scholarly journals Effects of Educational Interventions on Oral Hygiene: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Sakineh Dadipoor ◽  
Mohtasham Ghaffari ◽  
Mahsa Mortazavi New ◽  
Abbas Alipour ◽  
Ali Safari-Moradabadi

Abstract Background: The objective of this study is to evaluate the effects of school based oral health interventions programs on students’ oral hygiene, in developing countries through systematic review and meta-analysis. Methods: Our investigation was conducted in electronic databases including MEDLINE Ovid), Embase Ovid, Scopus), Web of Science from 2000 to march 2018.The data were extracted based on a standard data collection form specific to observational studies, and entered into RevMan 2014. Inclusion criteria included individually randomized controlled trials (RCTs) or cluster-RCTs including quasi- experimental studies that were related to oral health interventions. Software RevMan 2014was used for meta-analysis. A meta-analysis was carried out using random-effects models. Results: Twelve studies of students in this review finally entered the study including five individual RCTs, four cluster-RCTs, and three quasi-experimental studies. The intervention study period ranged from 1 month to 9 month. Interventions described in the studies briefly included oral health education with activities such as lectures, albums, slides, pamphlets, posters, and role playing. Meta-analyses showed a significant difference in knowledge (SMD 3.31, 95% CI 2.52 to 4.11; I 2 = 98; P < 0.001), attitude (SMD 1.99, 95% CI 0. 43 to 3.54; I 2 = 99; P < 0.001), behavior (SMD 4.74, 95% CI 3.70 to 5.77; I 2 = 99; P < 0.001), plaque index (SMD -1.01, 95% CI -1.50 to -0. 51; I 2 = 97; P < 0.001) and Gingival index (SMD 0. 33, 95% CI -0. 36 to 1. 02; I 2 = 98; P = 0.34) for students receiving educational interventions compared to those receiving usual care . Discussion: The systematic review concludes that educational interventions are effective for improving oral health knowledge, attitudes, behaviors, etc., which could potentially lead to improved oral health, reduced oral diseases, and reduced costs from treating oral diseases.

2019 ◽  
Author(s):  
Sakineh Dadipoor ◽  
Mohtasham Ghaffari ◽  
Abbas Alipour ◽  
Ali Safari-Moradabadi

Abstract Background: This study assesses the impact of school based educational interventions on oral hygiene of students conducted worldwide. This is a systematic review and Meta-Analysis. Methods: Our investigation was conducted in electronic databases including MEDLINE Ovid), Embase Ovid, Scopus), Web of Science from 2000 to march 2018. The data were extracted based on a standard data collection form specific to observational studies, and entered into RevMan2014. Twelve studies of students in this review finally entered the study including five individual RCTs, four cluster-RCTs, and three quasi-experimental studies. Results: Meta-analyses showed a significant difference in knowledge (SMD 3.31, 95% CI 2.52 to 4.11; P < 0.001), attitude (SMD 1. 99, 95% CI 0. 43 to 3.54; P < 0.01), behavior (SMD 4.74, 95% CI 3.70 to 5.77; P < 0.001), plaque index (SMD -1. 01, 95% CI -1.50 to -0. 51; P < 0. 001) and Gingival index (SMD 0.33, 95% CI -0. 36 to 1.02; P = 0.34) for students receiving educational interventions compared to those receiving usual care . Discussion: The focus of the present study is the efficacy of all oral health education and promotion interventions, especially in terms of short-term outcomes. Since long-term and short-term results are of tremendous importance for oral and dental education programs, it will be possible to make these interventions in the future with several target groups, including families and teachers.


2019 ◽  
Vol 17 (2) ◽  
pp. 169-175
Author(s):  
Nike Haryani ◽  
Erma Mahmiyah ◽  
M. Ibraar Ayatullah

Primary school is a very strategic place for the prevention of dental and oral diseases. Delivering counseling material in learning oral health requires media. One of the media in dental and oral health education is through counseling using audio media. This audio media contains messages about dental health that are played at school every morning and can be exposed and heard every day so elementary school children can behave well in dental health. This study aims to determine the effectiveness of audio media outreach programs to the knowledge and level of dental and mouth hygiene of students at State Primary School 26 Kalimas Tengah, Kubu Raya Regency in 2019. This study was a quasi-experimental study with a Pre-Post observation research design. The samples of this study were 68 people which were class III, IV and V. The results showed the average rank of knowledge index before counseling with audio media was 8.928 and p was 0.020 (p<0.05) with index of dental and oral hygiene level was 0,00 and p of 0,000 (p<0.05). Meanwhile, after counseling with audio media was 9,500 and p of 0.020 (p<0.05) with a level of dental and oral hygiene of 35.00 and p of 0,000 (p<0,05). The conclusion of this study is counseling with audio media is more effective in increasing knowledge which can improve oral and dental hygiene


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Marit S. Skeie ◽  
Elisabeth G. Gil ◽  
Lena Cetrelli ◽  
Annika Rosén ◽  
Johannes Fischer ◽  
...  

