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dc.contributor.authorErwin, J
dc.contributor.authorPaisi, Martha
dc.contributor.authorNeill, Sarah
dc.contributor.authorBurns, Lorna
dc.contributor.authorVassallo, I
dc.contributor.authorNelder, A
dc.contributor.authorFacenfield, J
dc.contributor.authorDevalia, U
dc.contributor.authorVassallo, Tara
dc.contributor.authorWitton, Robert
dc.date.accessioned2022-07-05T10:01:27Z
dc.date.issued2022-06-18
dc.identifier.issn1369-6513
dc.identifier.issn1369-7625
dc.identifier.urihttp://hdl.handle.net/10026.1/19393
dc.description.abstract

<jats:title>Abstract</jats:title><jats:sec><jats:title>Background</jats:title><jats:p>Autistic children and young people (CYP) experience oral health (OH) inequalities. They are at high risk of dental disease and show significant levels of unmet need in relation to OH and access to dental care.</jats:p></jats:sec><jats:sec><jats:title>Aim</jats:title><jats:p>This study aimed to gather evidence on the factors that influence OH behaviours, access to and delivery of dental care for autistic CYP.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>This was a mixed‐methods narrative systematic review.</jats:p></jats:sec><jats:sec><jats:title>Data Sources</jats:title><jats:p>Embase, Web of Science, Dentistry &amp; Oral Sciences Source, MEDLINE, Psychinfo, Scopus, CINAHL, SocINDEX and grey literature were the data sources for this study.</jats:p></jats:sec><jats:sec><jats:title>Review Methods</jats:title><jats:p>A systematic search was conducted for qualitative, quantitative and mixed‐methods research studies from countries with a High Development Index that related to OH behaviours, access to and delivery of dental care for autistic CYP. Results were analysed using narrative synthesis.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>From 59 eligible studies, 9 themes were generated: (1) affordability and accessibility; (2) autism‐related factors and cognitive or motor skill differences; (3) the dental environment; (4) managing CYP's behaviour; (5) responding and adapting to the needs of the autistic CYP and their parent/carer; (6) attitude of dental health professionals (DHPs) towards autistic CYP and their parents/carers; (7) knowledge of how to care for and support CYP's OH; (8) empowerment of parents/carers and collaboration with DHPs; and (9) communication and building rapport.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The adoption of healthy OH behaviours and access to dental care by autistic CYP is impacted by a range of factors including those intrinsically related to a diagnosis of autism, for example, communication and those often associated with autism, for example, sensory sensitivities. Access to better OH and dental care can be facilitated by responding to the individual needs of autistic CYP through accommodation, education and adaptation. This necessitates greater awareness and knowledge of autism amongst DHPs and the provision of appropriate services. More methodologically robust intervention studies are needed to identify effective ways to support autistic CYP in achieving good OH and access to dental care.</jats:p></jats:sec><jats:sec><jats:title>Patient and Public Contribution</jats:title><jats:p>The review protocol was developed with members of the project patient and public involvement group who provided the autistic voice, contributing to the interpretation of the review findings and writing of the manuscript.</jats:p></jats:sec>

dc.format.extent1269-1318
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoeng
dc.publisherWiley
dc.subjectaccess to dental care
dc.subjectautism
dc.subjectdelivery of dental care
dc.subjectdental care
dc.subjectnarrative systematic review
dc.subjectoral health
dc.titleFactors influencing oral health behaviours, access and delivery of dental care for autistic children and adolescents: A mixed‐methods systematic review
dc.typejournal-article
dc.typeJournal Article
dc.typeReview
dc.typeSystematic Review
dc.typeResearch Support, Non-U.S. Gov't
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000812626100001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue4
plymouth.volume25
plymouth.publication-statusPublished
plymouth.journalHealth Expectations
dc.identifier.doi10.1111/hex.13544
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Arts, Humanities and Business
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Dental School
plymouth.organisational-group/Plymouth/Faculty of Health/School of Nursing and Midwifery
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/FoH - Community and Primary Care
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dcterms.dateAccepted2022-05-17
dc.rights.embargodate2022-7-6
dc.identifier.eissn1369-7625
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1111/hex.13544
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2022-06-18
rioxxterms.typeJournal Article/Review


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