Parental Acceptance Research Articles

Determinants of Rotavirus Vaccine Acceptance in an Area of Southern Italy with Low Vaccination Coverage: A Case-Control Study by the Health Belief Model Questionnaire

Background/Objectives: Rotavirus (RV) is the primary cause of gastroenteritis in children worldwide, contributing significantly to morbidity and mortality, particularly among children under five years of age. The introduction of Rotavirus vaccines (RVV) has markedly reduced RV-related childhood deaths, especially in Europe, where substantial reductions in hospitalizations and disease prevalence have been observed. Despite these advances, RVV uptake in Italy remains below the desired targets, with notable regional disparities. In Sicily, vaccination rates have fluctuated, with current coverage failing to meet national goals. Safety concerns and insufficient parental awareness are major barriers to RVV acceptance. Methods: This case-control study was conducted in Southern Italy to identify factors influencing parental acceptance of RVV. Data were collected from parents using a structured questionnaire that assessed socio-demographic factors, vaccine knowledge, and attitudes based on the Health Belief Model (HBM). Results: Overall, 226 parents were enrolled. Higher perceived benefit of RVV was significantly associated with increased vaccine adherence (Odds Ratio = 13.65; 95% Confidence Interval = 6.88–27.09; p < 0.001). Conclusions: These results highlight the need for targeted interventions to improve vaccine coverage and address regional and socio-economic barriers to RVV acceptance. Furthermore, tailored educational campaigns and univocal information from healthcare providers could play pivotal roles in achieving higher vaccine uptake.

Heterogeneity in Developmental Trajectories of Internalizing and Externalizing Symptomatology: Associations with Risk and Protective Factors.

Among a large sample of youth (9-10years old at baseline) from the Adolescent Brain Cognitive Development (ABCD) Study® (n = 11,661) we modeled trajectories of psychopathology over three years and associated risk and protective factors. Growth mixture modeling characterized latent classes with distinct psychopathology trajectories. Results indicated four different internalizing trajectories: a high-decreasing class, a moderate-decreasing class, a moderate-increasing class, and a low-stable class. There were also four externalizing trajectories: a moderate-decreasing class, a high-decreasing class, a moderate-increasing class, and a low-decreasing class. We used parallel process growth analysis to examine the co-development of internalizing and externalizing symptoms and characterized five trajectory classes with distinct patterns of co-development. These classes were differentially associated with negative life events, neighborhood safety, and parental acceptance. Together, the findings characterize general developmental patterns of psychopathology, quantify the proportion of youth that follow each pattern, and identify key predictors that discriminate these patterns.

Parental Acceptance of Human Papillomavirus Vaccination Among Females Treated for Childhood Cancer and/or With Hematopoietic Stem Cell Transplantation: A Cross-Sectional Study.

Survivors of childhood cancer (CCS) and hematopoietic stem cell transplantation (HSCT) recipients are at increased risk of human papillomavirus (HPV)-associated malignancies. Although HPV vaccination is recommended for these groups, parental acceptance remains uncertain. We recruited caregivers of female CCS/HSCT aged ≥9years from the Shanghai Children's Medical Center (SCMC) vaccination clinic. Caregivers of females who were at least 6months post treatment, off immunosuppressants, and disease-free were eligible. Caregivers completed a questionnaire assessing demographics, HPV knowledge, and their willingness to vaccinate their daughters. Of the 219 caregivers enrolled, 195 (89.0%) completed the survey. Among the children of caregivers who responded, 44.6% (87/195) had undergone HSCT. All respondent caregivers lacked awareness that the HPV vaccine was recommended for their daughters. Willingness to vaccinate was endorsed by 65.1% (127/195) of caregivers, and was significantly associated with a household income over ¥50,000 (p = 0.02), the mother's HPV vaccination status (p<0.001), and their daughter receiving any vaccination post therapy (p = 0.02). The most common reasons for vaccine refusal included concerns about its impact on the child's primary disease (64.7%, 44/68), vaccine safety (58.8%, 40/68), and the belief that their child was too young for HPV vaccination (50.0%, 34/68). Only 15 of the 127 (11.8%) caregivers who initially expressed willingness to vaccinate their children had actually initiated vaccination. A substantial minority of Chinese caregivers of female CCS/HSCT are hesitant to vaccinate their daughters against HPV. Addressing caregivers' knowledge deficits and misperceptions about vaccine safety and barriers to accessing HPV vaccination is important to improve uptake.

