American Journal of Nursing Research
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American Journal of Nursing Research. 2025, 13(3), 68-78
DOI: 10.12691/ajnr-13-3-2
Open AccessArticle

Effect of an Audio Tactile Performance Technique for Visually Impaired Children on Their Oral Health Status

Salwa Talaat Elsayed1, and Fawzia Elsayed Abusaad2

1Nurse Specialist at Mansoura University Children Hospital, Mansoura City, Egypt

2Proffessor of Pediatric Nursing, Faculty of Nursing, Mansoura University, Mansoura City, Egypt

Pub. Date: August 17, 2025

Cite this paper:
Salwa Talaat Elsayed and Fawzia Elsayed Abusaad. Effect of an Audio Tactile Performance Technique for Visually Impaired Children on Their Oral Health Status. American Journal of Nursing Research. 2025; 13(3):68-78. doi: 10.12691/ajnr-13-3-2

Abstract

Background: It is difficult to treat visually impaired children's teeth, and extensive treatment may require sedation and/or general anesthesia. Therefore, the focus should be on prevention of disease. Audio Tactile Performance technique is a specialized method aimed at educating children with vision impairment about mouth hygiene. Aim: This study aimed to evaluate the effect of an audio tactile performance technique for visually impaired children on their oral health status. Method: Pre-experimental research design was carried out at Al-Noor and Al-Amal School for the Blind, Mansoura City, Dakahlia Governorate, Egypt, on 98 children who always attend school. Using four tools for data collection: a structured interview questionnaire sheet, a tooth brushing skills checklist, an Oral Assessment Guide, and assessment of satisfaction about audio tactile performance technique. Results: Before applying ATP technique, the majority of visually impaired children had a poor level of total knowledge, all children were unskilled in tooth brushing, and the minority were without oral problems. Post applying ATP technique, the majority of visually impaired children had an average level of total knowledge, the majority were skilled in tooth brushing, more than one third was without oral problems, and more than three quadrants were very satisfied with ATP technique. Conclusion: The oral health of visually impaired children was positively affected after applying ATP technique. Recommendation: Engage ATP technique programs as a health educational method for visually impaired children.

Keywords:
Audio Tactile Performance technique Oral health Visually impaired children

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References:

[1]  Hoyt, C. S., & Taylor, D. (2012). Pediatric ophthalmology and Strabismus Expert consult - Online and Print,4: Pediatric ophthalmology and strabismus. 629-638.
 
[2]  Curtis, D. A., Lin, G., Rajendran, Y., Gessese, T., Suryadevara, J., & Kapila, Y. L. (2021). Treatment planning considerations in the older adult with periodontal disease. Periodontology 2000, 87(1), 157-165.
 
[3]  Liu, L., Zhang, Y., Wu, W., He, M., Lu, Z., Zhang, K., Li, J., Lei, S., Guo, S., & Zhang, Y. (2019). Oral health status among visually impaired schoolchildren in Northeast China. BMC Oral Health, 19(1).
 
[4]  Sharififard, N., Sargeran, K., & Gholami, M. (2021). Perception of oral health and medical conditions as possible predictors of oral health status in visually impaired adolescents: A cross‐sectional study. BMC Oral Health, 21(1).
 
[5]  Anil, S., & Anand, P. S. (2017). Early childhood caries: Prevalence, risk factors, and prevention. Frontiers in Pediatrics, 5.
 
[6]  Alshatrat, S. M., Al-Bakri, I. A., Al-Omari, W. M., & Al Mortadi, N. A. (2021). Oral health knowledge and dental behavior among individuals with autism in Jordan: A case–control study. BMC Oral Health, 21(1).
 
[7]  Johny, J., Deolia, S., Patil, M., Lanje, N., & Patil, A. (2019). Effectiveness of “audio-tactile performance technique” to improve the oral hygiene status of visually impaired schoolchildren. Journal of Indian Society of Pedodontics and Preventive Dentistry, 37(2), 172.
 
[8]  Bhadauria, U. S., Gupta, V., & Arora, H. (2021). Interventions in improving the oral hygiene of visually impaired individuals: A systematic review. Health & Social Care in the Community, 30(4).
 
[9]  Kumari, A., Mohan, N., Sharma, B., Chatterjee, S., Khan, A., & Haqh, M. (2020). Assessment of dental caries prevalence among institutionalized visually impaired children in Delhi state. International Journal of Oral Care and Research, 8(3), 35.
 
[10]  Joybell, C. (2015). Comparison of two brushing methods- Fone’s vs modified bass method in visually impaired children using the audio tactile performance (ATP) technique. Journal of Clinical and Diagnostic Research.
 
[11]  Maragathavalli, G., & Jawahar, A. (2022). Assessment of oral health and treatment needs in population with visual impairment. Journal of Indian Academy of Oral Medicine and Radiology, 34(1), 60.
 
