Effectiveness of oral health education intervention among 12–15-year-old school children in Dharan, Nepal: a randomized controlled trial

Abstract Background School-aged adolescents are in particular need of preventive program to ensure positive long-term oral health and hygiene. The objective of this study was to assess the effectiveness of an oral health education (OHE) intervention on oral hygiene knowledge, attitude and practices (KAP), plaque control and gingival health among 12–15 years old school children in Dharan sub-metropolitan city, Nepal. Methods A randomized controlled trial was conducted with parallel study groups, comprising 12–15-year-old school children, 120 in each group. OHE was given to the experimental group at baseline, third and sixth months and to the control group after completion of the study. Interview of the participants were done using a 23-item questionnaire for assessment of oral hygiene KAP. For each question, correct answer was scored as 1 and wrong answer was scored zero. An overall composite score was then created, by adding the individual scores. Oral examination was done using mouth mirror and WHO probe to record Turesky–Gilmore–Glickman modification of the Quigley-Hein plaque index, Gingival index and Dentition status and treatment needs. Analysis was done using chi-square test for categorical data and independent t test, Mann–Whitney U test, repeated measures ANOVA and post hoc Tukey’s test for quantitative data. The level of significance was set at P < 0.05. Results There was 54.58% improvement in overall oral hygiene KAP in experimental group (P = 0.001) whereas no improvement was seen in control group at the end of the study. The mean plaque score was improved by 57.67% (P = 0.001) in experimental group in comparison to 4.56% in control group. Gingival index was improved by 49.90% (P = 0.001) in experimental group in comparison to 0.7% in control group. Caries experience was increased in both groups but no significant difference was seen. Conclusions The study concluded that oral health education was effective in improving oral hygiene KAP, plaque control and gingival health. Trial registration The trial was retrospectively registered with Clinical Trial Registry India (CTRI) with identifier no. CTRI/2018/05/013985, registered on 05/21/2018. (http://www.ctri.nic.in/Clinicaltrials/pdf_generate.php?trialid=23651&EncHid=&modid=&compid=%27,%2723651det%27). Institutional Review Committee, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal provided the ethical approval (Ref. No.: 292/074/075-IRC).

Download Full-text

Effectiveness of Oral Health Education Intervention Strategies Among 12-15-Year-Old School Children in Dharan, Nepal: A Randomized Controlled Trial

10.21203/rs.3.rs-56726/v1 ◽

2020 ◽

Author(s):

Krishna Subedi ◽

Ashish Shrestha ◽

Tarakant Bhagat ◽

Dharanidhar Baral

Keyword(s):

Oral Health ◽

Health Education ◽

School Children ◽

Oral Hygiene ◽

Controlled Trial ◽

Control Group ◽

Oral Health Education ◽

Gingival Health ◽

Health Education Intervention ◽

Experimental Group

Abstract Background: School aged adolescents are in particular need of preventive program to ensure positive long-term oral health and hygiene. However, due to lack of health education and insufficient preventive measures, the oral health status of these students is not always good resulting in high morbidity. The objective of this study was to assess the effectiveness of an oral health education intervention on oral hygiene knowledge, attitude and practices (KAP), plaque control and gingival health among 12-15 years old school children in Dharan sub-metropolitan city, Nepal.Methods: A randomized controlled trial was conducted with parallel study groups, comprising 12-15-year-old school children, 120 in each group (experimental and control group). Interview of the participants were done using a 23-item questionnaire for assessment of oral hygiene knowledge, attitude and practices (KAP). Oral examination was done using mouth mirror and WHO probe to record Turesky-Gilmore-Glickman modification of the Quigley-Hein plaque index (1970), Gingival index (Loe H and Silness J 1963) and Dentition status and treatment needs at baseline and third and sixth months of the study period. Analysis was done using chi-square test for categorical data and Independent t test, repeated ANOVA, Kruskal-Wallis test, Friedman test, Mann-Whitney U test for quantitative data. The level of significance was set at p<0.05.Results: There was 54.58% improvement in overall oral hygiene KAP in experimental group (p=0.001) whereas no improvement was seen in control group after 6 months of intervention. The mean plaque score was improved by 57.67% (p=0.001) in experimental group in comparison to 4.56% in control group. Gingival index was improved by 49.90% (p=0.001) in experimental group in comparison to 0.7% (p=0.05) in control group. Caries experience was increased in both groups but no significant difference was seen.Conclusions: The study concluded that oral health education was effective in improving oral hygiene KAP, plaque control and gingival health.Trial registration: The trial was retrospectively registered with Clinical Trial Registry India (CTRI) with identifier no. CTRI/2018/05/013985, registered on 05/21/2018. (http://www.ctri.nic.in/Clinicaltrials/pdf_generate.php?trialid=23651&EncHid=&modid=&compid=%27,%2723651det%27). Institutional Review Committee, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal provided the ethical approval (Ref. No.: 292/074/075-IRC).

Download Full-text

Effectiveness of Oral Health Education Intervention among 12-15-Year-Old School Children in Dharan, Nepal: A Randomized Controlled Trial

10.21203/rs.3.rs-56726/v2 ◽

2021 ◽

Author(s):

Krishna Subedi ◽

Ashish Shrestha ◽

Tarakant Bhagat ◽

Dharanidhar Baral

Keyword(s):

Oral Health ◽

Health Education ◽

School Children ◽

Oral Hygiene ◽

Controlled Trial ◽

Control Group ◽

Oral Health Education ◽

Gingival Health ◽

Health Education Intervention ◽

Experimental Group

Abstract Background: School aged adolescents are in particular need of preventive program to ensure positive long-term oral health and hygiene. The objective of this study was to assess the effectiveness of an oral health education intervention on oral hygiene knowledge, attitude and practices (KAP), plaque control and gingival health among 12-15 years old school children in Dharan sub-metropolitan city, Nepal.Methods: A randomized controlled trial was conducted with parallel study groups, comprising 12-15-year-old school children, 120 in each group (experimental and control group). Oral health education was given to the experimental group at baseline, third and sixth months. Oral health education was given after completion of the study to the control group. Interview of the participants were done using a 23-item questionnaire for assessment of oral hygiene knowledge, attitude and practices (KAP). Oral examination was done using mouth mirror and WHO probe to record Turesky-Gilmore-Glickman modification of the Quigley-Hein plaque index (1970), Gingival index (Loe H and Silness J 1963) and Dentition status and treatment needs at baseline and third and sixth months of the study period. Analysis was done using chi-square test for categorical data and Independent t test, repeated ANOVA, Kruskal-Wallis test, Friedman test, Mann-Whitney U test for quantitative data. The level of significance was set at p<0.05.Results: There was 54.58% improvement in overall oral hygiene KAP in experimental group (p=0.001) whereas no improvement was seen in control group after 6 months of intervention. The mean plaque score was improved by 57.67% (p=0.001) in experimental group in comparison to 4.56% in control group. Gingival index was improved by 49.90% (p=0.001) in experimental group in comparison to 0.7% (p=0.05) in control group. Caries experience was increased in both groups but no significant difference was seen.Conclusions: The study concluded that oral health education was effective in improving oral hygiene KAP, plaque control and gingival health.Trial registrationThe trial was retrospectively registered with Clinical Trial Registry India (CTRI) with identifier no. CTRI/2018/05/013985, registered on 05/21/2018. (http://www.ctri.nic.in/Clinicaltrials/pdf_generate.php?trialid=23651&EncHid=&modid=&compid=%27,%2723651det%27). Institutional Review Committee, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan, Nepal provided the ethical approval (Ref. No.: 292/074/075-IRC).

Download Full-text

Impact of oral health education on oral hygiene knowledge, practices, plaque control and gingival health of 13- to 15-year-old school children in Bangalore city

International Journal of Dental Hygiene ◽

10.1111/j.1601-5037.2012.00563.x ◽

2012 ◽

Vol 11 (2) ◽

pp. 126-133 ◽

Cited By ~ 20

Author(s):

AM D'Cruz ◽

S Aradhya

Keyword(s):

Oral Health ◽

Health Education ◽

School Children ◽

Oral Hygiene ◽

Oral Health Education ◽

Knowledge Practices ◽

Bangalore City ◽

Gingival Health ◽

Plaque Control

Download Full-text

Comparative evaluation of webinar, powerpoint presentation and lecture as oral health educational interventions among school children: a randomized controlled trial

Health Education Research ◽

10.1093/her/cyaa047 ◽

2020 ◽

Author(s):

Rahul Deokar ◽

Arun Dodamani ◽

Prashanth Vishwakarma ◽

Harish Jadhav ◽

Mahesh Khairnar ◽

...