Assessment of knowledge, attitudes, and professional behavior toward silver diamine fluoride among postgraduate pediatric dentistry students

Background and Objectives: Silver diamine fluoride (SDF) is a clear solution composed of ammonia, silver, and fluoride ions, used as an alternative treatment for early childhood caries. The study sought to assess the educational experiences, knowledge, attitudes, and professional behavior of postgraduate pediatric dentists regarding SDF, as well as to explore the connections among these factors. Methods: Postgraduate pediatric dental students (n = 200) participated in the survey. The SDF evaluation covered education, clinical knowledge, attitudes, and professional behavior, as well as parental acceptance. Results: Despite the limited scope of undergraduate education regarding SDF, the majority of the respondents knew about its uses and limitations. In spite of their high knowledge and positive attitude, the clinical use of SDF was found lacking. There was a positive correlation between the constructs, and the associations were statistically significant (P = 0.00). Interpretation and Conclusion: Even with the knowledge and positive attitude, clinical use seemed lacking. This can be overcome by increasing SDF education and encouraging postgraduates to incorporate the use of SDF into their routine practice. Moreover, clinicians must stress the advantages of SDF to parents and encourage them to look beyond the esthetic limitations.

Parental Perception about use of Inhaler Therapies in Childhood Asthma

Background: Parental attitudes towards the use of inhaled therapy in children with chronic asthma influence treatment adherence and outcome. In the present study, we evaluated the perceptions and concerns of parents of children with chronic asthma towards inhaled therapy. Objectives: The primary objective of this study is to understand how parents perceive inhaler therapies for managing childhood asthma, focusing on factors such as effectiveness, accessibility, and potential side effects. It also seeks to explore the influence of socio-cultural factors on parental acceptance and adherence to prescribed inhaler treatments. Methods: A qualitative approach was used, involving in-depth interviews with 200 parents or caregivers of children aged 5 to 12 years diagnosed with asthma. Participants were selected from Bolan Medical Complex, Quetta, through purposive sampling. The study gathered data through semi-structured interviews that focused on participants' experiences, attitudes, and knowledge regarding inhaler therapies. Results: The findings revealed that the majority of parents were aware of asthma and inhaler therapies, with a significant proportion viewing inhalers as an effective treatment option. However, concerns about side effects and the long-term use of inhalers were common. Cultural beliefs also influenced parents' willingness to embrace inhaler therapy, with some preferring alternative treatments. Conclusion: The study highlights the importance of addressing parental concerns and misconceptions about inhaler therapies. Educational interventions, clear communication from healthcare providers, and culturally sensitive approaches are crucial in improving parental acceptance and adherence to inhaler treatments, ultimately enhancing asthma management in children.

Preference Of the Ventrogluteal Regıon in Intramuscular Injectıon in Chıldren: Systematıc Revıew

