Change in parental knowledge and beliefs about early childhood dental caries following a pragmatic community-based trial

IF 1.8 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of public health dentistry Pub Date : 2024-04-29 DOI:10.1111/jphd.12620

Christie L. Lumsden PhD, MS, RD, CDN, Burton L. Edelstein DDS, MPH, Cheng-Shiun Leu PhD, Jiaqing Zhang PhD, Marcie S. Rubin DrPH, MPH, MPA, Howard Andrews PhD

{"title":"Change in parental knowledge and beliefs about early childhood dental caries following a pragmatic community-based trial","authors":"Christie L. Lumsden PhD, MS, RD, CDN, Burton L. Edelstein DDS, MPH, Cheng-Shiun Leu PhD, Jiaqing Zhang PhD, Marcie S. Rubin DrPH, MPH, MPA, Howard Andrews PhD","doi":"10.1111/jphd.12620","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>To evaluate parent knowledge and belief changes following the MySmileBuddy (MSB) early childhood caries (ECC) intervention.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Pre- and post-intervention surveys were completed by 669 parents of children with visually-evident ECC from among 977 participants in a 6–12-month pragmatic community-based caries management trial administered by community health workers (CHWs). Six domains of knowledge about caries and motivating and facilitating determinants were assessed via 26 survey items. Principal components analysis and reliability testing reduced dataset dimensionality. Parent and CHW characteristics were analyzed as potential moderators. Paired <i>T</i>-tests measured pre-to-post-intervention changes. Generalized estimating equations accounted for within-participant correlation with significance set at <i>p</i> < 0.05.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Twenty items consolidated into five factors (<i>saliva, hygiene, diet, seriousness/susceptibility, and outcome expectations</i>). Six additional items were evaluated individually. Positive post-intervention changes (<i>p</i> < 0.0001) were observed across all factors and all but one individual item (<i>tooth decay is very common</i>). Greatest knowledge increases related to caries as a bacterial disease in two measures, the <i>saliva factor</i> and a single caries belief item <i>tooth decay is an infectious disease</i> (0.59 unit increase, 95% CI [0.55, 0.64] and 0.46 unit increase, 95% CI [0.4, 0.51], respectively), and in the value of fluoridated water over bottled (0.46 unit increase, 95% CI [0.39–0.53]). Most parents improved knowledge of ECC salivary (72%) and dietary risks (57%), and preventative hygiene behaviors (59%).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>MSB enhanced knowledge and beliefs about caries and confirmed hypothesized mediators of behavior change among parents of high-risk children. Engaging peer-like CHW interventionists may have moderated intervention effects, warranting further exploration.</p>\n </section>\n </div>","PeriodicalId":16913,"journal":{"name":"Journal of public health dentistry","volume":"84 3","pages":"251-259"},"PeriodicalIF":1.8000,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of public health dentistry","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jphd.12620","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

To evaluate parent knowledge and belief changes following the MySmileBuddy (MSB) early childhood caries (ECC) intervention.

Methods

Pre- and post-intervention surveys were completed by 669 parents of children with visually-evident ECC from among 977 participants in a 6–12-month pragmatic community-based caries management trial administered by community health workers (CHWs). Six domains of knowledge about caries and motivating and facilitating determinants were assessed via 26 survey items. Principal components analysis and reliability testing reduced dataset dimensionality. Parent and CHW characteristics were analyzed as potential moderators. Paired T-tests measured pre-to-post-intervention changes. Generalized estimating equations accounted for within-participant correlation with significance set at p < 0.05.

Results

Twenty items consolidated into five factors (saliva, hygiene, diet, seriousness/susceptibility, and outcome expectations). Six additional items were evaluated individually. Positive post-intervention changes (p < 0.0001) were observed across all factors and all but one individual item (tooth decay is very common). Greatest knowledge increases related to caries as a bacterial disease in two measures, the saliva factor and a single caries belief item tooth decay is an infectious disease (0.59 unit increase, 95% CI [0.55, 0.64] and 0.46 unit increase, 95% CI [0.4, 0.51], respectively), and in the value of fluoridated water over bottled (0.46 unit increase, 95% CI [0.39–0.53]). Most parents improved knowledge of ECC salivary (72%) and dietary risks (57%), and preventative hygiene behaviors (59%).

Conclusions

MSB enhanced knowledge and beliefs about caries and confirmed hypothesized mediators of behavior change among parents of high-risk children. Engaging peer-like CHW interventionists may have moderated intervention effects, warranting further exploration.

查看原文本刊更多论文

以社区为基础的务实试验后，家长对幼儿龋齿的认识和信念发生了变化

方法在一项由社区卫生工作人员（CHWs）实施的为期 6-12 个月的务实社区龋齿管理试验中，从 977 名参与者中选出了 669 名患有肉眼可见的龋齿儿童的家长，对他们进行了干预前和干预后调查。通过 26 个调查项目对龋病知识的六个领域以及激励和促进因素进行了评估。主成分分析和可靠性测试降低了数据集的维度。家长和社区保健员的特征作为潜在的调节因素进行了分析。配对 T 检验衡量了干预前后的变化。结果20个项目合并为5个因子（唾液、卫生、饮食、严重性/易感性和结果预期）。另外六个项目进行了单独评估。除一个单项（蛀牙很常见）外，所有因素和所有单项在干预后都发生了积极变化（p < 0.0001）。在唾液因素和蛀牙是一种传染性疾病的单一龋齿信念项目（分别增加了 0.59 个单位，95% CI [0.55, 0.64] 和 0.46 个单位，95% CI [0.4, 0.51]）这两项措施中，与龋齿是一种细菌性疾病相关的知识增加最多，而在氟化水比瓶装水更有价值（增加了 0.46 个单位，95% CI [0.39-0.53]）这两项措施中，与龋齿是一种细菌性疾病相关的知识增加最多。大多数家长提高了对 ECC 唾液风险（72%）和饮食风险（57%）以及预防性卫生行为（59%）的认识。朋辈式儿童保健工作者的参与可能会调节干预效果，值得进一步探讨。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of public health dentistry 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.80

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： The Journal of Public Health Dentistry is devoted to the advancement of public health dentistry through the exploration of related research, practice, and policy developments. Three main types of articles are published: original research articles that provide a significant contribution to knowledge in the breadth of dental public health, including oral epidemiology, dental health services, the behavioral sciences, and the public health practice areas of assessment, policy development, and assurance; methods articles that report the development and testing of new approaches to research design, data collection and analysis, or the delivery of public health services; and review articles that synthesize previous research in the discipline and provide guidance to others conducting research as well as to policy makers, managers, and other dental public health practitioners.