The problem identified in this research was that the most-to-least (MTL) prompting strategies used for individuals with intellectual disability (ID) had not been consistently demonstrated in research for personal hygiene, specifically tooth brushing. It has been well known that people with ID acquire skills differently than typically developing…

Children in Hawai'i demonstrate the highest rates of oral caries in the nation due to multitude of factors, such as a lack of appropriate funding or education, absence of fluoridation in water systems, no local dental schools, and racial/ethnic/socioeconomic disparities. This quality improvement project aimed to increase confidence and knowledge…