Aim: Drug administration, particularly in children, is a crucial practice of nurses that requires follow up to evidence-based practices. When administering drugs via intramuscular (IM) injection, nurses need to consider several factors, including the child's age, weight, distance of the injection site from major nerves and blood vessels, muscle mass, and ease of identification of the injection site. This systematic review aims to evaluate the safety of the ventrogluteal (VG) region in children. Material and Methods: This systematic review includes research conducted in the English language between January 2000 and July 2021. A comprehensive search using the keywords 'ventrogluteal, intramuscular' was conducted on Pubmed, Google Scholar, Science Direct, and Wiley databases, resulting in the identification of 963 studies. Thirteen studies were selected for this systematic review based on our inclusion criteria. Results: In this review, outcomes of the 13 studies that met the criteria, were grouped under three main headings as vaccine, muscle thickness and complications of IM injection. The studies (n=4) under the headings of vaccine focused on immunological response of vaccine, parental acceptability of the vaccine administered via VG region, and side effects of vaccines. The studies (n=4) under the headings of muscle thickness focused on thickness of the muscle layer. The studies (n=5) under the headings of complications of IM injection focused on sciatic nerve injuries and local and systemic side effects. Conclusion: The ventrogluteal area for IM is less risky in terms of iatrogenic nerve injury and local and systemic side effects in all age groups. However, in line with the results of these studies, more studies are needed to determine safety use of VG for IM injection.

The Indirect Effects of Fathers’ Parenting Style and Parent Emotion Regulation on the Relationship Between Father Self-Efficacy and Children’s Mental Health Difficulties

Improving parental self-efficacy has been linked with reductions in child mental health difficulties; however, underlying mechanisms remain unclear, especially for fathers. This study investigated whether father self-efficacy influences child mental health difficulties indirectly through parenting style and parent-facilitated regulation of children’s negative emotions. A community sample of American fathers (N = 350, M = 39.45 years old) completed self-reports on father self-efficacy, parenting styles, parent-facilitated emotion regulation, and their children’s mental health difficulties (aged 4–12). Path analysis was used to test a cross-sectional, parallel–sequential indirect effect model. Father self-efficacy had a significant indirect effect on child mental health difficulties via three significant pathways of permissive parenting, authoritative parenting–acceptance of child’s negative emotions, and authoritarian parenting–avoidance of child’s negative emotions. Our model explained a moderate amount of variance in child mental health difficulties. The findings support promoting father self-efficacy through parenting interventions and highlight parenting beliefs as important for clinicians providing child mental health care.

Applying Confirmation Theory to Parent-Adolescent Conversations About Self-Disappointments: Parental Acceptance and Challenge Promote Teens’ Emotion Regulation

ABSTRACT As adolescents transition to adulthood, they must navigate rapid changes in their brains and bodies, as well as new dynamics within their families. By applying and extending confirmation theory, this paper demonstrates how parental confirmation within a conversation about a teen’s self-disappointment is related to teens’ emotion regulation. Results from a study of 94 parent-adolescent dyads revealed the types of everyday events that elicit self-disappointment for teens. In conversations about these events, parental acceptance was positively associated with their affective improvement, conversation positivity, and perceived understanding, whereas parental challenge was positively associated with teens’ reappraisal of the disappointing event. Both theoretical and practical implications are discussed.

INFLUENCE OF ATTACHMENT DIMENSIONS AND PERCEIVED PARENTAL ACCEPTANCE/REJECTION IN ADOLESCENT PATIENTS ON CONDUCT DISORDER.

The purpose of this study was to examine the differences in attachment dimensions and the perceived parental acceptance / rejection among adolescents with conduct disorder (CD) in comparison to the control group, and the contribution of the attachment dimensions and parental acceptance /rejection to the CD. The group of male and female adolescents with CD (N=97) and a control group of male and female adolescents with no signs of CD (N=97) participated in this study. Attachment and parental acceptance/rejection were determined in the relationship between adolescents and their mothers and fathers by using self-evaluation questionnaires. The results showed that subjects with CD had insecure (avoidance) attachment, perception of lower parental acceptance and higher parental rejection more often compared to controls. Higher levels of complex father rejection predicted CD. The main findings of this study indicated that the subjects with a conduct disorder felt less accepted and more rejected by parents compared to control group subjects. Complex father rejection was shown as a significant predictor of conduct disorder. Parental attachment may affect adolescents' perception of parental acceptance/rejection which may result in an expression of CD symptoms.

