Effectiveness of Audio-Tactile Performance Technique With Sing-Along Lyrics on Oral Hygiene Instruction to Visually Impaired Individuals
Effectiveness of Audio-Tactile Performance Technique With Sing-Along Lyrics on Oral Hygiene Instruction to Visually Impaired Individuals: A Matched-Pair Randomized Study
The goal of this match-pair randomized study is to compare the effectiveness of the standard Audio-Tactile Performance (ATP) technique with a song-based adaptation (ATP/S) in teaching oral hygiene in visually impaired individuals aged 6 to 20 years in Kathmandu, Nepal.
- Can the ATP/S approach achieve a greater improvement in plaque control, as measured by the Patient Hygiene Performance (PHP) index, compared to standard ATP instruction over a two-week period?
- Does the rhythmic structure of a song lead to a more continuous improvement in toothbrushing task performance and theoretical oral health knowledge?
Researchers will compare a control group receiving standard ATP with an audio information file to an intervention group receiving ATP with a sing-along song to see if rhythmic auditory stimuli help regulate sequencing and reduce working-memory demands during complex motor tasks.
研究概览
详细说明
This study is divided in to 2 groups where visually impaired individuals are allocated after inclusion and exlusion criteria.
In this matched-pair randomized study, 40 VI participants aged 6-20 years were allocated to ATP or ATP/S groups. Outcomes were assessed at baseline, immediately post-intervention, and at two-week follow-up using the Patient Hygiene Performance (PHP) index, a 16-step toothbrushing task analysis, and an eight-item oral health knowledge questionnaire. Intra-group changes were analyzed using the Friedman test; inter-group comparisons used the Mann-Whitney U test (p < 0.05).
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Kathmandu
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Ki̇̄rtipur、Kathmandu、尼泊尔、44600
- Laboratory boarding Secondary school
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Lagankhel
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Lalitpur、Lagankhel、尼泊尔、44600
- Namuna Macchindra secondary school
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参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
接受健康志愿者
描述
Inclusion Criteria:
- Bilateral visually impaired in age 6-20yrs. (as verified in school medical record)
Exclusion Criteria:
- Visual impairment associated with any disabilities that affected arm motor skill/loss of upper dexterous extremity/abnormal mental development/deaf.
- Using any chemical plaque control agent.
- Individuals with calculus on examining teeth
- On medications that could affect the gingival status.
- Inability to brush due to pain from severe caries/oro-mucosal conditions.
- Have less than 4 teeth in each quadrant.
- Presented with orthodontic or prosthodontic appliance.
- Subject with good oral hygiene ; plaque score = 0
- Un co-operative children.
学习计划
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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有源比较器：ATP with audio information file
Participants in this arm receive Oral Hygiene Instruction (OHI) using the standard Audio-Tactile Performance (ATP) technique.
This involves hands-on training with a tooth model (dentoform) paired with a pre-recorded audio information file that provides verbal instructions on brushing techniques.
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ATP with standard audio file
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实验性的：ATP with informational song
Group B (Intervention Group): Participants in this arm receive OHI using the ATP technique enhanced with a sing-along song.
This method utilizes the same hands-on training with a tooth model but replaces the standard audio file with a culturally adapted song containing the brushing instructions, leveraging rhythmic entrainment to aid memory and coordination.
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ATP with informational song used to provide guidance to the participants
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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tooth brushing task analysis
大体时间：from baseline to intervention, reinforment (1 week) & Final data collection (end of 2 weeks)
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The oral cavity is divided into 16 surface areas. Scoring Criteria: For each area, participants are scored on four specific criteria:
Calculation: Each correctly executed criterion earns 1 point, and the total skill level is determined by the percentage of points achieved out of the total possible points. |
from baseline to intervention, reinforment (1 week) & Final data collection (end of 2 weeks)
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Patient hygiene performance (PHP score)
大体时间：from baseline to intervention, reinforment (1 week) & Final data collection (end of 2 weeks)
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The secondary outcome evaluates the objective effectiveness of the brushing by measuring the amount of dental plaque (debris) left on the teeth. The Process: Teeth are stained with erythrosin dye, which highlights plaque. Scoring Method: Six specific index teeth are examined, with each tooth surface divided into five sections. Binary System: A section receives a 1 if debris is present and a 0 if it is absent. Calculation: The final PHP score is the sum of these points divided by the number of surfaces examined; a lower score indicates better oral hygiene. |
from baseline to intervention, reinforment (1 week) & Final data collection (end of 2 weeks)
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其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Oral Health Knowledge Questionnaire
大体时间：from baseline, intervention, reinforcement (1 week) and final data collection (end of 2 week)
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A pre-test and post-test consisting of 8 questions are administered verbally to accommodate visual impairment. 8 questions are asked based on the audio information and song file Correct answers are recorded to track how well the instructional formats (standard audio vs. song) reinforce theoretical knowledge over time |
from baseline, intervention, reinforcement (1 week) and final data collection (end of 2 week)
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合作者和调查者
调查人员
- 研究主任：woranun Prapansilp, Masters pediatric dentistry、Mahidol university
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- 61_2025
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)？
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