Adolescent Behavior, Change; Cognitive, Child Behavior, Oral Manifestations
Conditions
Keywords
clinical study, cognitive behavioral therapy, oral health, twins, motivational guidance, preference patients
Brief summary
The objective of this study is to verify the changing habits and their maintenance after using cognitive behavioral therapy, exploring factors that may be associated with these stages and the moment in which they occur.
Detailed description
The objective of this clinical trial is to verify the time until changing habits and their maintenance after using cognitive behavioral therapy, exploring the following factors that may be associated with these stages and the moment in which they occur: * Evaluate the cost-effectiveness of guidance based on cognitive behavioral therapy in relation to changes aimed at oral hygiene and diet habits, through a before and after study; * Investigate individual and contextual preferences associated with adherence and maintenance of behaviors associated with oral health (diet and oral hygiene) through a Discrete Choice Experiment (DCE) * Measure the effect of retaining hygiene and diet guidance on pairs who did not submit the calendar and on those who submitted the calendar.
Interventions
BEHAVIORALPrincipals of cognitive behavioral therapy on guided changing hygiene and sugar comsuption habits
The twin pairs will also receive guidance on healthy sugar consumption and oral hygiene habits, as the first intervention among the dental interventions received. For the baseline assessment, each participant answered a questionnaire about their diet the day before and about oral hygiene, in addition to demonstrating how they perform it. Thus, the cognitive behavioral theory was applied, so that the participant can record the goals achieved weekly and monthly.
Sponsors
Fundação de Amparo à Pesquisa do Estado de São Paulo
Conselho Nacional de Desenvolvimento Científico e Tecnológico
University of Sao Paulo
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 14 Years
Healthy volunteers
Yes
Inclusion criteria
* Twin children born at the Hospital de Clínicas de São Paulo between 2007 and 2014; * Children whose mothers were followed up at the Multiple Pregnancy Unit; * Guardians who sign the informed consent form; * Children who sign the assent form.
Exclusion criteria
* Children whose families that cannot be contacted by phone call, email, or social media; * Children with medical or psychological conditions that prevent safe participation in the dental research.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changing hygiene habits and sugar consumption in children and adolescents | 6 months | Assessed using a 12-point checklist performed at baseline and at 6 month follow-ups |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Preference for attributes associated with adherence to oral health-related behavior | 24 months | It will be measured after 12 months of the intervention (guidance and motivation) applied to the twins through a Discrete Choice Experiment |
| Maintenance hygiene habits and sugar consumption in children and adolescents | 12, 18, 24 months | Assessed using a 12-point checklist performed at baseline and at 12, 18 and 24 month follow-ups, in which it will be assessed whether there was improvement, worsening or return to initial conditions. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Costs associated with the initial intervention that resulted in the effect of habit change | 24 months | For the costs, the direct and indirect costs necessary for the intervention carried out at baseline and at the 6, 12, 18 and 24 month follow-ups were considered |
| Visual attention metrics | 24 months | Examples of metrics evaluated will be viewing time, fixations, saccades, among others, which will be measured by the eye-tracking device, during the use of images, videos and demonstrations in models during the evaluation process. Visual reports such as gaze plots (gaze plots) and heat maps (areas of greatest gaze fixation - heatmaps) will also be analyzed. |
Countries
Brazil
Outcome results
None listed