{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:33:32Z","timestamp":1786649612371,"version":"build-2736575974"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"\n Background:<\/jats:title>\n Parents and caregivers of children with cerebral palsy (CP) often experience the varied levels of stress while managing their child\u2019s oral health care. Limited research regarding this topic emphasizes the need for a study.<\/jats:p>\n <\/jats:sec>\n \n Aim:<\/jats:title>\n To compare the efficacy of effect of app-based oral motor therapy (OMT) and behavior therapy (BT) on stress and coping among parents\/caregivers of children with CP; specifically with regard to the management of oral health care.<\/jats:p>\n <\/jats:sec>\n \n Settings and Design:<\/jats:title>\n It is a randomized, double blinded, parallel group, multicenter trial.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n The study comprised of 228 CP children aged 4\u201314 years who were randomly assigned into two groups \u2013 Group 1 (mobile app based OMT) and Group 2 (BT). The parents and caregivers of children with CP were asked to fill the Stress and Coping Assessment Tool associated with maintaining Oral health among Children with Special healthcare needs (SCATOCS) questionnaire. Baseline evaluations before interventions and follow-up scores postinterventions (6 months later) were done.<\/jats:p>\n <\/jats:sec>\n \n Statistical Analysis:<\/jats:title>\n \n The paired samples\n t<\/jats:italic>\n -test and independent samples\n t<\/jats:italic>\n -test were utilized for the study. Analysis was done using the SPSS software version 25 and results were considered statistically significant whenever\n P<\/jats:italic>\n \u2264 0.05.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Intragroup comparison of SCATOCS scores in each domain showed a statistically significant (\n P<\/jats:italic>\n < 0.05) improvement postintervention in both the groups. Intergroup comparison showed a statistically significant difference between the groups with respect to A1 and A2 domains (stress factors), respectively (\n P<\/jats:italic>\n < 0.05), while no significant differences were observed in B1 and B2 domains (coping factors) (\n P<\/jats:italic>\n > 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n \u201cSCATOCS\u201d can be used as important tool while specifically investigating stress and coping with regard to dental concerns.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/aam.aam_7_25","type":"journal-article","created":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T03:00:44Z","timestamp":1748833244000},"page":"671-675","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Comparative Analysis of App-based Oral Motor Therapy and Behavior Therapy for Reducing Stress and Enhancing Coping Skills in Caregivers of Children with Cerebral Palsy Using \u201cSCATOCS\u201d"],"prefix":"10.4103","volume":"24","author":[{"given":"Mihir","family":"Nayak","sequence":"first","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Government Dental College and Research Institute, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarakanuru K.","family":"Srinath","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Government Dental College and Research Institute, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Umme","family":"Azher","sequence":"additional","affiliation":[{"name":"Department of Pediatric and Preventive Dentistry, Sri Rajiv Gandhi College of Dental Sciences and Hospital, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sugnyani Devi","family":"Patil","sequence":"additional","affiliation":[{"name":"Manoshanti \u2013 Child Guidance 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