Application of psychological behavioural therapies in improving oral health for children and adolescents with autism spectrum disorder: A systematic review and meta-analysis / Phoebe Pui Ying LAM in Autism, 29-11 (November 2025)  

Public ISBD [article]  inAutism > 29-11 (November 2025) . - p.2662-2676 Titre : Application of psychological behavioural therapies in improving oral health for children and adolescents with autism spectrum disorder: A systematic review and meta-analysis Type de document : texte imprimé Auteurs : Phoebe Pui Ying LAM, Auteur ; Elise Hoi Wan FOK, Auteur ; Megan Yuen Tung CHAN, Auteur ; Colman P. MCGRATH, Auteur ; Cynthia Kar YUNG YIU, Auteur Article en page(s) : p.2662-2676 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder  behaviour modification  oral health  oral hygiene  systematic review Index. décimale : PER Périodiques Résumé : This systematic review aimed to summarize the current evidence on the effectiveness of various psychological behavioural therapies in improving oral hygiene maintenance habits and oral health among children with autism. Independent screening and study selection, data extraction, risk of bias assessment, and evaluation of the certainty of evidence were conducted. A total of 16 studies were deemed eligible for qualitative synthesis, with 9 included in quantitative analyses. Psychological behavioural therapies including visual pedagogies, social stories, components of PECS (Picture Exchange Communication System) and Applied Behavioural Analysis, as well as the use of smart device applications all demonstrated improvement in oral health parameters following implementation. However, most studies lacked control groups and exhibited a high risk of bias due to the lack of reporting or failure to account for autism spectrum disorder (ASD) severity and associated comorbidities. In addition, studies typically relied on caregivers to carry out reinforcement of therapies, which may explain the significant heterogeneity observed. In summary, the evidence supporting the use of psychoeducational techniques to improve the oral health parameters of autistic children is limited and of very low certainty. Further research utilizing larger-scale studies and more rigorous study designs is necessary to enhance the certainty of evidence in this field.Lay abstract This review looked at existing studies to see how effective different psychological and behavioural therapies are in helping children with autism take better care of their teeth and maintain good oral health. The researchers carefully selected and analysed 16 studies, with 9 of those used for detailed analysis. The therapies examined included visual tools, social stories, parts of the Picture Exchange Communication System (PECS), Applied Behavioural Analysis (ABA), and smartphone apps. Overall, these approaches showed some improvements in oral health. However, many of the studies had weaknesses, such as not having control groups or not fully considering the severity of the autistic conditions or if other medical conditions are present. In short, the current evidence that these therapies help improve oral health in children with autism is limited and not very strong. More high-quality research with larger groups of children is needed to better understand what works best. En ligne : https://dx.doi.org/10.1177/13623613251372276 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=570 [article] Application of psychological behavioural therapies in improving oral health for children and adolescents with autism spectrum disorder: A systematic review and meta-analysis [texte imprimé] / Phoebe Pui Ying LAM, Auteur ; Elise Hoi Wan FOK, Auteur ; Megan Yuen Tung CHAN, Auteur ; Colman P. MCGRATH, Auteur ; Cynthia Kar YUNG YIU, Auteur . - p.2662-2676. Langues : Anglais (eng) in Autism > 29-11 (November 2025) . - p.2662-2676 Mots-clés : Autism Spectrum Disorder  behaviour modification  oral health  oral hygiene  systematic review Index. décimale : PER Périodiques Résumé : This systematic review aimed to summarize the current evidence on the effectiveness of various psychological behavioural therapies in improving oral hygiene maintenance habits and oral health among children with autism. Independent screening and study selection, data extraction, risk of bias assessment, and evaluation of the certainty of evidence were conducted. A total of 16 studies were deemed eligible for qualitative synthesis, with 9 included in quantitative analyses. Psychological behavioural therapies including visual pedagogies, social stories, components of PECS (Picture Exchange Communication System) and Applied Behavioural Analysis, as well as the use of smart device applications all demonstrated improvement in oral health parameters following implementation. However, most studies lacked control groups and exhibited a high risk of bias due to the lack of reporting or failure to account for autism spectrum disorder (ASD) severity and associated comorbidities. In addition, studies typically relied on caregivers to carry out reinforcement of therapies, which may explain the significant heterogeneity observed. In summary, the evidence supporting the use of psychoeducational techniques to improve the oral health parameters of autistic children is limited and of very low certainty. Further research utilizing larger-scale studies and more rigorous study designs is necessary to enhance the certainty of evidence in this field.Lay abstract This review looked at existing studies to see how effective different psychological and behavioural therapies are in helping children with autism take better care of their teeth and maintain good oral health. The researchers carefully selected and analysed 16 studies, with 9 of those used for detailed analysis. The therapies examined included visual tools, social stories, parts of the Picture Exchange Communication System (PECS), Applied Behavioural Analysis (ABA), and smartphone apps. Overall, these approaches showed some improvements in oral health. However, many of the studies had weaknesses, such as not having control groups or not fully considering the severity of the autistic conditions or if other medical conditions are present. In short, the current evidence that these therapies help improve oral health in children with autism is limited and not very strong. More high-quality research with larger groups of children is needed to better understand what works best. En ligne : https://dx.doi.org/10.1177/13623613251372276 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=570

