{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T07:59:22Z","timestamp":1790063962343,"version":"4.0.1"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T00:00:00Z","timestamp":1789948800000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of braille booklet, Audio\u2010Tactile Performance using specialized model and caregiver\u2010supervised training based oral health education on plaque control, oral hygiene status and oral health knowledge, attitude, practices among Visually challenged children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of sixty\u2010six visually challenged children and adolescents were randomly selected and allocated into three different groups. Group A received oral health education through braille booklet (\n                      <jats:italic>n =<\/jats:italic>\n                      22), Group B through Audio\u2010Tactile Performance using a specialized model (\n                      <jats:italic>n =<\/jats:italic>\n                      22), and Group C through caregiver\u2010supervised training (\n                      <jats:italic>n =<\/jats:italic>\n                      22). Clinical examination was conducted using the Simplified Oral Hygiene Index (OHI\u2010S) and gingival scores using WHO 2013 Oral Health Assessment Form for Children. A pre\u2010validated questionnaire was used to evaluate oral hygiene knowledge, attitudes, and practices (KAP) scores at baseline, 1\u2010month, 2\u2010month and 3\u2010month intervals.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>All the three groups showed statistically significant reduction in the mean OHI\u2010S scores from 2.9\u00b1 0.6 to 1.5 \u00b1 0.2 in the braille booklet group, 2.4 \u00b1 0.8 to 0.9 \u00b1 0.2 in the audio tactile performance using specialized model group and 2.7 \u00b1 0.6 to 1.0 \u00b1 0.26 in the caregiver\u2010supervised training group and gingival scores reduced from (7.5 \u00b1 1.6 to 3.0 \u00b1 1.3, 3.4 \u00b1 1.5 to 1.5 \u00b1 0.9 and 7.2 \u00b1 2.5 to 1.1 \u00b1 1.0 respectively). Notably, the caregiver\u2010supervised training and ATP demonstrated greater improvement in increasing the KAP scores and reducing the OHI\u2010S and gingival scores compared to braille booklet group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both caregiver\u2010supervised training and audio tactile performance using specialized model method of oral health education proved to be more effective than the braille booklet group on plaque control and improvement in the oral hygiene status, oral health knowledge, attitude and practice in oral hygiene maintenance among visually challenged children and adolescents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.70265","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:59:39Z","timestamp":1790060379000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Braille Booklet, Audio\u2010Tactile Performance and Caregiver\u2010supervised Training on Oral Hygiene Status, Knowledge, Attitude and Practices among Visually Challenged Children\u2010 A Randomized Clinical Trial"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1987-945X","authenticated-orcid":false,"given":"Priyadharshini","family":"Ragavane","sequence":"first","affiliation":[{"name":"Department of Public Health Dentistry Indira Gandhi Institute of Dental Sciences Sri Balaji Vidyapeeth University Pillayarkuppam Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senthil","family":"Murugappan","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry Indira Gandhi Institute of Dental Sciences Sri Balaji Vidyapeeth University Pillayarkuppam Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivashankar","family":"Kengadaran","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry Indira Gandhi Institute of Dental Sciences Sri Balaji Vidyapeeth University Pillayarkuppam Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boopathi","family":"Kangusamy","sequence":"additional","affiliation":[{"name":"ICMR\u2010National Instituteof Epidemiology Chennai Tamil Nadu India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyanga","family":"Chandrasekaran","sequence":"additional","affiliation":[{"name":"Department of Public Health Dentistry Indira Gandhi Institute of Dental Sciences Sri Balaji Vidyapeeth University Pillayarkuppam Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"issue":"7","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1111\/j.1600-051X.1996.tb00595.x","article-title":"Comparison of Modes of Oral Hygiene Instruction in Improving Gingival Health","volume":"23","author":"Lim L. 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