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

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

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.

Study Overview

• Status: Completed
• Conditions: Hearing Impaired Children
• Intervention / Treatment: Behavioral: Skit video, Pictorial, Sign language

• Study Type: Interventional
• Enrollment (Actual): 60
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Sindh
    • Karachi, Sindh, Pakistan, 77440
      • Ida Rieu College For Blind And Deaf
    • Karachi, Sindh, Pakistan, 22770
      • ABSA School and college for deaf

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult
• Accepts Healthy Volunteers: Yes

Description

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

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Skit video; 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; 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.
Active Comparator: Pictorial; 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; 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.
No Intervention: Signed Language; 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?

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

Collaborators and Investigators

• Sponsor: Dow University of Health Sciences
• Investigators: Principal Investigator: Maria Moin, MDS, Bahria University Dental College

Study record dates

Study Major Dates

• Study Start (Actual): April 11, 2023
• Primary Completion (Actual): July 23, 2023
• Study Completion (Actual): July 25, 2023

Study Registration Dates

• First Submitted: September 19, 2023
• First Submitted That Met QC Criteria: October 13, 2023
• First Posted (Actual): October 18, 2023

Study Record Updates

• Last Update Posted (Actual): October 18, 2023
• Last Update Submitted That Met QC Criteria: October 13, 2023
• Last Verified: October 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Nervous System Diseases; Neurologic Manifestations; Otorhinolaryngologic Diseases; Ear Diseases; Sensation Disorders; Hearing Disorders; Hearing Loss; Deafness
• Other Study ID Numbers: DowUHS 1

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No