Parent’s acceptance of advanced behavior management techniques on children during dental treatment

AimThis study explores the acceptance of Advanced Behavior Management Techniques (ABMTs) by parents during their children’s dental treatments, comparing the opinion of parents of neurotypical children with that of parents of children with autism spectrum disorders (ASDs).MethodsAn observational cross-sectional study was conducted involving 440 parents, divided into two groups: 236 parents of neurotypical children and 204 parents of children with ASDs, recruited from pediatricians’ centers and centers for ASDs children in Northern and Southern Italy. A survey assessed their familiarity and acceptance of ABMTs, including protective stabilization, conscious sedation, and deep sedation/general anesthesia. Discrete variables were expressed as absolute and relative frequencies (%) and compared with Pearson’s chi-squared or Fisher’s exact test. Continue variables were expressed as mean ± SD and compared with the one-way ANOVA test. Heatmap and PCA analysis were used to determine possible correlations between items.ResultsParents of children with ASDs showed a higher acceptance rate of ABMTs compared to parents of neurotypical children. Overall, only 30.68% of parents knew ABMTs before the survey. Differences between the two groups of parents in acceptance of Active Stabilization in emergency settings, Passive Stabilization in routine settings, and Deep sedation/general anesthesia in both settings were observed (p < 0.01). Only 6.82% of parents ever used at least one ABMT on their children. Heatmap analysis revealed that parents who have accepted one of the ABMTs tend to accept the others as well.ConclusionDifferences in parental acceptance of different ABMTs was noted among the two groups of parents, with greater acceptance of ABMTs observed in the group of parents of children with ASDs. Parents of both groups have significant gaps in their knowledge of ABMTs. Therefore, increased awareness and personalized communication strategies are needed to increase acceptance of the studied techniques and, thus, facilitate access to dental care for uncooperative pediatric patients. Patient-centered behavior management strategies that meet children’s needs and parents’ preferences can contribute to the achievement of good oral health.

Parental Acceptance and Understanding of Autistic Children (PAUACS) - an Instrument Development Study.

Currently there are no instruments designed to assess parents' acceptance and understanding of their autistic child. We aimed to develop and evaluate the reliability and validity of a parent-report scale assessing parents' acceptance and understanding of their autistic child - the Parental Acceptance and Understanding of Autistic Children Scale (PAUACS). A total of 158 parents (74 non-autistic, 42 autistic, 42 questioning; mean age 42.69 years) of autistic children (mean age 10.80 years) completed an online survey comprising the prototype PAUACS as well as validated measures of parental sensitivity, neurodiversity affirming attitudes, autistic traits, mental health, and child adjustment and family experience. A subsample of participants (n = 97; 61.4%) completed the PAUACS questionnaire a second time, 2 weeks later, to assess for test-retest reliability. The final 30-item scale demonstrated excellent internal reliability (α = 0.89) and test-retest reliability (intraclass correlation = 0.92). Exploratory factor analysis revealed a clean structure comprising four distinct factors: Understanding (α = 0.86), Innate (α = 0.74), Acceptance (α = 0.82), and Expectations (α = 0.73). Overall, the PAUACS demonstrates good construct validity. Preliminary evidence of convergent validity and divergent validity was demonstrated. Preliminary evidence suggests PAUACS is a reliable and valid tool in assessing parents' acceptance and understanding of autistic children.

Multidimensional and Longitudinal Impact of a Genetic Diagnosis for Critically Ill Infants.