[12]  Kiri, H. (2021). A causal assessment of blindness in schools for blind in southern Rajasthan. Delhi Journal of Ophthalmology, 32(1).
 
[13]  Das, D., Suresan, V., Jnaneswar, A., Jha, K., Kumar, G., & Subramaniam, G. (2017). Assessment of dental caries, oral hygiene status, traumatic dental injuries and provision of basic oral health care among visually impaired children of eastern Odisha. Journal of Indian Society of Pedodontics and Preventive Dentistry, 35(4), 284.
 
[14]  Alshatrat, S., Bakri, I. A., Omari, W. A., & Tabnjh, A. (2021). Oral health knowledge, behaviour, and access to dental care in visually impaired individuals in Jordan: A case-control study. The Open Dentistry Journal, 15(1), 33-40.
 
[15]  Bokhari, A. M., Quadri, S. A. (2020). COVID-19 and religious congregations: Implications for spread of novel pathogens. International Journal of Infectious Diseases, 96, 219-221.
 
[16]  World Health Organization. (2013). Oral health surveys: Basic methods. Biometrics, 27(4), 1111.
 
[17]  Watson, E., Moles, D., Kumar, N., & Porter, S. (2010). The oral health status of adults with a visual impairment, their dental care and oral health information needs. British Dental Journal, 208(8), E15-E15.
 
[18]  Leal Rocha, L., Vieira de Lima Saintrain, M., & Pimentel Gomes Fernandes Vieira-Mey, A. (2015). Access to dental public services by disabled persons. BMC Oral Health, 15(1).
 
[19]  Zacharias, S., Kahabuka, F. K., & Mbawalla, H. S. (2019). Effectiveness of randomized controlled Field trial instructing parents to supervise children on tooth brushing skills and oral hygiene. The Open Dentistry Journal, 13(1), 76-84.
 
[20]  Shiraishi, A., Yoshimura, Y., Wakabayashi, H., & Tsuji, Y. (2016). Poor oral status is associated with rehabilitation outcome in older people. Geriatrics & Gerontology International, 17(4), 598-604.
 
[21]  Hawthorne, G., Sansoni, J., Hayes, L., Marosszeky, N., & Sansoni, E. (2014). Measuring patient satisfaction with health care treatment using the short assessment of patient satisfaction measure delivered superior and robust satisfaction estimates. Journal of Clinical Epidemiology, 67(5), 527-537.
 
[22]  Pamewa, K., Musnamirwan, I. A., & Setiawan, A. S. (2023). A cross-sectional study on the effectiveness of two different tooth-brushing exercise methods in blind Childrendren. European Journal of Dentistry, 18(01), 289-296.
 
[23]  Nair, D. J., Shetty, A. A., & Hegde, A. M. (2021). Efficacy of a modified audio-tactile performance technique with braille (ATPb) on the oral hygiene status of visually-impaired children. Journal of Clinical Pediatric Dentistry, 45(1), 15-21.
 
[24]  Tagelsir, A., Khogli, A. E., & Nurelhuda, N. M. (2013). Oral health of visually impaired schoolchildren in Khartoum state, Sudan. BMC Oral Health, 13(1).
 
[25]  Tiwari, B. S., Ankola, A. V., Jalihal, S., Patil, P., Sankeshwari, R. M., & Kashyap, B. R. (2019). Effectiveness of different oral health education interventions in visually impaired school children. Special Care in Dentistry, 39(2), 97-107.
 
[26]  Jordan & Jeremiah, "Satisfaction of students with visual impairment within different school settings" (2015). Educational Specialist. 10.
 
[27]  Shrestha, J. B., Gnyawali, S., & Upadhyay, M. P. (2012). Causes of blindness and visual impairment among students in integrated schools for the blind in Nepal. Ophthalmic Epidemiology, 19(6), 401-406.
 
[28]  Açıl, D., & Ayaz, S. (2015). Screening of visually impaired children for health problems. Asian Nursing Research, 9(4), 285-290.
 
[29]  Chang, C. S., & Shih, Y. (2014). Knowledge of dental health and oral hygiene practices of Taiwanese visually impaired and sighted students. Journal of Visual Impairment & Blindness, 98(5), 289-303.
 
[30]  Ali, A., Gautam, K., Agrawal, D., Choudhary, A., Shekhawat, A., & Jain, R. (2020). New vision for improving oral hygiene status of visually impaired students aged from 9 to 17 years. Journal of Family Medicine and Primary Care, 9(10), 5303.
 
[31]  Aggarwal, T., Goswami, M., & Dhillon, J. K. (2019). Assessment of oral health educational program on oral health status of visually impaired children in New Delhi. Special Care in Dentistry, 39(2), 140-146.
 
[32]  Jena, S., Kumar, G., Tripathi, R., Khandelwal, S., Sharma, O., & Arora, S. (2024). The barrier to accessing dental healthcare services among the institutionalized visually impaired adults: A qualitative study. Cureus.