How do parents in Southeast Mexico perceive protective stabilization? A qualitative study

Alicia Leonor Pinzón Te; Fabio Gregorio Arriola-Pacheco; Aime Arellano Lucero; José Ladislao López Osorio; Rodrigo Serrano ¨Piña; Martha Gabriela Chuc Gamboa

doi:10.47990/nxn1ab69

Autores/as

Alicia Leonor Pinzón Te Universidad Autónoma de Yucatán, México https://orcid.org/0000-0003-0467-6916
Fabio Gregorio Arriola Pacheco Universidad Autonoma de Yucatan, México https://orcid.org/0000-0001-5858-1301
Aime Arellano Lucero Universidad Autónoma de Yucatán, México https://orcid.org/0009-0002-0176-9359
José Ladislao López Osorio Escuela Normal para Educación Preescolar , Yucatán, México https://orcid.org/0000-0002-4916-8926
Rodrigo Serrano ¨Piña Universidad Autónoma de Yucatán, México https://orcid.org/0000-0003-4635-4886
Martha Gabriela Chuc Gamboa Universidad Autónoma de Yucatán, México https://orcid.org/0000-0002-5973-4290

DOI:

https://doi.org/10.47990/nxn1ab69

Palabras clave:

Odontología Pediátrica, Conducta Infantil, Percepción Social, Investigación Cualitativa, Control de la Conducta

Resumen

Introducción: Dentro de las técnicas de guía conductual, la estabilización protectora sigue siendo un abordaje no farmacológico controversial. Comprender las perspectivas sobre la estabilización protectora en diferentes cohortes parentales de diversos espectros culturales es relevante en el contexto contemporáneo. Objetivo: Analizar cualitativamente la percepción de los padres en el sureste de México, cuyos hijos asistieron a una clínica de residencia en odontología pediátrica, respecto al uso de la estabilización protectora como técnica de guia conductual. Métodos: Se realizaron grupos focales con 15 padres, después de una proyección de video en la que se demostraron el uso, las indicaciones, los beneficios y las limitaciones de la técnica de estabilización protectora. Los temas de importancia, necesidad, respuesta afectuosa, riesgos o daños percibidos, beneficios y aceptabilidad del uso de la técnica fueron utilizados para guiar los diálogos. Las sesiones fueron grabadas en audio y luego transcritas para su análisis Resultados: El análisis cualitativo deductivo de los datos, reveló que los padres generalmente aceptaron que el uso de la estabilización protectora era necesario para llevar a cabo tratamientos odontológicos seguros y eficaces. Se compartieron preocupaciones respecto a potenciales daños físicos y psicológicos, pero los padres generalmente coincidieron en que los beneficios superaban los riesgos cuando los tratamientos eran necesarios. Conclusiones: En el presente contexto, la estabilización protectora fue aceptada por los padres cuando esta estaba indicaba y era necesaria para cumplir con tratamientos odontológicos pediátricos seguros. Esto es relevante en contextos donde las técnicas farmacológicas de manejo del comportamiento no están tan fácilmente disponibles.

Referencias

1. Strange DM. The evolution of behavior guidance: a history of professional, practice, corporate and societal influences. Pediatr Dent [Internet]. 2014;36(2):128–31. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24717750

2. Goleman J. Cultural factors affecting behavior guidance and family compliance. Pediatr Dent [Internet]. 2014;36(2):121–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24717749

3. Dhar V, Gosnell E, Jayaraman J, Law C, Majstorović M, Marghalani AA, et al. Nonpharmacological Behavior Guidance for the Pediatric Dental Patient. Pediatr Dent [Internet]. 2023; 15;45(5):385–410. Available from: http://www.ncbi.nlm.nih.gov/pubmed/37904260

4. Chang CT, Badger GR, Acharya B, Gaw AF, Barratt MS, Chiquet BT. Influence of Ethnicity on Parental Preference for Pediatric Dental Behavioral Management Techniques. Pediatr Dent [Internet]. 2018; 15;40(4):265–72. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30345965

5. Theriot AL, Gomez L, Chang CT, Badger GR, Herbert AK, Cardenas Vasquez JM, et al. Ethnic and language influence on parents’ perception of paediatric behaviour management techniques. Int J Paediatr Dent [Internet]. 2019;29(3):301–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30618210

6. Al Zoubi L, Schmoeckel J, Mustafa Ali M, Splieth CH. Parental acceptance of advanced behaviour management techniques in paediatric dentistry in families with different cultural background. Eur Arch Paediatr Dent [Internet]. 2021; 1;22(4):707–13. Available from: http://www.ncbi.nlm.nih.gov/pubmed/33768499

7. Townsend JA, Peng J, McDaniel JC, Casamassimo PS. Acceptability of medical immobilization: Results from a pilot international survey. Int J Paediatr Dent [Internet]. 2022; 1;32(5):693–701. Available from: http://www.ncbi.nlm.nih.gov/pubmed/34923688

8. American Academy of Pediatric Dentistry. Use of Protective Stabilization for Pediatric Dental Patients. The Reference Manual of Pediatric Dentistry [Internet]. 2024;379–85. Available from: https://www.aapd.org/media/Policies_Guidelines/BP_Protective.pdf

9. Peretz B, Kharouba J, Blumer S. Pattern of parental acceptance of management techniques used in pediatric dentistry. J Clin Pediatr Dent [Internet]. 2013;38(1):27–30. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24579279

10. Martinez Mier EA, Walsh CR, Farah CC, Vinson LA, Soto-Rojas AE, Jones JE. Acceptance of Behavior Guidance Techniques Used in Pediatric Dentistry by Parents From Diverse Backgrounds. Clin Pediatr (Phila) [Internet]. 2019;58(9):977–84. Available from: http://www.ncbi.nlm.nih.gov/pubmed/31068000

11. Boka V, Arapostathis K, Vretos N, Kotsanos N. Parental acceptance of behaviour-management techniques used in paediatric dentistry and its relation to parental dental anxiety and experience. Eur Arch Paediatr Dent [Internet]. 2014;15(5):333–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24676547

12. Ilha MC, Feldens CA, Razera J, Vivian AG, de Rosa Barros Coelho EM, Kramer PF. Protective stabilization in pediatric dentistry: A qualitative study on the perceptions of mothers, psychologists, and pediatric dentists. Int J Paediatr Dent [Internet]. 2021; 1;31(5):647–56. Available from: http://www.ncbi.nlm.nih.gov/pubmed/33220112

13. Wan Mokhtar I, Syazana Mohd Suhaimi A, Suryalis Ahmad M, Hazwani Baharuddin I, Iryani Izzaty Andytan N. The Papoose Boar apoose Board: Parents’ Perceptions and Attitudes of of Its Usage in Their Child’s Dental Treatment. Journal of Dentistry Indonesia [Internet]. 2019;26(3). Available from: https://scholarhub.ui.ac.id/jdi/vol26/iss3/3/

14. Patel M, McTigue DJ, Thikkurissy S, Fields HW. Parental Attitudes Toward Advanced Behavior Guidance Techniques Used in Pediatric Dentistry. Pediatr Dent [Internet]. 2016;38(1):30–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26892212

15. Aarvik RS, Svendsen EJ, Agdal ML. Held still or pressured to receive dental treatment: self-reported histories of children and adolescents treated by non-specialist dentists in Hordaland, Norway. Eur Arch Paediatr Dent [Internet]. 2022;23(4):609–18. Available from: http://www.ncbi.nlm.nih.gov/pubmed/35763246

16. Hill B, Fadavi S, LeHew CW, Rada R. Effect of Caregiver’s Race and Ethnicity on Acceptance of Passive Immobilization for Their Child’s Dental Treatment. J Dent Child (Chic) [Internet]. 2019; 15;86(1):3–9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30992095

17. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care [Internet]. 2007;19(6):349–57. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17872937

18. Moser A, Korstjens I. Series: Practical guidance to qualitative research. Part 3: Sampling, data collection and analysis. Eur J Gen Pract [Internet]. 2018;24(1):9–18. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29199486

19. Rodriguez A, Smith J. Phenomenology as a healthcare research method. Evid Based Nurs [Internet]. 2018;21(4):96–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30201830

20. Creswell John, Poth Cheryl. Qualitative Inquiry and Research Design: Choosing Among Five Approaches. Fourth. Thousand Oaks, CA: SAGE; 2017. 75–79 p.

21. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol [Internet]. 2006;3(2):77–101. Available from: http://www.tandfonline.com/doi/abs/10.1191/1478088706qp063oa

22. Wells MH, McCarthy BA, Tseng CH, Law CS. Usage of Behavior Guidance Techniques Differs by Provider and Practice Characteristics. Pediatr Dent [Internet]. 2018;40(3):201–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29793567

23. Malik P, Ferraz Dos Santos B, Girard F, Hovey R, Bedos C. Physical Constraint in Pediatric Dentistry: The Lived Experience of Parents. JDR Clin Trans Res [Internet]. 2022;7(4):371–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/34628965

24. Townsend J, Wells MW, Dormois L. Societal Influences on the Contemporary Family. In: Kupietzky A, editor. Wright’s Behavior Management in Dentistry for Children. 3rd ed. Hoboken, NJ: John Wiley & Sons, Inc.; 2022. p. 57–75.

25. Cauce AM. Parenting, Culture, and Context: Reflections on Excavating Culture. Appl Dev Sci [Internet]. 2008;12(4):227–9. Available from: http://www.tandfonline.com/doi/abs/10.1080/10888690802388177

26. Gray B. Culture, cultural competence and the cross-cultural consultation. J Paediatr Child Health [Internet]. 2018;54(4):343–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29114955

27. Selin H, editor. Parenting Across Cultures [Internet]. Dordrecht: Springer Netherlands; 2014. (Science Across Cultures: The History of Non-Western Science; vol. 7). Available from: http://link.springer.com/10.1007/978-94-007-7503-9

28. Arellano Lucero A, Arriola-Pacheco Fabio, Pinzon Té AL, Law C, Meyer C, Serrano Piña R. Behaviour Guidance. Int J Paediatr Dent [Internet]. 2021;31(S2):62–85. Available from: https://onlinelibrary.wiley.com/doi/10.1111/ipd.12861