Many genetic conditions present in the NICU, where a diagnostic evaluation is pursued. However, understanding of the impact of a genetic diagnosis on clinical outcomes and health-related quality of life for these infants remains incomplete. We therefore evaluated parent-reported outcomes complemented by clinical outcomes measures over one year for a cohort of infants in the NICU undergoing genetic evaluation. Prospective cohort study evaluating outcomes after genetics consultation in a level IV NICU via parent report and electronic medical record review. Eligible infants were genetically undiagnosed at enrollment. Parent surveys were administered at baseline and 3, 6, and 12 months following enrollment and assessed genetic testing utility as well as parent-reported infant health-related quality of life using the Infant Toddler Quality of Life Questionnaire. A total of 110 infant-parent pairs were enrolled. Infants had a median age at enrollment of 15 days (interquartile range 8-37.75). At baseline, 74% (81/110) of parents endorsed high importance of finding a genetic diagnosis, but perceived importance significantly decreased over time. Over the study period, 38 infants received a molecular diagnosis per parent report, although this was discordant with electronic medical record review. Identification of a diagnosis did not significantly impact health-related quality of life across most domains, which was lower overall than population norms. A genetic diagnosis is highly desired by parents in the NICU, though waning interest over time for undiagnosed families may reflect parental emotional adaptation and acceptance. Additional supports are needed to improve perceived quality of life.

Parental Acceptance of Fetal Tissue Donation

Human fetal tissue is essential for biomedical research, providing unparalleled insights into human development and disease. To assess changes in parental decisions to donate fetal tissue following termination of pregnancy after the introduction of the Dutch Fetal Biobank (DFB) and to identify factors associated with consent to donate. This cohort study collected data from all individuals assigned female at birth (hereafter referred to as participants) who underwent a termination of pregnancy at the Amsterdam University Medical Center from January 1, 2008, to December 31, 2022. No exclusion criteria were applied. Introduction of the DFB on September 1, 2017, which offers the option to donate fetal tissue after pregnancy termination. Rates of fetal tissue donation before and after DFB introduction and associations between patient characteristics (maternal age, race and ethnicity, socioeconomic status, gestational age, and reason for termination) and consent to donation were assessed using multivariable binary logistic regression modeling. Of a total of 1272 participants (mean [SD] age, 33.0 [5.4] years), 576 (45.3%) were nulliparous. The mean (SD) gestational age at termination was 18 weeks 3 days (26 days), and reasons for termination were primarily because of structural defects (567 participants [44.6%]), with only a small portion (58 participants [4.6%]) terminating for social reasons (eg, unwanted or unplanned pregnancy). Fetal tissue donations increased from 1.2% (8 donations among 663 terminations) before the DFB introduction to 21.7% (132 donations among 609 terminations) after its introduction. This rise was primarily due to a shift from collective cremation to donation, while individual cremation or burial rates remained stable. The consent rate was 30.3% (132 of 436) for participants informed about the donation option. No significant demographic differences were found between participants who consented and those who did not, except for gestational age; consent rates decreased with advanced gestational age (odds ratio per week, 0.88; 95% CI, 0.83-0.94). Higher consent rates were observed for terminations due to social reasons (odds ratio, 3.56; 95% CI, 1.40-9.10). These findings suggest that a substantial proportion of individuals may be willing to donate fetal tissue for biomedical research after pregnancy termination. Integrating donation options in posttermination counseling respects patient autonomy and could ethically increase tissue availability for research. Expanding biobanks and fostering international collaboration is crucial for standardizing practices and ensuring equitable research benefits.

Understanding Parental Decision-Making and Determinants of COVID-19 Vaccination for Children in Vietnam: A Cross-Sectional Online Survey.

In Vietnam, COVID-19 vaccination campaigns for children have encountered numerous challenges due to acceptance issues among parents. This study aimed to assess parental decision-making and identify factors influencing their decision to vaccinate their children against COVID-19. This was a cross-sectional online survey conducted between April and May 2023 among parents of children aged 6-17 years enrolled in urban and rural schools in Thai Nguyen province, Vietnam. Data on parental and child demographics, vaccination decision-making, COVID-19 experiences, and health beliefs based on the Health Belief Model were collected and analyzed, using univariate and multivariable multinomial regression analyses. Among 4235 respondents (median age 41 years, 80.4% female), 81.3% had accepted all vaccine doses for their children, 9.7% had accepted some doses, 4.6% had rejected all doses, and 4.5% had not vaccinated their children for reasons unrelated to vaccine acceptance. Factors influencing parental decision-making included parental age, educational status, area of residence, health beliefs, prior experience with COVID-19 vaccination, and their child's age and health status. We found overall high levels of parental acceptance for COVID-19 vaccination for children in Thai Nguyen province. To enhance COVID-19 vaccination acceptance, targeted communication strategies should focus on younger parents, those living in urban areas, parents with higher educational levels, and those with children who are younger or have underlying medical conditions. Trusted sources such as healthcare workers, teachers, and official health websites are essential for disseminating accurate information and fostering trust in vaccination programs.

