Effects of an Oral Health Management Program During Pregnancy: A Randomized Controlled Trial.

IF 2.9 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Oral diseases Pub Date : 2025-09-07 DOI:10.1111/odi.70076

Piaopiao Chen, Mao Li, Qiong Zhang, Minxia Qiu, Xuefen Yu

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引用次数: 0

Abstract

Objective: To evaluate the effects of a Health Belief Model-based oral health management program on self-efficacy, oral health behaviors, and three periodontal clinical indicators among pregnant women.

Study design: A randomized controlled trial was conducted with 65 participants randomly allocated to the intervention (n = 39) and control (n = 26) groups. The intervention included one face-to-face education, three video calls, two online lectures, and regular follow-up supervision in 1 month, while the control group received one face-to-face education. Self-efficacy for oral self-care, three periodontal clinical indicators, and oral health behaviors were measured at baseline (T₀), post-intervention (T₁), and 2-month follow-up (T₂).

Results: The total and three domains' scores on the Self-efficacy Scale for Self-care in the intervention group increased appreciably (p < 0.001). Oral health behaviors among the intervention group exhibited more remarkable improvement than the control group did at the two post-baseline times (all p < 0.05). The intervention group showed significantly higher scores in gingival index (p = 0.021) and plaque index (p = 0.001) than the control group at T₁, while only plaque index scores were significantly different between the two groups at T₂ (p < 0.001).

Conclusion: The findings demonstrated an effective educational strategy to promote self-efficacy, oral health behaviors, and oral health status in pregnant women.

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妊娠期口腔健康管理项目的效果：一项随机对照试验。

目的：评价基于健康信念模型的口腔健康管理程序对孕妇自我效能感、口腔健康行为和三项牙周临床指标的影响。研究设计：采用随机对照试验，65名受试者随机分为干预组（n = 39）和对照组（n = 26）。干预包括1次面对面教育、3次视频电话、2次在线讲座，1个月定期随访监督，对照组1次面对面教育。在基线（T0）、干预后（T1）和2个月随访（T2）时测量口腔自我保健的自我效能感、三项牙周临床指标和口腔健康行为。结果：干预组在自我护理自我效能量表的总分和三个领域得分均有显著提高（p < 0.01），而在T2时两组间仅菌斑指数得分有显著差异（p < 0.01）。结论：教育策略对提高孕妇的自我效能感、口腔健康行为和口腔健康状况有显著作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral diseases 医学-牙科与口腔外科

CiteScore

7.60

自引率

5.30%

发文量

325

审稿时长

4-8 weeks

期刊介绍： Oral Diseases is a multidisciplinary and international journal with a focus on head and neck disorders, edited by leaders in the field, Professor Giovanni Lodi (Editor-in-Chief, Milan, Italy), Professor Stefano Petti (Deputy Editor, Rome, Italy) and Associate Professor Gulshan Sunavala-Dossabhoy (Deputy Editor, Shreveport, LA, USA). The journal is pre-eminent in oral medicine. Oral Diseases specifically strives to link often-isolated areas of dentistry and medicine through broad-based scholarship that includes well-designed and controlled clinical research, analytical epidemiology, and the translation of basic science in pre-clinical studies. The journal typically publishes articles relevant to many related medical specialties including especially dermatology, gastroenterology, hematology, immunology, infectious diseases, neuropsychiatry, oncology and otolaryngology. The essential requirement is that all submitted research is hypothesis-driven, with significant positive and negative results both welcomed. Equal publication emphasis is placed on etiology, pathogenesis, diagnosis, prevention and treatment.