oral health within the previous six months Children with mild to moderate hearing loss Children taking long-term antibiotics Children who had used mouthwash within the previous three months Children with any known systemic diseases Presence of extensive dental calculus Uncooperative children

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 20 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Skit video<br>The video was shown to children lasting for 5 minutes. It was about oral habits, good and bad food. Video was also showed brushing technique. | Behavioral: Skit video, Pictorial, Sign language<br>* Three oral health educational intervention groups, group A (skit video), group B (pictorial) and group C (sign language) by using Sequentially Numbered Sealed Opaque Envelopes (SNOSE). Children picked a sealed envelope randomly and assigned to oral health education intervention group A, B and C. Participants in group A were assigned a skit video method of oral hygiene intervention and shown 5 minute video on what to eat and how to brush their teeth. The video included that what is good and bad for teeth, and how to brush which includes method, time and duration of tooth brushing. Participants assigned to group B and C was provided same instructions for tooth brushing and eating habits in the form of pictures and sign language respectively. The children of Group A received instructions in the form of laminated cards and asked to take with them at home. Participants in group C were received instructions in sign language in the presence of teacher.<br>|
| Active Comparator: Pictorial<br>The pictures related to brushing technique and oral health advices such as good and bad habits was provided in the form of laminated cards. The children has taken those cards along with them. | Behavioral: Skit video, Pictorial, Sign language<br>* Three oral health educational intervention groups, group A (skit video), group B (pictorial) and group C (sign language) by using Sequentially Numbered Sealed Opaque Envelopes (SNOSE). Children picked a sealed envelope randomly and assigned to oral health education intervention group A, B and C. Participants in group A were assigned a skit video method of oral hygiene intervention and shown 5 minute video on what to eat and how to brush their teeth. The video included that what is good and bad for teeth, and how to brush which includes method, time and duration of tooth brushing. Participants assigned to group B and C was provided same instructions for tooth brushing and eating habits in the form of pictures and sign language respectively. The children of Group A received instructions in the form of laminated cards and asked to take with them at home. Participants in group C were received instructions in sign language in the presence of teacher.<br>|
| No Intervention: Signed Language<br>The oral health education related to oral habits, good and bad food was delivered via sign language with the help of children sign language teacher. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Plaque Index | Decrease in mean dental plaque scores from baseline to after intervention | one month | 
| Gingival Index | Decrease in mean gingival scores from baseline to after intervention | one month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Oral Hygiene Index | Decrease in mean OHI scores from baseline to after intervention | One month |