دورية أكاديمية

Are technology-based health education methods able to reduce oral health inequalities between the sexes in adolescents? A cluster randomized trial.

التفاصيل البيبلوغرافية
العنوان: Are technology-based health education methods able to reduce oral health inequalities between the sexes in adolescents? A cluster randomized trial.
المؤلفون: Marchetti G; Department of Stomatology, Universidade Federal do Paraná, Curitiba, Brazil., Vendruscolo JL; Department of Stomatology, Universidade Federal do Paraná, Curitiba, Brazil., Reis GEDS; Department of Stomatology, Universidade Federal do Paraná, Curitiba, Brazil., Fraiz FC; Department of Stomatology, Universidade Federal do Paraná, Curitiba, Brazil., Soares GMS; Department of Stomatology, Universidade Federal do Paraná, Curitiba, Brazil., Assunção LRDS; Department of Stomatology, Universidade Federal do Paraná, Curitiba, Brazil.
المصدر: International journal of dental hygiene [Int J Dent Hyg] 2024 Aug; Vol. 22 (3), pp. 485-493. Date of Electronic Publication: 2022 Nov 02.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Blackwell Pub Country of Publication: England NLM ID: 101168070 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1601-5037 (Electronic) Linking ISSN: 16015029 NLM ISO Abbreviation: Int J Dent Hyg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford [Eng.] : Blackwell Pub., c2003-
مواضيع طبية MeSH: Oral Health*/education, Humans ; Adolescent ; Male ; Female ; Sex Factors ; Young Adult ; Oral Hygiene Index ; Health Education, Dental/methods ; Health Status Disparities ; Periodontal Index ; Mobile Applications ; Counseling/methods ; Oral Hygiene/education ; Oral Hygiene/methods
مستخلص: Purpose: Determine if different technology-based health education interventions can reduce oral health inequalities between the sexes in a sample of adolescents.
Methods: A cluster randomized clinical trial was conducted in three phases with an initial sample of 291 male and female adolescents 14-19 years of age. Phase I (n = 288) comprised a clinical examination performed by a calibrated examiner using the simplified oral hygiene index (OHI-S) and gingival bleeding index (GBI). Phase II involved two educational interventions: video (VD; n = 147) or oral counselling (OR; n = 141) with standardized content. In phase III, an App was made available to half of the clusters (OR + App; n = 66/OR without App; n = 71/VD + App; n = 63/VD without App; n = 63), and the clinical examination was performed a second time. Data were evaluated using descriptive analysis and nonparametric tests.
Results: In phase I, boys had a lower standard of oral hygiene compared with girls, with higher mean OHI-S (p = 0.039) and GBI (p = 0.015). After VD and OR interventions, no significant difference between sexes was found regarding the mean OHI-S. However, males had a higher mean GBI compared with females in the OR group (p = 0.006). When the App was added to OR and VD groups, males in the 'OR without App' group had a higher mean GBI compared with females (p = 0.007).
Conclusion: This clinical trial demonstrated that educational interventions involving information technologies were effective at reducing oral health inequalities between the sexes among adolescents. However, oral counselling alone was not efficient in reducing GBI in male adolescents.
(© 2022 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
References: Oh TJ, Eber R, Wang HL. Periodontal diseases in the child and adolescent. J Clin Periodontol. 2002;29:400‐410.
Donner NC, Lowry CA. Sex differences in anxiety and emotional behavior. Pflugers Arch ‐ Eur J Physiol. 2013;465:601‐626.
Regitz‐Zagrosek V. Sex and gender differences in health. Science & society series on sex and science. EMBO Rep. 2012;13:596‐603.
Abe M, Mitani A, Hoshi K, Yanagimoto S. Large gender gap in oral hygiene behavior and its impact on gingival health in late adolescence. Int J Environ Res Public Health. 2020;17:4394.
Knack KC, Sabadin CES, Boclin KLS, Oltramari ES, Portilio MN, Rigo L. Periodontal conditions in adolescents and young Brazilians and associated factors: cross‐sectional study with data from the Brazilian oral health survey, 2010. J Indian Soc Periodontol. 2019;23:475‐483.
Jordão LMR, Malta DC, Freire MDCM. Simultaneous oral health risk behaviors among adolescents: evidence from the National School‐based Student Health Survey. Rev Bras Epidemiol. 2018;29:e180019.
Tuchtenhagen S, Bresolin CR, Tomazoni F, et al. The influence of normative and subjective oral health status on school children's happiness. BMC Oral Health. 2015;15:15.
Vangipuram S, Jha A, Raju R, Bashyam M. Effectiveness of peer group and conventional method (dentist) of oral health education programme among 12‐15 year old school children ‐ a randomized controlled trial. J Clin Diagn Res. 2016;10:ZC125‐ZC129.
Mello TRC, Nogueira P, Corá C, Junqueira AC, Korytnicki D. Use of participative methodology in oral health education for adolescents. Rev Gaúcha Odontol. 2013;61:227‐233.
