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Fulltext Linguistic validity and reliability of cariogenic food frequency and oral health knowledge, attitude and practice questionnaires for parents of 6-11 years old children in Kota Bharu, Kelantan

Rosnani Ngah, Ruhaya Hasan, Normastura Abd Rahman

Malays J Nutr, 2019;25(1):79-97.
MyJurnal

Introduction: Cariogenic food intake and oral health knowledge, attitude and
practices (KAP) of parents are contributing factors that influence the oral health
status of children. As there is lack of a validated questionnaire in Bahasa Melayu
(the Malay language) to measure the factors, this cross-sectional study was
carried out to establish a linguistically valid and reliable cariogenic food frequency
questionnaire (M-CFFQ) and oral health kap questionnaire (M-OHKAPQ) in Bahasa
Melayu, for parents of children aged 6-11 years in Kota Bharu, Kelantan. Methods:
Relevant questionnaires in English were selected and translated to Malay language.
This process included forward translation, synthesis, backward translation and
consolidation to produce the preliminary drafts of M-CFFQ and M-OHKAPQ. Pretesting
was conducted on ten parents of children from a primary school in Kota
Bharu by face-to-face interview. The findings were reviewed to produce the final
versions of M-CFFQ and M-OHKAPQ. A test-retest reliability study was undertaken
involving 49 parents. The participants were asked to answer the final M-CFFQ and
M-OHKAPQ versions twice, within a 7-14 days interval. Data collected were entered
into IBM SPPS version 22 software and analysed using the Intraclass Correlation
Coefficient (ICC) test. Results: Semantic, idiomatic, experiential, conceptual as well
as content and face validity issues were successfully resolved. Fifteen categories
of food/drinks for M-CFFQ and 26 items/questions M-OHKAPQ were produced.
The total ICC values achieved for M-CFFQ and M-OHKAPQ were 0.887 and 0.807,
respectively. Conclusion: The M-CFFQ and M-OHKAPQ appeared to be linguistically
valid and reliable with excellent test-retest reliability (ICC>0.80).
Fulltext The association between smoking and periodontal health status among army personnel in North-East Malaysia

Ruzawani Ruslan, Munirah Mohd Adnan, Normastura Abd Rahman

Malaysian Journal of Medicine and Health Sciences, 2020;16(3):216-224.
MyJurnal

Introduction: Smoking is a common risk factor for periodontal disease and other chronic diseases. This study was conducted to determine the prevalence of smoking among army personnel and its association with periodontal health status. Methods: A cross-sectional study was carried out among randomly selected 233 army personnel in 8th Brigade Infantry, Kelantan. A face validated self-administered Bahasa Malaysia questionnaire was used for data col- lection. Periodontal examination was done using Community Periodontal Index (CPI) and coded as ‘0’ for healthy; ‘1’ for bleeding observation; ‘2’ for detection of calculus; ‘3’ for probing of 4-5mm pocketing and ‘4’ for probing of 6mm or more pocketing. Results: All respondents (n=233) were male, the majority (92.7%) Malays, not married (60.5%) with the mean (SD) age of 25.8 (5.06) years. The prevalence of smoking among army personnel was 76.0% (95% CI: 70.4, 81.5). Almost all (97.4%) have some degree of periodontal disease. The non-smoker, ex-smoker and smoker groups were highest for having calculus with a percentage of 40.5%, 57.1%, and 57.1%, respectively. No significant association was found between smoking status (ever-smoker and non-smoker) and periodontal pocketing (CPI 0-2 and CPI 3-4) (p=0.960). However, the ever-smokers (93.2%) significantly higher percentage for the need of invasive treatment (CPI >2) compared to the non-smokers (76.2%) (p=0.002). Conclusion: The prevalence of smok- ing among army personnel in North-East Malaysia was high, with most of them have some degree of periodontal disease. Smoking cessation intervention should be strategized in the military community to reduce the burden of care for chronic diseases.
Fulltext Oral health knowledge, attitude and practice of parents, and frequency of cariogenic food intake among their non syndromic cleft lip with or without cleft palate children in North-east Peninsular Malaysia

Rathmawati Ahmad, Normastura Abd Rahman, Ruhaya Hasan, Azizah Yusoff

Malays J Nutr, 2017;23(2):239-252.
MyJurnal

Introduction: Appropriate oral health knowledge is essential to enable parents to be responsible for the oral health care of their children especially those with special needs. This study aimed to determine the oral health knowledge, attitude and practice (KAP) of parents and cariogenic food intake of their non-syndromic cleft lip with or without cleft palate children (NSCLP) compared to non-cleft children.

Methods: A comparative cross-sectional study was conducted on randomly selected parents with children aged 1 to 6 years at Hospital Universiti Sains Malaysia and Kota Bharu Dental Clinic. A face-to-face interview using a validated questionnaire on oral health KAP and cariogenic food intake of their children was done. Data were analysed by using IBM SPSS version 22.0.

