Auxiliary delivered school based oral health promotion among 12–14-year-old children from a low resource setting–A cluster randomized trial

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

Journal of public health dentistry Pub Date : 2023-03-10 DOI:10.1111/jphd.12565

Vivek Narayan MDS, Susan Thomas MDS, Mary shimi S. Gomez MDS, Bindu V. Bhaskar MDS, Arun Krishna Rao MDS

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引用次数: 0

Abstract

Objectives

This community intervention study compared the changes in oral health knowledge, attitude, practices (KAP), and oral health indicators among 12–14-year-old children who received a school based oral health promotion delivered by auxiliaries in a rural setting in India.

Methods

The interventions in this school based cluster randomized trial were delivered using schoolteachers and school health nurses. Oral health education (once in 3 months), weekly classroom based sodium fluoride mouth rinsing and biannual oral health screening/ referral were provided for 1 year. The control arm did not receive these interventions. Oral health indicators and self-administered KAP questionnaire were evaluated at baseline and 1-year follow-up. Oral health indicators included oral hygiene index simplified, DMFT/DMFS net caries increments, prevented fraction, number of sites with gingival bleeding, changes in care index, restorative index, treatment index, and dental attendance.

Results

The improvement in total KAP score, oral hygiene, and gingival bleeding from baseline to follow up was higher in the intervention arm (p < 0.05). The prevented fraction for net caries increment were 23.33% and 20.51% for DMFT and DMFS, respectively. Students in the intervention group had a higher dental attendance (OR 2.92, p < 0.001). The change in treatment index, restorative index, and care index were significantly higher in the intervention arm (p < 0.001).

Conclusions

Inclusion of available primary care auxiliaries like school health nurses and teachers in oral health promotion is a novel, effective, and sustainable strategy to improve oral health indicators and utilization in rural areas in low resource settings.

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低资源环境下12 - 14岁儿童口腔健康促进辅助服务的整群随机试验

目的:本社区干预研究比较了印度农村地区12 - 14岁儿童在接受辅助机构提供的以学校为基础的口腔健康促进后，口腔健康知识、态度、实践(KAP)和口腔健康指标的变化。方法采用以学校为基础的整群随机试验，采用学校教师和学校保健护士进行干预。提供口腔健康教育(3个月1次)、每周课堂氟化钠漱口和每年两次口腔健康筛查/转诊，为期1年。对照组没有接受这些干预。在基线和1年随访时评估口腔健康指标和自行填写的KAP问卷。口腔健康指标包括简化口腔卫生指数、DMFT/DMFS净龋增量、预防比例、牙龈出血部位数量、护理指数、修复指数、治疗指数的变化和牙科就诊情况。结果干预组患者KAP总分、口腔卫生、牙龈出血改善程度较对照组明显(p < 0.05)。DMFT和DMFS对净龋增长的预防率分别为23.33%和20.51%。干预组学生的牙科就诊率较高(OR 2.92, p < 0.001)。干预组治疗指数、恢复指数和护理指数的变化显著高于干预组(p < 0.001)。结论在资源匮乏的农村地区，将学校保健护士和教师等初级保健辅助人员纳入口腔健康促进是一种新颖、有效和可持续的策略，可改善口腔健康指标和利用率。

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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.