Autism Developmental Profiles and Cooperation with Oral Health Screening / Rennan Y. DU in Journal of Autism and Developmental Disorders, 45-9 (September 2015)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 45-9 (September 2015) . - p.2758-2763 Titre : Autism Developmental Profiles and Cooperation with Oral Health Screening Type de document : texte imprimé Auteurs : Rennan Y. DU, Auteur ; Cynthia C.Y. YIU, Auteur ; Virginia C.N. WONG, Auteur ; Colman P. MCGRATH, Auteur Article en page(s) : p.2758-2763 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders  Developmental profiles  Cooperation  Oral health screening Index. décimale : PER Périodiques Résumé : To determine the associations between autism developmental profiles and cooperation with an oral health screening among preschool children with autism spectrum disorders (ASDs). A random sample of Special Child Care Centres registered with the Government Social Welfare Department in Hong Kong was selected (19 out of 37 Centres). All preschool children with ASDs were invited to participate in the oral health survey and 347 children agreed to participate (among 515 invited). A checklist of autism developmental profiles: (1) level of cognitive functioning, (2) social skills development, (3) communication skills development, (4) reading skills and (5) challenging behaviours was ascertained. Feasibility of conducting oral health screening in preschool children with ASDs was associated with their cognitive functioning (p = 0.001), social skills development (p = 0.002), communication skills development (p < 0.001), reading skills (p < 0.001) and challenging behaviours (p = 0.06). In regression analyses accounting for age (in months) and gender, inability to cooperate with an oral health screening was associated with high level of challenging behaviours (OR 10.50, 95 % CI 2.89–38.08, p < 0.001) and reduced cognitive functioning (OR 5.29, 95 % CI 1.14–24.61, p = 0.034). Age (in months) was positively associated with likelihood of cooperative behaviour with an oral health screening (OR 1.06, 95 % CI 1.03, 1.08, p < 0.001). Feasibility of conducting population-wide oral health screening among preschool children with ASDs is associated with their developmental profiles; and in particular levels of cognitive functioning, and challenging behaviours. En ligne : http://dx.doi.org/10.1007/s10803-015-2416-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=267 [article] Autism Developmental Profiles and Cooperation with Oral Health Screening [texte imprimé] / Rennan Y. DU, Auteur ; Cynthia C.Y. YIU, Auteur ; Virginia C.N. WONG, Auteur ; Colman P. MCGRATH, Auteur . - p.2758-2763. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 45-9 (September 2015) . - p.2758-2763 Mots-clés : Autism spectrum disorders  Developmental profiles  Cooperation  Oral health screening Index. décimale : PER Périodiques Résumé : To determine the associations between autism developmental profiles and cooperation with an oral health screening among preschool children with autism spectrum disorders (ASDs). A random sample of Special Child Care Centres registered with the Government Social Welfare Department in Hong Kong was selected (19 out of 37 Centres). All preschool children with ASDs were invited to participate in the oral health survey and 347 children agreed to participate (among 515 invited). A checklist of autism developmental profiles: (1) level of cognitive functioning, (2) social skills development, (3) communication skills development, (4) reading skills and (5) challenging behaviours was ascertained. Feasibility of conducting oral health screening in preschool children with ASDs was associated with their cognitive functioning (p = 0.001), social skills development (p = 0.002), communication skills development (p < 0.001), reading skills (p < 0.001) and challenging behaviours (p = 0.06). In regression analyses accounting for age (in months) and gender, inability to cooperate with an oral health screening was associated with high level of challenging behaviours (OR 10.50, 95 % CI 2.89–38.08, p < 0.001) and reduced cognitive functioning (OR 5.29, 95 % CI 1.14–24.61, p = 0.034). Age (in months) was positively associated with likelihood of cooperative behaviour with an oral health screening (OR 1.06, 95 % CI 1.03, 1.08, p < 0.001). Feasibility of conducting population-wide oral health screening among preschool children with ASDs is associated with their developmental profiles; and in particular levels of cognitive functioning, and challenging behaviours. En ligne : http://dx.doi.org/10.1007/s10803-015-2416-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=267

