Four-level evaluation of health promotion intervention for preventing early childhood caries: a randomized controlled trial
Abstract Background Early childhood caries (ECC) is the most common dental disease among children, which can affect children’s primary teeth during their teething. This study evaluates an intervention for preventing early childhood caries in a pediatric population in Ahvaz, Iran. Method The populati...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2017-10-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12889-017-4783-9 |
| _version_ | 1828485014730309632 |
|---|---|
| author | Leila Basir Bita Rasteh Ali Montazeri Marzieh Araban |
| author_facet | Leila Basir Bita Rasteh Ali Montazeri Marzieh Araban |
| author_sort | Leila Basir |
| collection | DOAJ |
| description | Abstract Background Early childhood caries (ECC) is the most common dental disease among children, which can affect children’s primary teeth during their teething. This study evaluates an intervention for preventing early childhood caries in a pediatric population in Ahvaz, Iran. Method The population of this study (IRCT2017070210804N10) consists of 104 women with 12 to 36 months of age without dental caries referred to a health care center in Ahvaz, Iran. The children were randomly assigned to either an experimental or control group in equal numbers. First, the demographic information of participants was collected through a questionnaire containing components of perceived threat, health literacy, and oral health behaviors using a valid and reliable questionnaire. The ECC status of the children was established by a dentist. Control group received “standard well baby care”. The experimental group received standard well baby care in addition to educational interventions, including lecture and group discussion. After 6 months, the participant completed the questionnaire for the second time, and the children’s teeth were reexamined. Data were analyzed using SPSS version 15 at a significance level of p < 0.05. Results The mean ages of women and children were 31 ± 6.68 years and 18 ± 7.21 months, respectively. Before the intervention, no significant difference was documented between the groups for the study variables, p > 0.05. However, after the intervention, a significant difference was observed between the perceived threats (41.15 ± 4.46 in the experimental group and 38.26 ± 4.21 in the control group, p = 0.001), health literacy (20.98 ± 2.15 in the experimental group and 19.76 ± 2.70 in the control group, p = 0.01), oral health behaviors (7.75 ± 2.30 in the experimental group and 6.15 ± 2.65 in the control group, p = 0.01), and the incidence of ECC (13% in the experimental group and 35% in the control group, p = 0.001). Conclusion This intervention had positive effects on the perceived threat, health literacy, and health behaviors; and the intervention could reduce the incidence of ECC. The finding of this study provided a suggestion for evidence-based decision-making processes regarding ECCs prevention programs. Trial registration IRCT2017070210804N10 (retrospectively registered) |
| first_indexed | 2024-12-11T09:05:32Z |
| format | Article |
| id | doaj.art-79ff8fb5b001448eb3779b824821aedb |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-11T09:05:32Z |
| publishDate | 2017-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-79ff8fb5b001448eb3779b824821aedb2022-12-22T01:13:38ZengBMCBMC Public Health1471-24582017-10-011711910.1186/s12889-017-4783-9Four-level evaluation of health promotion intervention for preventing early childhood caries: a randomized controlled trialLeila Basir0Bita Rasteh1Ali Montazeri2Marzieh Araban3Department of Pediatric Dentistry, School of dentistry, Ahvaz Jundishapur University of Medical SciencesSchool of dentistry, Ahvaz Jundishapur University of Medical SciencesMental Health Research Group, Health Metrics Research Center, Iranian Institute for Health Sciences Research, ACECRSocial Determinants of Health Research center, Ahvaz Jundishapur University of Medical SciencesAbstract Background Early childhood caries (ECC) is the most common dental disease among children, which can affect children’s primary teeth during their teething. This study evaluates an intervention for preventing early childhood caries in a pediatric population in Ahvaz, Iran. Method The population of this study (IRCT2017070210804N10) consists of 104 women with 12 to 36 months of age without dental caries referred to a health care center in Ahvaz, Iran. The children were randomly assigned to either an experimental or control group in equal numbers. First, the demographic information of participants was collected through a questionnaire containing components of perceived threat, health literacy, and oral health behaviors using a valid and reliable questionnaire. The ECC status of the children was established by a dentist. Control group received “standard well baby care”. The experimental group received standard well baby care in addition to educational interventions, including lecture and group discussion. After 6 months, the participant completed the questionnaire for the second time, and the children’s teeth were reexamined. Data were analyzed using SPSS version 15 at a significance level of p < 0.05. Results The mean ages of women and children were 31 ± 6.68 years and 18 ± 7.21 months, respectively. Before the intervention, no significant difference was documented between the groups for the study variables, p > 0.05. However, after the intervention, a significant difference was observed between the perceived threats (41.15 ± 4.46 in the experimental group and 38.26 ± 4.21 in the control group, p = 0.001), health literacy (20.98 ± 2.15 in the experimental group and 19.76 ± 2.70 in the control group, p = 0.01), oral health behaviors (7.75 ± 2.30 in the experimental group and 6.15 ± 2.65 in the control group, p = 0.01), and the incidence of ECC (13% in the experimental group and 35% in the control group, p = 0.001). Conclusion This intervention had positive effects on the perceived threat, health literacy, and health behaviors; and the intervention could reduce the incidence of ECC. The finding of this study provided a suggestion for evidence-based decision-making processes regarding ECCs prevention programs. Trial registration IRCT2017070210804N10 (retrospectively registered)http://link.springer.com/article/10.1186/s12889-017-4783-9Perceived threatHealth literacyOral healthEarly childhood cariesHealth educationHealth promotion |
| spellingShingle | Leila Basir Bita Rasteh Ali Montazeri Marzieh Araban Four-level evaluation of health promotion intervention for preventing early childhood caries: a randomized controlled trial BMC Public Health Perceived threat Health literacy Oral health Early childhood caries Health education Health promotion |
| title | Four-level evaluation of health promotion intervention for preventing early childhood caries: a randomized controlled trial |
| title_full | Four-level evaluation of health promotion intervention for preventing early childhood caries: a randomized controlled trial |
| title_fullStr | Four-level evaluation of health promotion intervention for preventing early childhood caries: a randomized controlled trial |
| title_full_unstemmed | Four-level evaluation of health promotion intervention for preventing early childhood caries: a randomized controlled trial |
| title_short | Four-level evaluation of health promotion intervention for preventing early childhood caries: a randomized controlled trial |
| title_sort | four level evaluation of health promotion intervention for preventing early childhood caries a randomized controlled trial |
| topic | Perceived threat Health literacy Oral health Early childhood caries Health education Health promotion |
| url | http://link.springer.com/article/10.1186/s12889-017-4783-9 |
| work_keys_str_mv | AT leilabasir fourlevelevaluationofhealthpromotioninterventionforpreventingearlychildhoodcariesarandomizedcontrolledtrial AT bitarasteh fourlevelevaluationofhealthpromotioninterventionforpreventingearlychildhoodcariesarandomizedcontrolledtrial AT alimontazeri fourlevelevaluationofhealthpromotioninterventionforpreventingearlychildhoodcariesarandomizedcontrolledtrial AT marzieharaban fourlevelevaluationofhealthpromotioninterventionforpreventingearlychildhoodcariesarandomizedcontrolledtrial |