The impact of psychoeducation, nutrition, and dental health management on parental knowledge, attitudes, and behaviours in caring for autistic children

Arnela Nur* -  Departement of Dental Health, Aceh Ministry of health Polytechnic, Indonesia
Sisca Mardelita -  Departement of Dental Health, Aceh Ministry of health Polytechnic, Indonesia
Intan Liana -  Departement of Dental Health, Aceh Ministry of health Polytechnic, Indonesia
Cut Ratna Kemala -  Departement of Dental Health, Aceh Ministry of health Polytechnic, Indonesia
Linda Suryani -  Departement of Dental Health, Aceh Ministry of health Polytechnic, Indonesia
Nunung Sri Mulyani -  Departement of Nutrition, Aceh Ministry of health Polytechnic., Indonesia

Supp. File(s): Covering Letters Research Ethics Statement Copyright Agreement Ethical Approval

The number of children with autism in Indonesia continues to increase annually. Children with autism often eat sweet and sticky foods, have irregular brushing habits, and rarely receive parental guidance for maintaining oral health. This is certainly a trigger for stunting in children. Preventive efforts include providing psychoeducation to parents or caregivers. This study aimed to improve the knowledge, attitudes, and behavior of parents or caregivers of children with autism. The research design was a quasi-experiment with pre-test and post-test non-equivalent group designs. This study was conducted at the School for Students with Special Needs (SLB) and SLB in Pembina Aceh Province, involving 25 parents/caregivers of children with autism (intervention group) and 17 parents/caregivers in the control group. Data were collected through interviews, using questionnaires. Data were analyzed using the Mann-Whitney and Wilcoxon tests, The results showed that nutritional management psychoeducation had an effect on knowledge, attitudes, and behavior (p<0,05), whereas the control group showed no difference in behavior (p>0,05). Furthermore, nutritional management psychoeducation was effective in improving parents' knowledge, attitude, and behavior (p=0,001) compared to the control group. In conclusion, nutritional management psychoeducation significantly improved parents' knowledge, attitudes, and behaviors. This intervention proved to be more effective than that in the control group.

Supplement Files

Keywords : Autism, dental health, nutrition management, psychoeducation

  1. AbdAllah, E. A., Metwalli, N. E., & Badran, A. S. (2018). Effectiveness of a one year oral health educational and preventive program in improving oral health knowledge and ral hygiene practices of a group of Autistic Egyptian children and their caregivers. Future Dental Journal, 4(1), 23–29. https://doi.org/10.1016/j.fdj.2018.02.001
  2. Alhumaid, J., Gaffar, B., Alyousef, Y., Alshuraim, F., Alhareky, M., & El Tantawi, M. (2020). Oral Health of Children with Autism: The Influence of Parental Attitudes and Willingness in Providing Care. Scientific World Journal, 2020. https://doi.org/10.1155/2020/8329426
  3. Bai, G. N., Wang, Y. F., Yang, L., & Niu, W. Y. (2015). Effectiveness of a focused, brief psychoeducation program for parents of ADHD children: Improvement of medication adherence and symptoms. Neuropsychiatric Disease and Treatment, 11, 2721–2735. https://doi.org/10.2147/NDT.S88625
  4. Baspinar, B., & Yardimci, H. (2020). Gluten-free casein-free diet for autism spectrum disorders: Can it be effective in solving behavioural and gastrointestinal problems? In Eurasian Journal of Medicine (Vol. 52, Issue 3, pp. 292–297). AVES. https://doi.org/10.5152/eurasianjmed.2020.19230
  5. Doreswamy, S., Bashir, A., Guarecuco, J. E., Lahori, S., Baig, A., Narra, L. R., Patel, P., & Heindl, S. E. (2020). Effects of Diet, Nutrition, and Exercise in Children With Autism and Autism Spectrum Disorder: A Literature Review. Cureus. https://doi.org/10.7759/cureus.12222
  6. Duker, L. I. S., Henwood, B. F., Bluthenthal, R. N., Juhlin, E., Polido, J. C., & Cermak, S. A. (2017). Parents’ perceptions of dental care challenges in male children with autism spectrum disorder: An initial qualitative exploration. Research in Autism Spectrum Disorders, 39, 63–72. https://doi.org/10.1016/j.rasd.2017.03.002
  7. Essa, M. M. (2020). Advances in Neurobiology 24 Personalized Food Intervention and Therapy for Autism Spectrum Disorder Management (M. W. Qorronfleh, Ed.; Vol. 24). Springer. http://www.springer.com/series/8787
  8. Fan, H., Cheung, W., Lam, K., Lau, A., Leung, W., Tang, K., Tse, K., Gao, X., & McGrath, C. (2018). Brush Up to A Healthy Smile for Children with Autism.
  9. Fraguas D, Díaz-Caneja CM, Pina-Camacho L, et al. Dietary Interventions for Autism Spectrum Disorder: A Meta-analysis. Pediatrics. 2019;144(5):e20183218
  10. Gonçalves, J. D. A., Moreira, E. A. M., Rauen, M. S., Rossi, A., & Borgatto, A. F. (2016). Associations Between Caries Experience, Nutritional Status, Oral Hygiene, and Diet in a Multigenerational Cohort. Pediatr Dent, 38(3), 203–211.
  11. Karhu, E., Zukerman, R., Eshraghi, R. S., Mittal, J., Deth, R. C., Castejon, A. M., Trivedi, M., Mittal, R., & Eshraghi, A. A. (2020). Nutritional interventions for autism spectrum disorder. Nutrition Reviews, 78(7), 515–531. https://doi.org/10.1093/nutrit/nuz092
  12. Kotha, S. B., AlFaraj, N. S. M., Ramdan, T. H., Alsalam, M. A., Al Ameer, M. J., & Almuzin, Z. M. (2018). Associations between diet, dietary and oral hygiene habits with caries occurrence and severity in children with autism at dammam city, Saudi Arabia. Open Access Macedonian Journal of Medical Sciences, 6(6), 1104–1110. https://doi.org/10.3889/oamjms.2018.245
  13. Moorthy, L., Dixit, U. B., Kole, R. C., & Gajre, M. P. (2022). Dietary Sugar Exposure and Oral Health Status in Children with Autism Spectrum Disorder: A Case-control Study. Journal of Autism and Developmental Disorders, 52(6), 2523–2534. https://doi.org/10.1007/s10803-021-05151-0
  14. Naidoo, M., & Singh, S. (2018). The Oral health status of children with autism Spectrum disorder in KwaZulu-Nata, South Africa. BMC Oral Health, 18(1). https://doi.org/10.1186/s12903-018-0632-1
  15. Nur, A., Retnowati, S., Sitaresmi, M. N., & Utomo, R. B. (2022). The Development of Psycho-educational Module of Dental Management for Primary Caregivers and Teachers of Autism Children: A Qualitative Study in Special Region of Yogyakarta, Indonesia. Open Access Macedonian Journal of Medical Sciences, 10(G), 253–259. https://doi.org/10.3889/oamjms.2022.8550
  16. Orellana, L. M., Cantero-Fuentealba, C., Schmidlin-Espinoza, L., & Luengo, L. (2019). Psychoeducational intervention to improve oral assessment in people with autism spectrum disorder, BIO-BIO region, Chile. Medicina Oral Patologia Oral y Cirugia Bucal, 24(1), e37–e46. https://doi.org/10.4317/medoral.22560
  17. Pusdatin Kemendikbud. (2021). STATISTIK SEKOLAH LUAR BIASA (SLB) 2020/2021.
  18. Qiao, Y., Shi, H., Wang, H., Wang, M., & Chen, F. (2020). Oral Health Status of Chinese Children With Autism Spectrum Disorders. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.00398
  19. Rachmawati, D., & Ermawati, T. (2019). Status Kebersihan Mulut dan Karies Pada Siswa Berkebutuhan Khusus di SLB Autis dan TPA B SLB Branjangan Kabupaten Jember. Warta Pengabdian, 13(3). https://doi.org/10.19184/wrtp.v13i3.9501
  20. Ranjan, S., & Nasser, J. A. (2015). Nutritional status of individuals with autism spectrum disorders: Do we know enough? Advances in Nutrition, 6(4), 397–407. https://doi.org/10.3945/an.114.007914
  21. Sarnat, H., Samuel, E., Ashkenazi-Alfasi, N., Peretz, B., Practice, P., & Tikva, P. (2016). Oral Health Characteristics of Preschool Children with Autistic Syndrome Disorder. In Oral Health Characteristics of Preschool Children with Autistic Syndrome Disorder The Journal of Clinical Pediatric Dentistry (Vol. 40, Issue 1). http://meridian.allenpress.com/jcpd/article-pdf/40/1/21/1751984/1053-4628-40_1_21.pdf
  22. Suarez, M. A. (2018). Feasibility exploration of electrodermal response to food in children with ASD compared to typically developing children. The Open Journal of Occupational Therapy, 6(1), 5

Open Access Copyright (c) 2024 Arnela Nur, Sisca Mardelita, Intan Liana, Cut Ratna Keumala, Linda Suryani, Nunung Sri Mulyani
Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
Soekarno-Hatta Street, No. 168. Health Polytechnic of Aceh, Aceh Besar, 23352. Telp/Fax: 0651 46126 / 0651 46121.
Website: https://gizipoltekkesaceh.ac.id/
E-mail: jurnal6121@gmail.com

e-issn: 2548-5741, p-issn: 2527-3310

All content is licensed under a: Creative Commons Attribution ShareAlike 4.0 International License

View My Stats

Get a feed by atom here, RRS2 here and OAI Links here