Clinical trial NCT04186689: Relationship Between Food Insecurity and Child Dental Anxiety
Official title: Relationship Between Food Insecurity, Maternal Psychological Status, and Child Dental Behavior: a Cross-Sectional Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Food Insecurity
Child Dental Anxiety
Maternal Psychological Distress
Lead sponsor: Ain Shams University
Sponsor class: OTHER
First posted: 2019-12-05
Enrollment: 108
Sex: ALL
Minimum age (years): 40
Maximum age (years): 6
Standard ages: CHILD
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: study populations are healthy pre-school children( 3.5-6 years old)having at least one tooth needs dental treatment, accompanied by their mothers.

Brief summary: identifying children with dental anxiety among those who suffered from food insecurity will enable to implement preventive strategies and early intervention. The aim of this study is to examine the relationship between food insecurity, maternal psychological status and child dental behavior.

Detailed description: A well-trained investigator will collect data on maternal age (in years), the marital status, the educational levels of both parents and their employment status, pregnancy information, as well as family structure (whether children are living with both parents or not), number of siblings (none, one, two, or ≥three). Information on family monthly income and crowding index which is defined as the average number of people per room, excluding both the kitchen and bathrooms will be also obtained.

The level of household food insecurity will be determined using the validated Arabic version of the Household Food Insecurity Access Scale (HFIAS) which categorizes food insecurity into three levels (food secure , marginally food secure and food insecure) where the final score is given according to the sum of affirmative responses to the tool statements and the higher the score the more the level of food insecurity.

The validated Arabic version of the 14-item Perceived Stress Scale will be used to measure the self-reported level of stress among mothers of the enrolled children by assessing their feelings and thoughts during the last month. The level of child's dental anxiety will be assessed during the initial oral examination before starting any dental treatment procedures using the six-point Venham behavior rating scale which ranges from total cooperation (0) to no cooperation

Eligibility criteria: Inclusion Criteria:

* the selected children accompanied by their mother should fulfill the following inclusion criteria:

  * Age range 3.5-6 years
  * Having at least one tooth with dental caries indicated for dental treatment under local anesthesia other than extraction
  * Visiting the dental clinic for the first time

Exclusion Criteria:

* Children with the following criteria will be totally excluded from the study: Have any medical/neurological, communicative or developmental disorders as well as children with special healthcare needs.

Primary outcomes:
measure: A six-point Venham Behavior Rating Scale to evaluate the child behavior during dental examination scale score from(0)the best outcome to (6) worst outcome
timeFrame: 6 months
measure: questionnaire containing 2 scales Household Food Insecurity Access Scale( score food secure better outcome -severely food insecure the worst outcome) and 14-item Perceived Stress Scale (scores from 0 better outcome to 40 worst outcome)
timeFrame: 6 months
Secondary outcomes:
Other outcomes:
Locations:
city: Cairo
country: Egypt
facility: Faculty of Dentistry- Ain Shams University
Study officials:
affiliation: Ain Shams University
name: Dina D Abd-Elmoneam, masters
role: PRINCIPAL_INVESTIGATOR
References: