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Maternally Perceived Barriers to and Facilitators of Establishing and Maintaining Tooth-Brushing Routines with Infants and Preschoolers

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Breaking Free Online Limited, 274 Deansgate, Manchester M3 4JB, UK
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School of Health Sciences, University of Salford, Allerton Building, Salford M6 6PU, UK
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Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London E1 2AD, UK
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2014, 11(7), 6808-6826; https://doi.org/10.3390/ijerph110706808
Received: 17 March 2014 / Revised: 24 June 2014 / Accepted: 25 June 2014 / Published: 2 July 2014
(This article belongs to the Special Issue Social and Environmental Determinants of Oral Health)
Establishing effective toothbrushing routines using fluoridated toothpaste in infancy has been suggested as important to dental health throughout childhood and into adulthood. However, previous studies have revealed a number of potential barriers to, and facilitators of caregivers ability to establish early dyadic toothbrushing routines with pre-schoolers. However, as yet no qualitative research has been conducted to ascertain potential barriers and facilitators of the earliest dyadic toothbrushing in infancy, and nor has any previous research specifically focused on how novice mothers of first-born infants and preschoolers manage this task. This study therefore outlines findings from a qualitative interview study with first-time mothers of children aged 24–30 months (n = 16) exploring perceived barriers to and facilitators of early dyadic toothbrushing routines with infants and preschoolers. A number of key themes were identified from interview transcripts and an ‘ecological’ approach conceptualised maternally perceived barriers to and facilitators of dyadic toothbrushing. Proximal influences were found to be located within the caregiver-child relationship (‘micro-system’), including parental cognitions (e.g., PSE), parental behaviours (e.g., parenting practices) and infant and preschooler temperament and behaviours (e.g., tantrums). Distal factors were also identified as relevant to the establishment and maintenance of these routines, such as social support (‘exosystem’) and family history of tooth-brushing (‘chronosystem’). View Full-Text
Keywords: infants; preschoolers; tooth-brushing; routines; dental health; parental self-efficacy; self-efficacy scale; ecological model infants; preschoolers; tooth-brushing; routines; dental health; parental self-efficacy; self-efficacy scale; ecological model
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Elison, S.; Norgate, S.; Dugdill, L.; Pine, C. Maternally Perceived Barriers to and Facilitators of Establishing and Maintaining Tooth-Brushing Routines with Infants and Preschoolers. Int. J. Environ. Res. Public Health 2014, 11, 6808-6826.

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