Effectiveness of an oral health education intervention among 6-12-year-old children: A cluster randomized controlled trial.

IF 0.9 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Community dental health Pub Date : 2023-05-30 DOI:10.1922/CDH_00164Suresh06

N Suresh, V R Kutty, K N Kumar, P S Sarma, A A Vijayan, M Aljuaid, D Shahid, K R Thankappan

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Abstract

Objectives: Literature on the effectiveness of theory-based oral health education on the oral hygiene of children is limited. We aimed to determine the effectiveness of an health behaviour theory-based school oral health education intervention on 1) oral hygiene and 2) oral health-related knowledge, attitude and practices among 6-12-year-old children in Kerala, India.

Methods: Cluster randomized controlled trial. Sixteen class divisions (clusters) were randomized into intervention and control groups of 225 and 228 children respectively. Primary and secondary outcomes were plaque score as measured using the simplified oral hygiene index (OHI-S) and oral health-related knowledge, attitude and practices respectively. The intervention group received structured oral health education classes for three months and materials including pamphlets. Children in the control group were not given the classes or materials.

Results: Post-intervention OHI-S scores in the intervention group and control groups were 1.65 and 2.17 respectively (difference = -0.52, 95%CI -0.86, -0.18). All the secondary outcomes improved in the intervention group compared to the control group.

Conclusions: The intervention improved the oral hygiene status, oral health-related knowledge, attitude and practices of the children. Longer term follow-up and economic appraisal are needed to help policymakers plan and develop OHEI based on health behaviour theories.

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6-12岁儿童口腔健康教育干预的有效性:一项整群随机对照试验

目的:理论口腔健康教育对儿童口腔卫生的影响文献有限。我们的目的是确定基于健康行为理论的学校口腔健康教育干预对印度喀拉拉邦6-12岁儿童口腔卫生和口腔健康相关知识、态度和行为的有效性。方法:聚类随机对照试验。16个班(组)随机分为干预组225例，对照组228例。主要和次要结果分别是用简化口腔卫生指数(ohi)和口腔健康相关知识、态度和实践测量的牙菌斑评分。干预组接受为期三个月的结构化口腔健康教育课程及小册子等资料。对照组的孩子没有得到这些课程或材料。结果:干预组和对照组干预后OHI-S评分分别为1.65和2.17 (95%CI = -0.52, 95%CI = -0.86， -0.18)。与对照组相比，干预组的所有次要结果均有所改善。结论:干预改善了儿童口腔卫生状况、口腔健康相关知识、态度和行为。需要进行长期随访和经济评价，以帮助决策者根据卫生行为理论规划和发展OHEI。

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来源期刊

Community dental health 医学-牙科与口腔外科

CiteScore

2.20

自引率

11.80%

发文量

审稿时长

6-12 weeks

期刊介绍： The journal is concerned with dental public health and related subjects. Dental public health is the science and the art of preventing oral disease, promoting oral health, and improving the quality of life through the organised efforts of society. The discipline covers a wide range and includes such topics as: -oral epidemiology- oral health services research- preventive dentistry - especially in relation to communities- oral health education and promotion- clinical research - with particular emphasis on the care of special groups- behavioural sciences related to dentistry- decision theory- quality of life- risk analysis- ethics and oral health economics- quality assessment. The journal publishes scientific articles on the relevant fields, review articles, discussion papers, news items, and editorials. It is of interest to dentists working in dental public health and to other professionals concerned with disease prevention, health service planning, and health promotion throughout the world. In the case of epidemiology of oral diseases the Journal prioritises national studies unless local studies have major methodological innovations or information of particular interest.