Keyword(s):

Oral Health ◽

Health Education ◽

School Children ◽

Controlled Trial ◽

Educational Interventions ◽

Oral Health Status ◽

Control Group ◽

Face To Face ◽

Oral Health Education ◽

Study Population

Abstract The study compared the effectiveness of three teaching methods on the oral health status of high school children. The study population of 791 school children selected from three different schools was randomly allocated to one of three intervention groups: (i) Webinar group (Online presentation)—260 subjects, (ii) Face to Face lecture using PowerPoint presentation (F2F PP group)—261 subjects and (iii) Control group (Only lecture)—270 subjects. Subjects from the Webinar group and F2F PP group received oral health education at an interval of 15 days starting from baseline. Subjects from the control group received oral health education only at baseline. Oral Hygiene Index (OHI) and Gingival Index (GI) were measured at baseline, at 1 month, 2 months’ and 3 months’ interval. OHI and GI showed a significant reduction (P = 0.001) in the Webinar group and F2F PP group; However, in the control group, OHI and GI reduced from baseline till second month and showed an increase at 3 months’ interval. F2F PP group showed a maximum reduction in OHI and GI followed by the Webinar group. It can be concluded that F2F PowerPoint-based oral health education was most effective followed by the webinar method.

Download Full-text

Oral Health Education Program on Dental Caries Incidence for School Children

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4628-39.3.277 ◽

2015 ◽

Vol 39 (3) ◽

pp. 277-283 ◽

Cited By ~ 8

Author(s):

RA Jaime ◽

TS Carvalho ◽

GC Bonini ◽

JCP Imparato ◽

FM Mendes

Keyword(s):

Oral Health ◽

Dental Caries ◽

Health Education ◽

Education Program ◽

Permanent Teeth ◽

Control Group ◽

Health Education Program ◽

Oral Health Education ◽

School Based ◽

Experimental Group

Objective: This 3-year retrospective controlled clinical trial assessed the effect of a school-based oral health education program on caries incidence in children. Study design: A total of 240 students, aged 5 to 7 years, from two public schools in Monte Sião, Brazil, were included in this study. A school-based oral health education program was developed in one of the schools (experimental group), including 120 students, while the 120 students from the other school did not participate in the program (control group). All children were initially examined for dental caries (dmf-t), and after 3 years, 98 children from the experimental group and 96 from the control group were again examined and answered a questionnaire on oral health issues. The between-groups difference in caries incidence on permanent teeth was calculated using Poisson regression analyses. Logistic regression was used to observe the association between caries incidence and other variables. Results: More students from the experimental group stated knowing what was dental caries and declared that they use dental floss daily, but no significant differences in caries incidence was observed between the experimental and control groups. Conclusion: The school-based oral health education program is not adequately efficient to decrease caries incidence after three years, but some issues about oral health knowledge could be slightly improved.

Download Full-text

Effect of Reinforcement of Oral Health Education Message through Short Messaging Service in Mobile Phones: A Quasi-Experimental Trial

International Journal of Telemedicine and Applications ◽

10.1155/2016/7293516 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 6

Author(s):

Harish C. Jadhav ◽

Arun S. Dodamani ◽

G. N. Karibasappa ◽

Rahul G. Naik ◽

Mahesh R. Khairnar ◽

...

Keyword(s):

Oral Health ◽

Health Education ◽

Mobile Phones ◽

Oral Hygiene ◽

Intervention Group ◽

Control Group ◽

Oral Health Education ◽

Short Messaging Service ◽

Effective Media ◽

Quasi Experimental

Objective. This paper aims to assess the effectiveness of reinforcement of oral health education message through short messaging service (SMS) in mobile phones.Material and Methods. 400 subjects from two colleges (200 from each college) belonging to 18–20 years age group possessing mobile phones were randomly selected and baseline examination of oral hygiene and gingival status was carried out using Oral Hygiene Index (OHI) and Gingival Index (GI). Oral health education was provided to all the subjects. Oral health education message was reinforced through short messaging service (SMS) in mobile phones for the subjects belonging to the intervention group. There was no such reinforcement for the control group. Follow-up examinations were done at the end of 1st, 2nd, 3rd, and 6th month. After the 3rd month, subjects of the intervention group did not receive oral health education message through short messaging service (SMS) and were followed up after next three months. Compiled data was analyzed using SPSS version 16 statistical software.Result. Mean OHI and GI scores in intervention group were significantly (p<0.01) less than those of control group after the 2nd, 3rd, and 6th month.Conclusion. Reinforcement of oral health education message through short messaging service (SMS) is effective media to improve oral health.

Download Full-text