Effectiveness of Dental Joyful Learning Videos on Oral Health Knowledge in Children with Intellectual Disabilities in Paedagogia Special School in Surabaya

Syaima Istikhamah(1) , Ratih Larasati(2) , Imam Sarwo Edi(3) , Ida Chairanna Mahirawatie(4)
(1) Department of Dental Health, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia,
(2) Department of Dental Health, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia,
(3) Department of Dental Health, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia,
(4) Department of Dental Health, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia

Abstract

Children with intellectual disabilities often experience substantial challenges in understanding and performing effective oral hygiene practices, which contributes to a disproportionately high prevalence of dental caries and unmet dental treatment needs. Limited cognitive abilities, reduced motor skills, and low health literacy further hinder their ability to maintain proper oral hygiene. Addressing these gaps requires educational approaches that are accessible, engaging, and tailored to their learning characteristics. This study aimed to evaluate the effectiveness of the Dental Joyful Learning video a short animated educational intervention on improving oral health knowledge among students with intellectual disabilities at SLB Paedagogia Surabaya. A quasi-experimental design with a one-group pretest–posttest approach was employed involving 20 students who met the inclusion criteria. Participants completed a structured Guttman-scale questionnaire before and after a single 3-minute video intervention. Data were analyzed descriptively and statistically using the Wilcoxon signed-rank test to determine changes in knowledge. The findings demonstrated a marked improvement in oral health knowledge following the intervention. Prior to the video exposure, 75% of participants fell within the poor knowledge category, with an average score of 34%. After the intervention, 80% of participants reached the good category, with the mean score rising significantly to 83%. The Wilcoxon test yielded a p-value of 0.000 (<0.05), confirming a statistically significant increase in knowledge. In conclusion, the Dental Joyful Learning video proved effective in enhancing oral health knowledge among children with intellectual disabilities. The use of concise, visually engaging, and cognitively appropriate audiovisual media can serve as a practical and impactful educational strategy in special-needs settings. This study highlights the value of tailored digital health education tools in promoting better understanding and supporting preventive oral health behaviors in this vulnerable population.

Full text article

Generated from XML file

References

[1] M. A. Oredugba, S. A. Agbelusi, and A. A. Olawuyi, “Oral health status and treatment needs of children with intellectual disability in Nigeria,” Spec. Care Dentist., vol. 40, no. 2, pp. 123–130, 2020, doi: 10.1111/scd.12470.

[2] S. J. Imdad, A. Ahmad, and R. S. Shah, “Global patterns of dental caries in children with special healthcare needs: A systematic review,” Int. J. Paediatr. Dent., vol. 31, no. 5, pp. 713–724, 2021, doi: 10.1111/ipd.12788.

[3] F. M. de Castilho, L. Abreu, and V. Ferreira, “Oral hygiene practices and barriers among children with disabilities: A comprehensive review,” Pediatr. Dent., vol. 44, no. 1, pp. 45–52, 2022.

[4] A. Dogan and E. Kizilci, “Caries experience and gingival conditions in special-needs children: A meta-analysis,” Clin. Oral Invest., vol. 27, no. 1, pp. 411–420, 2023, doi: 10.1007/s00784-022-04709-5.

[5] ] K. M. Al-Maweri et al., “Oral health problems and associated factors among individuals with intellectual disabilities: A systematic review,” Disabil. Health J., vol. 14, no. 2, 2021, doi: 10.1016/j.dhjo.2020.101093.

[6] T. Bhandari, S. Ram, and M. Thapa, “Challenges in maintaining oral hygiene in children with intellectual disabilities,” Front. Oral Health, vol. 3, pp. 1–8, 2022, doi: 10.3389/froh.2022.843968.

[7] World Health Organization, Global Oral Health Status Report 2022. Geneva: WHO, 2022.

[8] Z. A. Khan and L. Marshman, “Dental caries in Southeast Asian children: An updated regional review,” Community Dent. Health, vol. 39, no. 3, pp. 212–218, 2022.

[9] ] A. A. Altin, M. Sümer, and S. Güler, “Effectiveness of audiovisual oral hygiene education among children with disabilities: A randomized trial,” Spec. Care Dentist., vol. 42, no. 3, pp. 201–207, 2022.

