Dimensions of young children's toothbrushing resistance: A qualitative content analysis of discussions on the online parenting forum Mumsnet

Int J Paediatr Dent. 2023 Dec 29. doi: 10.1111/ipd.13149. Online ahead of print.

Abstract

Background: Young children's resistant behaviour is a barrier to parental-supervised brushing. Discussions on online parenting forums offer an insight into parental experiences, behaviour and attitudes. Analysing these discussions also demonstrates how dental advice is represented and potentially resisted.

Aim: To analyse how young children's toothbrushing resistance is discussed on an online parenting forum.

Design: Qualitative content analysis of threads on toothbrushing resistance retrieved from the UK parenting forum Mumsnet.

Results: A search was carried out on Mumsnet in April 2022. Overall, 204 relevant threads were identified and analysed. A coding frame was developed. Posters interacted by discussing their experiences of resistance, asking for advice, making suggestions and being both supportive and critical. Thirty-seven strategies for addressing resistance were identified. Discussions reflected attitudes and concerns relating to young children and toothbrushing resistance, including the idea brushing should be 'non-negotiable'. A key issue was the acceptability of physical force or restraint to achieve adequate brushing. Posters invoked dental authority to support their views.

Conclusion: Understanding how toothbrushing resistance is discussed on a parenting forum helps establish what information and advice is shared, and highlights attitudes and concerns that shape how this problem is approached.

Keywords: children; home care; oral health; oral hygiene; parents; social media.

Grants and funding