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

Authors

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

Keywords:

Pediatric Dentistry, Child Behavior, Social Perception, Qualitative Research, Behavior Control

Abstract

Background: Among behavior guidance techniques, protective stabilization remains a controversial non-pharmacological approach. Understanding the views of protective stabilization in different parental cohorts across cultural spectrums is relevant in the world’s current cultural climate. Aim: Qualitatively analyze the perception of parents in southeast Mexico whose children attended a pediatric dentistry residency clinic regarding the use of protective stabilization as a behavior guidance technique. Methods: Focus groups with 15 parents were held, after a video screening of the use, indications, benefits, and limitations of the protective stabilization technique. The themes of importance, need, affectionate response, perceived risk or harm, benefits, and acceptability of the use of the technique were used to guide the dialogues. The sessions were audio-recorded and then transcribed for analysis. Results: The deductive qualitative data analysis following the delineated themes revealed that parents generally accepted that the use of protective stabilization was necessary for safe and efficient dental treatments to be carried out in their children. Worries about potential physical and psychological concerns were shared, but parents generally agreed that the benefits outweighed the risks when treatments were needed. Conclusion: In this context (a university service in southeast Mexico), protective stabilization was accepted by parents when indicated and needed to fulfill secure pediatric dental treatments. This is relevant in contexts like the current one where pharmacological behavior techniques are not as readily available.

References

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

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

Authors

DOI:

Keywords:

Abstract

References

Downloads

Published

Issue

Section

License

How to Cite

Language

Information