Acceptance of Parents toward Hand-over-mouth Exercise and Other Behavior Management Techniques for Pediatric Dental Care in the 21st Century: A Systematic Review and Meta-analysis of Observational Studies.

Hand-over-mouth exercise (HOME) is an aversive technique for child behavior management in a dental office. HOME has been omitted from various guidelines and certain teaching curricula due to legal and ethical issues. This systematic review meta-analysis (SRMA) was undertaken to understand the acceptance of parents toward HOME in comparison with that of other behavior management techniques (BMTs). This SRMA compared parental acceptance for HOME and other BMTs from observational studies reported in the literature from 1st January 2000, to date. Two authors independently searched data from the Cochrane Library, PubMed, Google Scholar, Semantic Scholar, and others. Twenty-one studies remained in the systematic review, of which eleven could be included in the meta-analysis. Based on the summary findings of 1,034 participants from 10 studies, we compared parents' acceptance for HOME vs other BMTs [voice control (VC), tell-show-do (TSD), physical restraint-active (PR-A), physical restraint-passive (PR-P), parental separation (PS), conscious sedation (CS), general anesthesia (GA), oral premedication (OP), and positive reinforcement (PR)]. Data analyses were carried out using RevMan 5.3. The Joanna Briggs Risk of Bias (JB-ROB) tool for cross-sectional analytical studies was used for bias assessment. A funnel plot was used to detect publication bias. Of 20 studies, nine studies reported higher acceptance for GA than HOME; seven reported higher acceptance for HOME than GA, and the remaining four appeared inconclusive. The meta-analysis results (eleven studies) based on forest plots with fixed effects models in terms of OR (CI) indicated no statistically significant difference in the acceptance for HOME vs GA [1.03 (0.84, 1.25)], CS [0.77 (0.60, 1.00)], and PR-P [1.21 (0.92, 1.59)]. In comparison with the acceptance for HOME, CS (NO) [0.65 (0.51, 0.84)], VC [0.48 (0.39, 0.59)], TSD [0.04 (0.03, 0.05)], PR-A [0.65 (0.50, 0.84)], PS [0.28 (0.22, 0.36)], OP [0.55 (0.39, 0.78)], distraction [0.11 (0.09, 0.15)], and PR [0.06 (0.04, 0.08)] were preferred; these being statistically significant. Heterogeneity values (I2) for all comparisons were high (above 80%), with the exception of one (comparison of HOME vs OP) having 50%. ROB across studies was judged to be moderate. The publication bias using the funnel plot analysis for all studies on the basis of SE [Log (OR)] showed marked and fairly equal dispersion on either side of the central line. No statistically significant difference was seen in the acceptance for HOME vs GA, CS, and PR-P. BMTs such as TSD, VC, PR-A, PS, CS (NO), OP, distraction, and PR were preferred to HOME; the difference in acceptance being statistically significant. The differences in acceptance between HOME vs CS (NO) and PR-A did not remain statistically significant when random effects models were used. The heterogeneity was high, the ROB was moderate, and the publication bias was minimal. Jawdekar A, Tafti F, Deolikar S, et al. Acceptance of Parents toward Hand-over-mouth Exercise and Other Behavior Management Techniques for Pediatric Dental Care in the 21st Century: A Systematic Review and Meta-analysis of Observational Studies. Int J Clin Pediatr Dent 2024;17(11):1302-1319.

Does paternal acception also matter? The mediating role of self-compassion in the relationship between parental acceptance and eating attitude

Does paternal acception also matter? The mediating role of self-compassion in the relationship between parental acceptance and eating attitude

Predictor Role of Intimate Domestic Violence During Pregnancy and Mental Health in Maternal Competency with Moderating Role of Motherinfant Attachment: A Structural Equation Model

Introduction: Intimate domestic violence causes psychological consequences in pregnancy and maternal competency. We aimed to assess the effect of domestic violence on mental health and maternal competency with the moderating role of mother-infant attachment behavior. Methods: This prospective longitudinal study was conducted on 254 primiparous mothers in the third trimester of pregnancy referring to selected health centers in Qazvin province, Iran. Data collection tools were questionnaires. Data were analyzed by SPSS and Smart Partial Lease Square3 software. Results: The results of the structural equations model showed that domestic violence has a positive and significant effect on mental health disorders (β = 0.87). Mental health disorder has a negative and significant effect on parental acceptance (β = -0.55). Domestic violence has a negative and significant effect on mother-infant attachment behavior (β = -0.83), also mother-infant attachment behavior is a moderator of the relationship between pregnancy violence and maternal competency (T-value = 3.17). Conclusion: The results revealed that domestic violence during pregnancy affects the mental health of pregnant mothers and maternal competency and mother-infant attachment behavior moderates this relationship. Therefore, it is recommended that mothers facing domestic violence be identified and receive psychological support and counseling, and also improve maternal competence and mother-infant attachment behavior in mothers exposed to violence.

A pilot acceptance and commitment intervention for parents of children with RASopathies.

A pilot acceptance and commitment intervention for parents of children with RASopathies.

Supplemental Material for A Pilot Acceptance and Commitment Intervention for Parents of Children With RASopathies

Supplemental Material for A Pilot Acceptance and Commitment Intervention for Parents of Children With RASopathies

Parental acceptance of dental treatment with SDF in children with CP.

This study aims to evaluate parental acceptance of dental treatment with silver diamine fluoride (SDF) in children with cerebral palsy (CP). The present study is a case-control study with 80 children in the age range of 6-11 years. Group I consisted of children diagnosed with CP and Group II consisted of children without any Special Health Care Needs and systemic conditions. Preoperative and postoperative behavior assessment was done using Frankl's behavior Rating Scale. 38 % SDF application was done in any one primary molar with occlusal dentinal caries. A well-designed validated structured questionnaire with 10 questions was developed to assess the parental acceptance of dental treatment with SDF. The questionnaire comprised 10 close-ended questions with subdivisions on socio-demographic details, the reason for the previous and current dental visit, and acceptance of dental treatment with SDF. The data were analyzed using SPSS (version 26, IBM, Chicago, USA). Continuous variables were expressed as mean±standard deviation (M±SD). Categorical variables were expressed as frequency (n) and percentage (%). The chi-square test was used for qualitative analysis. The level of significance was set at 5%. The number of children showing positive behavior on Frankl's behavior Rating Scale increased from 55% to 70% after dental treatment with SDF and this difference was statistically significant in Group I (p-value<0.001). 87.5% of parents in Group I had accepted the discoloration caused after dental treatment with SDF compared to 80% in Group II. In Group I, 95% of parents agreed strongly, while in Group II, 82.5% agreed strongly that SDF can be done on un-cooperative and special health care needs children. This difference in agreement seen between parents of Group I and Group II was found to be statistically significant (p-value=0.02). Also, the acceptance of SDF was found to be higher in parents who were educationally more qualified in Group I. This difference in the acceptance level of SDF seen based on the educational status of parents was statistically significant (p-value<0.001). Parental acceptance of SDF for dental treatment was higher in Group I (children with CP) as a greater number of parents accepted dental treatment despite discoloration with the modality being noninvasive and less time-consuming. Improved behavior rating was observed among children in both groups after dental treatment with SDF.