Developing a Toothbrushing Visual Pedagogy (TBVP) for Preschool Children with Autism Spectrum Disorder / Rennan Yanlin DU in Journal of Autism and Developmental Disorders, 52-1 (January 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-1 (January 2022) . - p.327-338 Titre : Developing a Toothbrushing Visual Pedagogy (TBVP) for Preschool Children with Autism Spectrum Disorder Type de document : texte imprimé Auteurs : Rennan Yanlin DU, Auteur ; Weipeng YANG, Auteur ; Phoebe Pui Ying LAM, Auteur ; Cynthia K.Y. YIU, Auteur ; Colman P. MCGRATH, Auteur Article en page(s) : p.327-338 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder  Child, Preschool  Humans  Learning  Toothbrushing  Autism spectrum disorder  Life skills  Oral hygiene  Preschool children  Toothbrushing visual pedagogy Index. décimale : PER Périodiques Résumé : Visual pedagogy and social stories have been widely used to assist children with Autism Spectrum Disorder (ASD) in learning various skills. A toothbrushing visual pedagogy (TBVP) was developed adapting existing toothbrushing social stories for children with ASD. This TBVP consists of 13 toothbrushing steps with scripts describing the toothbrushing technique. To evaluate its feasibility, a review panel was formed to provide feedback on the TBVP and three other published toothbrushing social stories. Effectiveness of the TBVP was further evaluated among 119 preschool children with ASD with significant improvements in toothbrushing skills observed at 3-month and 6-month follow-ups. It is concluded that TBVP is a feasible and an effective educational means that assists children with ASD in learning toothbrushing skills. En ligne : http://dx.doi.org/10.1007/s10803-021-04946-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455 [article] Developing a Toothbrushing Visual Pedagogy (TBVP) for Preschool Children with Autism Spectrum Disorder [texte imprimé] / Rennan Yanlin DU, Auteur ; Weipeng YANG, Auteur ; Phoebe Pui Ying LAM, Auteur ; Cynthia K.Y. YIU, Auteur ; Colman P. MCGRATH, Auteur . - p.327-338. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-1 (January 2022) . - p.327-338 Mots-clés : Autism Spectrum Disorder  Child, Preschool  Humans  Learning  Toothbrushing  Autism spectrum disorder  Life skills  Oral hygiene  Preschool children  Toothbrushing visual pedagogy Index. décimale : PER Périodiques Résumé : Visual pedagogy and social stories have been widely used to assist children with Autism Spectrum Disorder (ASD) in learning various skills. A toothbrushing visual pedagogy (TBVP) was developed adapting existing toothbrushing social stories for children with ASD. This TBVP consists of 13 toothbrushing steps with scripts describing the toothbrushing technique. To evaluate its feasibility, a review panel was formed to provide feedback on the TBVP and three other published toothbrushing social stories. Effectiveness of the TBVP was further evaluated among 119 preschool children with ASD with significant improvements in toothbrushing skills observed at 3-month and 6-month follow-ups. It is concluded that TBVP is a feasible and an effective educational means that assists children with ASD in learning toothbrushing skills. En ligne : http://dx.doi.org/10.1007/s10803-021-04946-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=455

Efficacy of Social Story Intervention in Training Toothbrushing Skills Among Special-Care Children With and Without Autism / Ni ZHOU in Autism Research, 13-4 (April 2020)  