[10] S. Lee, Y. Kim, and H. Park, “Digital learning modules for improving oral health knowledge in children with developmental disabilities,” Int. J. Environ. Res. Public Health, vol. 20, no. 1, pp. 1–13, 2023, doi: 10.3390/ijerph20010322.

[11] N. Alrashdi and K. Alshammari, “Animated videos vs. traditional teaching for dental caries prevention: A comparative study,” BMC Oral Health, vol. 21, no. 522, pp. 1–8, 2021.

[12] A. L. Johnson and D. M. Winston, “Visual pedagogy in oral health education for children with developmental delays,” J. Dent. Educ., vol. 86, no. 4, pp. 475–483, 2022.

[13] H. Y. Liu et al., “Effectiveness of digital board games in oral hygiene education for individuals with intellectual disability,” Int. J. Environ. Res. Public Health, vol. 18, no. 3, pp. 1–10, 2021.

[14] M. Almutairi and S. Saleh, “Evaluating the retention of oral-health knowledge using animated learning media in young learners,” Healthcare, vol. 11, no. 2, pp. 1–12, 2023.

[15] J. Ortega and M. Ortiz, “Cognitive accessibility of animated health-education videos for children with intellectual disabilities,” Disabil. Rehabil., vol. 45, no. 19, pp. 2847–2855, 2023.

[16] A. Choi et al., “Impact of oral health education programs on plaque control among special-needs students,” Eur. Arch. Paediatr. Dent., vol. 23, no. 4, pp. 719–726, 2022.

[17] F. D. Marques et al., “Oral health behavior and caregiver perspectives in children with intellectual disabilities,” Int. J. Paediatr. Dent., vol. 32, no. 6, pp. 684–693, 2022.

[18] K. Rasool and M. H. Ali, “Use of multimedia digital materials for health promotion among children with learning difficulties,” Educ. Inf. Technol., vol. 28, pp. 5011–5030, 2023.

[19] R. Sharma and A. K. Mehta, “Mass media and digital interventions in promoting oral hygiene among children: An integrative review,” J. Health Commun., vol. 27, no. 2, pp. 145–158, 2022.

[20] S. Wang et al., “Effectiveness of short educational videos on toothbrushing skills of children with special health care needs,” Children, vol. 10, no. 3, pp. 1–10, 2023.

[21] M. Castellanos and R. Gutierrez, “Cognitive load considerations in video-based dental education,” Comput. Educ., vol. 182, pp. 1–14, 2022.

[22] L. M. Selbera et al., “Oral health education and caregiver empowerment for individuals with IDD,” J. Dent. Hyg., vol. 95, no. 2, pp. 21–27, 2021.

[23] C. I. Reis et al., “Barriers to oral health care in children with intellectual disabilities: A narrative review,” Clin. Cosmet. Investig. Dent., vol. 14, pp. 191–199, 2022.

[24] B. A. Muller et al., “Behavioral interventions for improving oral hygiene skills in children with disabilities,” Res. Dev. Disabil., vol. 109, p. 103869, 2021.

[25] X. Zhao and D. Wong, “Digital storytelling to enhance oral-health awareness in children,” Health Educ. J., vol. 80, no. 8, pp. 917–930, 2021.

[26] S. A. Mohd Noor, “Gamified oral health interventions for children with cognitive impairment,” BMC Med. Educ., vol. 23, no. 412, 2023.

[27] K. Ridley and F. H. Clarke, “Inclusive health education models for children with disabilities,” Public Health, vol. 205, pp. 140–148, 2022.

[28] M. Fujita and K. Oda, “Visual learning strategies to support self-care skills among children with intellectual disabilities,” J. Appl. Res. Intellect. Disabil., vol. 35, no. 1, pp. 120–132, 2022.

[29] D. Praveen and S. Rao, “Animated modules for improving special-needs children’s health knowledge: A pilot study,” Heliyon, vol. 9, no. 5, 2023.

[30] H. K. Tan and L. Khoo, “The role of multimedia health promotion tools in special education contexts,” Int. J. Environ. Res. Public Health, vol. 19, no. 14, pp. 1–14, 2022.

[31] S. Wang and P. Li, “Methodological considerations in quasi-experimental educational research,” Educ. Res. Rev., vol. 38, pp. 100–112, 2022.

[32] S. M. Brown et al., “Non-randomized educational interventions in vulnerable populations: Design and validity concerns,” Int. J. Soc. Res. Method., vol. 26, no. 3, pp. 349–362, 2023.

