Service Delivery

Brief Report: Remotely Delivered Video Modeling for Improving Oral Hygiene in Children with ASD: A Pilot Study

Popple et al. (2016) · Journal of Autism and Developmental Disorders 2016
★ The Verdict

Emailing twice-daily tooth-brushing videos to parents modestly cuts dental plaque for kids with autism.

✓ Read this if BCBAs running parent training or telehealth programs for children with ASD.
✗ Skip if Clinicians who only see clients in-center and do not use email or smartphones.

01Research in Context

01

What this study did

Popple’s team mailed parents a 3-week supply of tooth-brushing videos. Each morning and night the parent opened an email link and played the 2-minute clip for their child with autism.

Twenty kids were split into two groups. One group watched the videos; the other did not. Dentists checked plaque before and after.

02

What they found

Kids who watched the videos had less plaque at the end. The control group barely changed.

The change was small but real. Parents did not need any in-person training.

03

How this fits with other research

Gerow et al. (2021) later showed parents can learn full daily-living routines over Zoom. Their telehealth coaching covered more skills than just brushing and still worked without face-to-face visits.

Lde Leeuw et al. (2024) and Camilleri et al. (2024) swapped tooth videos for kid-made Social Stories delivered through an app. The idea is the same: show a visual script at home. Both studies kept the remote format and still improved skills.

Simacek et al. (2020) rounded up 22 similar telehealth studies. They say the field is growing fast but quality varies. Popple’s 2016 pilot is one of the first tiny dots in that picture.

04

Why it matters

You can email a short video tonight and probably see cleaner teeth in three weeks. No clinic space, no travel, no extra staff. If brushing works, try the same trick for hand-washing, face-wiping, or hair-combing. One click, twice a day, keeps the plaque—and maybe problem behavior—away.

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→ Action — try this Monday

Film a 2-minute brushing clip, email it to one family, and ask them to play it before each brush this week.

02At a glance

Intervention
video modeling
Design
randomized controlled trial
Sample size
18
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

Children with autism have heightened risk of developing oral health problems. Interventions targeting at-home oral hygiene habits may be the most effective means of improving oral hygiene outcomes in this population. This randomized control trial examined the effectiveness of a 3-week video-modeling brushing intervention delivered to patients over the internet. Eighteen children with autism were assigned to an Intervention or Control video condition. Links to videos were delivered via email twice daily. Blind clinical examiners provided plaque index ratings at baseline, midpoint, and endpoint. Results show oral hygiene improvements in both groups, with larger effect sizes in the Intervention condition. The findings provide preliminary support for the use of internet-based interventions to improve oral hygiene for children with autism.

Journal of Autism and Developmental Disorders, 2016 · doi:10.1007/s10803-016-2795-4