Results: Sixty-four Malay parents with NSCLP (n=33) and non-cleft (n=31) children were recruited. The mean (SD) percentage score of oral health knowledge of parents in both groups (NSCLP and non-cleft) was fair, 59.5%(11.85) and 62.0%(15.00), P=0.4722; oral health attitude was good, 78.0% (9.30) and 80.2% (15.40), P=0.504; but oral health practice was poor 33.8% (5.94) and 36.1 (8.44), P=0.220. The cariogenic food frequency score was significantly higher in noncleft children; 40.2(10.32) compared to NSCLP children, 34.8(9.46), P=0.032.

Conclusions: Parents of both groups had fair knowledge and good attitude but poor oral health practice. Cariogenic foods were consumed more by the non-cleft children. Oral health awareness among the parents needs to be strengthened towards good oral health attitude and practice and non-cariogenic food choices for the betterment of oral health status of their children.
Fulltext Salivary parameters, dental caries experience and treatment needs of hearing-impaired children in a special school for deaf in Kelantan, Malaysia

Normastura Abd Rahman, Azizah Yusoff, Normastura Abd Rahman, Fatin Noor Kamaruzaman

Archives of Orofacial Sciences, 2015;10(1):17-23.
MyJurnal

Dental caries is the main oral health problem in hearing-impaired (HI) children and remains the most neglected need. The present study aimed to determine caries prevalence and treatment needs in HI children and the association with salivary parameters. A cross-sectional study was conducted on 63 HI children aged between 7-14 years who attended a special school for the deaf. Clinical oral examination was done and salivary parameters (resting flow rate and resting pH) were measured. Caries experience was charted using the index of decay-filled teeth (dft) and Decay-Missing-Filled Teeth (DMFT) for primary and permanent dentition respectively. Data were analysed using SPSS version 12.0. The mean age was 11.5 (SD 2.39) years and 53.8% were female. Dental caries prevalence was 88.0% (95% Cl: 73.0, 100.0) in primary dentition and 85.0% (95% Cl: 73.0, 96.0) in permanent dentition. The mean dft was 6.1 (SD 4.14) and the mean DMFT was 4.9 (SD 3.28). The mean resting flow rate was 0.14 (SD 0.08) ml/min while mean pH was 6.8 (SD 0.79). Both pit and fissure sealants and restorations were the highest (83.1%) treatment needs. Only 3.1% of the children did not require any treatment. There were no significant association between both salivary flow rate and salivary pH with caries experience in the primary (p=0.342, p=0.610 respectively) and permanent (p= 0.99, p=0.70 respectively) teeth. In conclusion, children with HI have high caries prevalence and unmet need for dental treatments. Salivary pH and resting flow rate of the children were not associated with their caries experience.
Fulltext Effect of oral health education programme on oral health awareness and plaque maturity status among hearing-impaired children

Haliza Tugeman, Normastura Abd Rahman, Azizah Yusoff, Mohd Khairi Md Daud

Archives of Orofacial Sciences, 2018;13(1):22-35.
MyJurnal

Many studies have indicated that hearing-impaired (HI) children have poor oral hygiene mainly
contributed by difficulties in communication. The objectives of the study were to assess the difficulties
experienced by HI children during dental visit and the effectiveness of “Oral Health Care for the HearingImpaired”
(OCHI) programme in improving the oral health knowledge and practice, and reducing the dental
plaque maturity scores among HI children. A community intervention study was conducted and training of trainers
(TOT) was done to train the teachers in delivering oral health education (OHE) and practices by using developed
booklet and video. The difficulties faced by the HI children during dental visit, and the oral health knowledge and
practice (OHKP) were assessed by face-to-face interview with HI children whilst the dental plaque maturity was
assessed using GC Tri Plaque ID Gel™ (TPID) during pre-intervention, post-intervention-1 and postintervention-2.
Data were analysed using SPSS version 22. Among the teachers, there was an increase in the
mean (SD) total knowledge and attitude score during post-TOT compared to pre-TOT, 46.1 (2.44) and 43.7
(4.01); (p
Oral health knowledge, practice and dental plaque maturity status of hearing-impaired children

Haliza Tugeman, Normastura Abd Rahman, Azizah Yusof, Mohd Khairi Md Daud

Sains Malaysiana, 2016;45:761-768.

Hearing impairment is an unseen handicapped that lead to communication barriers which might impede knowledge
transfer. The aim of this study was to compare the oral health knowledge, practice and dental plaque maturity between
hearing-impaired (HI) and normal children. A cross sectional study was conducted among children aged 7-14 years old.
The HI children were recruited from a special school for the deaf while the normal children were from the primary and
secondary schools in Bachok, Kelantan. The oral health knowledge and practice was assessed by face to face interview
whilst the dental plaque maturity status was evaluated using GC Tri Plaque ID Gel™ (TPID). The data was analysed using
IBM SPSS version 22. HI children had poor oral health knowledge and oral health practice compared to normal children
(p<0.05). HI children had significantly more matured plaque compared to normal children with mean (SD) DPMS of 1.8
(0.57) and 1.3 (0.20), respectively (p<0.001). In conclusion, there were poor oral health knowledge, poor oral hygiene
practice and high plaque maturity among HI children.
Effect of liners on microleakage in class II composite restoration

Normaliza Ab. Malik, Seow LL, Normastura Abd. Rahman, Marhazlinda Jamaludin

Sains Malaysiana, 2013;42:45-51.