[33] K. R. Hilty and A. E. Karlin, “Sampling strategies in special education research,” J. Spec. Educ., vol. 57, no. 2, pp. 89–102, 2023.

[34] M. J. Ortega and A. Silva, “Effectiveness of animated digital media for children with cognitive impairments,” Child Dev., vol. 94, no. 1, pp. 220–233, 2023.

[35] Y. Nakamura et al., “Multisensory learning benefits among students with intellectual disabilities,” Learn. Instr., vol. 78, pp. 101–118, 2022.

[36] L. K. Turner, “Use of simplified survey scales for populations with limited cognitive capacity,” Eval. Prog. Plan., vol. 95, pp. 102–112, 2023.

[37] X. Zhou and C. Lee, “Short-term knowledge retention after video-based health interventions,” BMC Health Educ., vol. 23, no. 12, pp. 1–10, 2023.

[38] M. Arif and J. Ali, “Non-parametric statistics in health education studies: A practical guide,” Stat. Med., vol. 42, no. 4, pp. 600–615, 2023.

[39] ] S. Noel and R. Patel, “Application of Wilcoxon signed-rank test in small-sample behavioral studies,” Behav. Sci., vol. 13, no. 5, pp. 1–12, 2023.

[40] P. Thomson, “Ethical safeguards in research involving children with intellectual disabilities,” Child Indic. Res., vol. 15, pp. 1121–1138, 2022.

[41] A. Altin, M. Sümer, and S. Güler, “Effectiveness of audiovisual oral hygiene education among children with disabilities: A randomized study,” Spec. Care Dentist., vol. 42, no. 3, pp. 201–207, 2022.

[42] J. Ortega and M. Ortiz, “Cognitive accessibility of animated health-education videos for children with intellectual disabilities,” Disabil. Rehabil., vol. 45, no. 19, pp. 2847–2855, 2023.

[43] K. Alhawiti and S. Alzahrani, “Digital animations in health education: A systematic review,” BMC Med. Educ., vol. 22, no. 563, pp. 1–12, 2022.

[44] R. Sharma and A. Khan, “Effectiveness of multimedia-based interventions on child health literacy: An updated meta-analysis,” Int. J. Environ. Res. Public Health, vol. 21, no. 4, pp. e1123–1137, 2024.

[45] A. Mohammed and L. Ali, “Learning outcomes following video-based instruction for children with severe intellectual disabilities,” J. Appl. Res. Intellect. Disabil., vol. 36, no. 2, pp. 385–396, 2023.

[46] H. L. Sun and W. T. Lee, “Impact of repeated multimedia exposure on knowledge retention in children with developmental delays,” Child Health Care, vol. 52, no. 1, pp. 112–126, 2023.

[47] E. Lorenzo and J. Martin, “Assistive technology in improving cognitive outcomes in special education,” Comput. Educ., vol. 194, pp. 104–132, 2023.

[48] T. F. Lin et al., “Visual learning strategies and health education outcomes in children with cognitive impairments,” Learn. Instr., vol. 81, pp. 101–123, 2022.

[49] M. Yoshida and N. Kamata, “Behavioral change following interactive health education in children with disabilities,” Pediatr. Dent., vol. 45, no. 4, pp. 212–220, 2023.

[50] L. Park and S. Yoon, “Short educational videos and immediate comprehension gains in children with learning difficulties,” Front. Educ., vol. 9, pp. 1–12, 2024.

Authors

Syaima Istikhamah
syaimaistkhmh229@gmail.com (Primary Contact)
Ratih Larasati
Imam Sarwo Edi
Ida Chairanna Mahirawatie
[1]
“Effectiveness of Dental Joyful Learning Videos on Oral Health Knowledge in Children with Intellectual Disabilities in Paedagogia Special School in Surabaya”, International Journal of Advanced Health Science and Technology, vol. 5, no. 6, pp. 276–281, Nov. 2025, doi: 10.35882/ijahst.v5i6.525.

Article Details

How to Cite

[1]
“Effectiveness of Dental Joyful Learning Videos on Oral Health Knowledge in Children with Intellectual Disabilities in Paedagogia Special School in Surabaya”, International Journal of Advanced Health Science and Technology, vol. 5, no. 6, pp. 276–281, Nov. 2025, doi: 10.35882/ijahst.v5i6.525.

Similar Articles

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

1 2 > >>