Public ISBD [article]  inAutism Research > 13-4 (April 2020) . - p.666-674 Titre : Efficacy of Social Story Intervention in Training Toothbrushing Skills Among Special-Care Children With and Without Autism Type de document : texte imprimé Auteurs : Ni ZHOU, Auteur ; Hai Ming WONG, Auteur ; Colman P. MCGRATH, Auteur Article en page(s) : p.666-674 Langues : Anglais (eng) Mots-clés : autism  pediatric  social story  toothbrushing  training Index. décimale : PER Périodiques Résumé : Toothbrushing is a routine practice for oral hygiene maintenance. It is also a challenging task for young children with special care needs. In this study, social stories were employed to teach toothbrushing skills for preschool children with special needs. Those children were recruited from the Special Child Care Centers, including 87 children with autism and 94 children without autism. A validated toothbrushing social story was used to demonstrate the toothbrushing procedure for all the recruited children. Parents were encouraged to show the stories to their children before or during their daily toothbrushing. Children's toothbrushing performance, oral hygiene status, and gingival health status were assessed at baseline and 6 months. Toothbrushing performance, oral hygiene, and gingival status of the recruited children were significantly improved after using social stories. Moreover, children with autism showed better oral hygiene status (P = 0.01) and better gingival status (P < 0.001) than their peers without autism. However, there were no significant differences in the toothbrushing performance among children with and without autism. The regression models indicated that the improvement of children's toothbrushing performance and oral health status were associated with children's intellectual functioning and parents' attitudes toward the usefulness of social story intervention. The principal findings suggested that social story intervention could be used to improve toothbrushing skills among children with or without autism, while it was more efficient in improving the oral hygiene status among children with autism. Autism Res 2020, 13: 666-674. (c) 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Toothbrushing is considered as a basic self-care practice that should be advocated in early childhood. We used social stories to train toothbrushing skills among preschoolers with special care needs. The toothbrushing skills of the recruited children were significantly improved after 6-months intervention, and children with autism showed better oral hygiene status than their peers without autism. These findings suggested that social story-based health promotion could be implemented among children with special needs. En ligne : http://dx.doi.org/10.1002/aur.2256 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=421 [article] Efficacy of Social Story Intervention in Training Toothbrushing Skills Among Special-Care Children With and Without Autism [texte imprimé] / Ni ZHOU, Auteur ; Hai Ming WONG, Auteur ; Colman P. MCGRATH, Auteur . - p.666-674. Langues : Anglais (eng) in Autism Research > 13-4 (April 2020) . - p.666-674 Mots-clés : autism  pediatric  social story  toothbrushing  training Index. décimale : PER Périodiques Résumé : Toothbrushing is a routine practice for oral hygiene maintenance. It is also a challenging task for young children with special care needs. In this study, social stories were employed to teach toothbrushing skills for preschool children with special needs. Those children were recruited from the Special Child Care Centers, including 87 children with autism and 94 children without autism. A validated toothbrushing social story was used to demonstrate the toothbrushing procedure for all the recruited children. Parents were encouraged to show the stories to their children before or during their daily toothbrushing. Children's toothbrushing performance, oral hygiene status, and gingival health status were assessed at baseline and 6 months. Toothbrushing performance, oral hygiene, and gingival status of the recruited children were significantly improved after using social stories. Moreover, children with autism showed better oral hygiene status (P = 0.01) and better gingival status (P < 0.001) than their peers without autism. However, there were no significant differences in the toothbrushing performance among children with and without autism. The regression models indicated that the improvement of children's toothbrushing performance and oral health status were associated with children's intellectual functioning and parents' attitudes toward the usefulness of social story intervention. The principal findings suggested that social story intervention could be used to improve toothbrushing skills among children with or without autism, while it was more efficient in improving the oral hygiene status among children with autism. Autism Res 2020, 13: 666-674. (c) 2019 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: Toothbrushing is considered as a basic self-care practice that should be advocated in early childhood. We used social stories to train toothbrushing skills among preschoolers with special care needs. The toothbrushing skills of the recruited children were significantly improved after 6-months intervention, and children with autism showed better oral hygiene status than their peers without autism. These findings suggested that social story-based health promotion could be implemented among children with special needs. En ligne : http://dx.doi.org/10.1002/aur.2256 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=421

Erratum to: Autism Developmental Profiles and Cooperation with Oral Health Screening / Rennan Y. DU in Journal of Autism and Developmental Disorders, 46-3 (March 2016)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 46-3 (March 2016) . - p.1131-1131 Titre : Erratum to: Autism Developmental Profiles and Cooperation with Oral Health Screening Type de document : texte imprimé Auteurs : Rennan Y. DU, Auteur ; Cynthia K.Y. YIU, Auteur ; Virginia C.N. WONG, Auteur ; Colman P. MCGRATH, Auteur Article en page(s) : p.1131-1131 Langues : Anglais (eng) Index. décimale : PER Périodiques En ligne : http://dx.doi.org/10.1007/s10803-015-2604-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=282 [article] Erratum to: Autism Developmental Profiles and Cooperation with Oral Health Screening [texte imprimé] / Rennan Y. DU, Auteur ; Cynthia K.Y. YIU, Auteur ; Virginia C.N. WONG, Auteur ; Colman P. MCGRATH, Auteur . - p.1131-1131. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 46-3 (March 2016) . - p.1131-1131 Index. décimale : PER Périodiques En ligne : http://dx.doi.org/10.1007/s10803-015-2604-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=282

Oral health among preschool children with autism spectrum disorders: A case-control study / Rennan Y. DU in Autism, 19-6 (August 2015)  

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Oral health status of children and adolescents with autism spectrum disorder: A systematic review of case-control studies and meta-analysis / Phoebe Pui Ying LAM in Autism, 24-5 (July 2020)  

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Psychological behavioral therapies to improve autistic children?s behaviors during dental visits: A systematic review and meta-analysis / Fok Elise HOI WAN ; Chan Yuen TUNG MEGAN ; Leung Chung MING ; Colman P. MCGRATH ; Yiu Cynthia KAR YUNG in Autism, 28-12 (December 2024)  

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