This study was carried out to evaluate the microleakage of Class II cavities restored with various types of lining materials. Four types of composite resins (Esthet-X-Denstply, USA, FiltekTMZ350-3M ESPE, USA, Beautifil- Shofu, Japan and Solare P-GC, Japan) were used and the lining were the Fuji IXGP (GC, Japan), the Beautifil flow (Shofu, Japan), the FiltexTMZ350 flow (3M ESPE, USA) and the Esthet-X flow (Denstply, USA). All the specimens were thermocycled and immersed in 0.5% basic fuschin dye for 24 h. The microleakage was scored using the ISO microleakage scoring system. The data were entered using SPSS version 12.0 and analyzed using STATA software programme. This study showed that none of the materials used in this study was able to eliminate microleakage. However, it was shown that the glass ionomer cement was better in reducing the incident of microleakage at the cervical margin. Among the flowable composite resin, FiltexTMZ350 flow showed less microleakage at the cervical margin.
Fulltext Exploring the Determinants of Caries Experiences and Nutritional Status among Children with Cerebral Palsy

Rathmawati A, Normastura AR, Ruhaya H

Iran J Public Health, 2021 Mar;50(3):622-623.
PMID: 34178813 DOI: 10.18502/ijph.v50i3.5628
Anxiety of the mothers with referred baby during Universal Newborn Hearing Screening

Mohd Khairi MD, Rafidah KN, Affizal A, Normastura AR, Suzana M, Normani ZM

Int J Pediatr Otorhinolaryngol, 2011 Apr;75(4):513-7.
PMID: 21292333 DOI: 10.1016/j.ijporl.2011.01.009

To investigate the anxiety among mothers whom their babies have failed test results in the first stage of Universal Neonatal Hearing Screening Program.
Fulltext Effect of education modules on the job dissatisfaction of teachers in community- based rehabilitation centres in Kelantan, Malaysia

Shazlin Umar, Azriani Ab Rahman, Aziah Daud, Azizah Othman, Normastura Abd Rahman, Azizah Yusoff, et al.

Education in Medicine Journal, 2015;7(2):1-8.
MyJurnal

Objective: The objectives of this study were to determine the effect of a one and a half year educational intervention on the job dissatisfaction of teachers in 30 Community Based Rehabilitation (CBR) centres in Kelantan, Malaysia, and to identify the factors influencing changes in job dissatisfaction following the intervention. Method: Ten educational modules were administered to the teachers. A validated Malay version of Job Content Questionnaire (JCQ) was used pre intervention, mid intervention and post intervention. Result: Repeated Measure ANOVA revealed there was a statistically significant reduction in the mean of job dissatisfaction (p = 0.048). Multiple Linear Regression revealed that co- worker support (β= 0.034 (95% CI = 0.009, 0.059)), having less decision authority (β: -0.023; 95% CI: -0.036, -0.01) and being single (β: -0.107; 95% CI: -0.176,-0.038) were significantly associated with decreases in job dissatisfaction. Conclusion: The intervention program elicited improvement in job satisfaction. Efforts should be made to sustain the effect of the intervention in reducing job dissatisfaction by continuous support visits to CBR centres.
Stress and Coping Strategies in Malay Parents of Children with Cleft Lip and/or Palate

Norsa'adah B, Nurhazalini-Zayani CG, Aniza AA, Normastura AR, Ahmad-Burhanudddin A

Cleft Palate Craniofac J, 2024 Feb 27.
PMID: 38414354 DOI: 10.1177/10556656241236011

OBJECTIVE: This study was aimed at describing the level of stress and types of coping strategies used among Malay parents of children with cleft lip and/or palate (CL/P).
DESIGN: Cross-sectional study.
SETTING: A dental clinic and a general hospital.
PARTICIPANTS: Parents (N = 84) whose children were less than 12 years old with CL/P.
METHODS: Socio-demographic data and clinical characteristics of CL/P were collected. Self-administered validated Malay versions of the stress scale from the Depressive, Anxiety and Stress Scale-42 (DASS-42) and COPE Inventory questionnaires were used. Descriptive statistics and Multivariate Analysis of Covariance were used for data analysis.
RESULTS: The prevalence of stress among parents of children with CL/P was 21.4% [95% confidence interval (12.4, 30.4)]. The most common coping strategies were problem-focused (mean 58.15, standard deviation (SD) 7.75), followed by emotion-focused (mean 54.05, SD 4.78). The adjusted mean score for overall coping strategies was significantly different between stressed and non-stressed parents after adjustment for education, number of children, sex of child with CL/P, and cleft type [F (df) = 4.174 (3,74), P = .009]. There was a significant mean difference between stressed and non-stressed parents for avoidant coping strategies [P = .003]. Problem-focused and emotion-focused coping strategies did not differ after Bonferroni correction.
CONCLUSIONS: Around a fifth of parents caring for children with CL/P experienced stress and avoidant coping strategies were more common among stressed parents. Multi-disciplinary team care should provide social support to parents of children with CL/P.