Gao X, Lo EC, McGrath C, Ho SM. Face‐to‐face individual counseling and online group motivational interviewing in improving oral health: study protocol for a randomized controlled trial. Trials. 2015;16:416.
Marchetti G, Fraiz FC, Nascimento WMD, Soares GMS, Assunção LRDS. Improving adolescents' periodontal health: evaluation of a mobile oral health app associated with conventional educational methods: a cluster randomized trial. Int J Pediatric Dent. 2018;28:410‐419.
Haleem A, Khan MK, Sufia S, Chaudhry S, Siddiqui MI, Khan AA. The role of repetition and reinforcement in school‐based oral health education‐a cluster randomized controlled trial. BMC Public Health. 2016;16:2.
Al Saffan AD, Baseer MA, Alshammary AA, Assery M, Kamel A, Rahman G. Impact of oral health education on oral health knowledge of private school children in Riyadh City, Saudi Arabia. J Int Soc Prev Community Dent. 2017;7:S186‐S193.
Redmond CA, Blinkhorn FA, Kay EJ, Davies RM, Worthington HV, Blinkhorn AS. A cluster randomized controlled trial testing the effectiveness of a school‐based dental health education program for adolescents. J Public Health Dent. 1999;59:12‐17.
Radovic A, McCarty CA, Katzman K, Richardson LP. Adolescents' perspectives on using technology for health: qualitative study. JMIR Pediatr Parent. 2018;1:e2.
WMA Press Release: WMA revises the Declaration of Helsinki. October 9, 2000. Accessed January 12, 2022. https://www.wma.net/what‐we‐do/medical‐ethics/declaration‐of‐helsinki/.
Campbell MK, Piaggio G, Elbourne DR, Altman DG. Consort 2010 statement: extension to cluster randomised trials. BMJ. 2012;345:e5661.
Greene JC, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc. 1964;68:7‐13.
Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975;25:229‐235.
Associação Brasileira de Empresas de pesquisa. Critérios de Classificação Econômica Brasil 2015. Accessed January 12, 2022. http://www.abep.org/criterio‐brasil.
Ghaffari M, Rakhshanderou S, Ramezankhani A, Buunk‐Werkhoven Y, Noroozi M, Armoon B. Are educating and promoting interventions effective in oral health? A systematic review. Int J Dent Hyg. 2018;16:48‐58.
Garbin CA, Queiroz AP, Garbin AJ, Moimaz SA, Soares GB. Comparison of methods in oral health education from the perspective of adolescents. Oral Health Prev Dent. 2013;11:39‐47.
Zotti F, Dalessandri D, Salgarello S, et al. Usefulness of an App in improving oral hygiene compliance in adolescent orthodontic patients. Angle Orthod. 2016;86:101‐107.
Marchetti G, Assunção LRDS, Soares GMS, Fraiz FC. Are information technologies capable of stimulating the use of dental floss by adolescents? A cluster randomised clinical trial. Oral Health Prev Dent. 2020;18:427‐432.
Brukiene V, Aleksejūniene J. An overview of oral health promotion in adolescents. Int J Paediatr Dent. 2009;19:163‐171.
Xiang B, Wong HM, Perfecto AP, McGrath CPJ. The effectiveness of behavioral interventions to improve oral health in adolescents at different periods of follow‐up: a systematic review and meta‐analysis. Patient Educ Couns. 2020;103:725‐733.
Mbawalla H, Masalu JR, Masatu M, Åstrøm AN. Changes in adolescents' oral health status following oral health promotion activities in Tanzania. Acta Odontol Scand. 2013;71:333‐342.
Sanadhya YK, Thakkar JP, Divakar DD, et al. Effectiveness of oral health education on knowledge, attitude, practices and oral hygiene status among 12‐15‐year‐old schoolchildren of fishermen of Kutch district, Gujarat. India Int Marit Health. 2014;65:99‐105.
Granville‐Garcia AF, Fernandes LV, Farias TSS, Bento PMM, Medeiros CLSG, Menezes VA. Importance of oral health among adolescents in public schools of Campina Grande/PB, Brazil. Pesqui bras odontopediatria clín Integr. 2012;11:425‐431.
Bonotto DMV, Pintarelli TP, Santin G, Montes GR, Ferreira FM, Fraiz FC. Cárie dentária e gênero em adolescentes. RFO. 2015;20:202‐207.
معلومات مُعتمدة: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
فهرسة مساهمة: Keywords: adolescent; health education; oral health; oral hygiene
تواريخ الأحداث: Date Created: 20221027 Date Completed: 20240722 Latest Revision: 20240722
رمز التحديث: 20240722
DOI: 10.1111/idh.12641
PMID: 36301013
قاعدة البيانات: MEDLINE
الوصف
تدمد:1601-5037
DOI:10.1111/idh.12641