Abstract Background Observational studies examining the association between oral health and juvenile idiopathic arthritis (JIA) among children and adolescents have reported inconsistent findings. The aims of this systematic review and meta-analysis were to ascertain a potential difference in oral health and oral health-related quality of life (OHRQoL) among children and adolescents with JIA and healthy peers, and to assess the association of prevalence of oral diseases/conditions, temporomandibular disorders (TMD), including temporomandibular joint (TMJ) diseases, in relation to activity and severity of JIA. Method Medline Ovid, Embase, CINAHL, SweMed+ and Cochrane Library were searched up to 25 November 2018. All articles published in English, German and Scandinavian languages focusing on children and adolescents with JIA and without JIA in relation to oral health measures, were considered. Two authors independently evaluated observational studies for inclusion. The study quality was assessed using modified Newcastle Ottawa Scale. Meta-analysis was performed for studies focusing on dental caries as an outcome. Results Nineteen articles met the inclusion criteria, covering a range of oral diseases/conditions and OHRQoL. Eighteen studies had cross-sectional design. No mean difference of dmft/DMFT indices (decayed/missed/filled teeth) was observed between the JIA - and healthy group. None of the oral health measures including dental erosive wear, enamel defects, dental maturation and OHRQoL, indicated better oral health among children and adolescents with JIA compared to healthy group. However, periodontal conditions and TMD were more predominant among children and adolescents with JIA compared to healthy peers. Conclusions Based on the cross-sectional studies, periodontal diseases and TMD were found to be more frequent in children and adolescents with JIA compared to healthy peers. Furthermore, more high-quality studies with large sample size are needed before we infer any concrete conclusion regarding the association between the prevalence of oral and TMJ diseases or oral conditions in relation to activity and severity of JIA.


Author(s):  
Maria Armaou ◽  
Stathis Konstantinidis ◽  
Holly Blake

Objective: Psychological well-being has been associated with desirable individual and organisational outcomes. This systematic review aims to assess the effectiveness of digital interventions for the improvement of psychological well-being and/or the prevention/management of poor mental well-being in the workplace. Methods: This review protocol is registered in PROSPERO (CRD42019142428). Scientific databases including MEDLINE, Web of Science, CINAHL, PsycINFO, Cochrane Register of Controlled Trials (CENTRAL) and EMBASE will be searched for relevant studies published between January 1990 and July 2019. Studies will be included if they report specific primary and secondary outcomes of digital interventions delivered to adults in the workplace for the improvement of their psychological wellbeing and/or the prevention/management of poor mental well-being and were published in English. Following screening of titles and abstracts, full texts of potentially eligible papers will be screened in duplicate to identify studies that assess the effectiveness of those digital interventions. Discrepancies will be resolved through consensus or by consulting a third reviewer. An integrated narrative synthesis will assess included studies’ findings, and a meta-analysis will be performed if included studies appear to be homogeneous. The “Cochrane Collaboration’s Risk of Bias” tool and the JBI (Joanna Briggs Institute) Critical Appraisal Checklist for Quasi-Experimental Studies will be used to appraise included studies. Conclusion: The results of this work will provide recommendations on the use of digital interventions for the promotion of psychological well-being at work. It will also guide the development of future workplace digital interventions and subsequent primary research in this field.


Author(s):  
Lorena Gutiérrez-Puertas ◽  
Verónica V. Márquez-Hernández ◽  
Vanesa Gutiérrez-Puertas ◽  
Genoveva Granados-Gámez ◽  
Gabriel Aguilera-Manrique

Introduction: Nursing students establish therapeutic relationships with their patients and as future nursing professionals, they should be trained to be effective communicators. The objective of this systematic review was to know the impact of educational interventions on nursing students to develop their communication skills with patients. Methods: A systematic review of literature was carried out. The following databases were consulted: CINAHL, PubMed (Ovid Medline), SCOPUS and Web of Science. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guided this review. As for inclusion criteria, published articles in English from 2000 to 2020 were included. The methodological rigor of the included articles was evaluated with the JBI Critical Appraisal Checklist for Randomized Controlled Trial or Quasi-Experimental Studies. Changes in communication skills with the patient after the implementation of an intervention were analyzed. Results: Of the included studies in this systematic review (N = 19), two studies were randomized controlled trials, others were single group quasi-experimental studies (N = 11) and two group quasi-experimental studies (n = 6). The majority of the studies were carried out in the USA (n = 7). The most frequent educational intervention was simulation (n = 11). As for the improvement of communication skills, 13 of the 19 articles found statistically significant differences in patient-centered communication skills of nursing students. Conclusions: This systematic review provides preliminary evidence of the effectiveness of interventions used to train nursing students in patient-centered communication. Although all the interventions obtained significant results in communication skills, it has not yet been determined which methodology is more effective.


Thorax ◽  
2018 ◽  
Vol 73 (11) ◽  
pp. 1026-1040 ◽  
Author(s):  
Megha Thakur ◽  
Paulien A W Nuyts ◽  
Esther A Boudewijns ◽  
Javier Flores Kim ◽  
Timor Faber ◽  
...  

ObjectivesImproved biomass cookstoves may help reduce the substantial global burden of morbidity and mortality due to household air pollution (HAP) that disproportionately affects women and children in low and middle income countries (LMICs).DesignSystematic review and meta-analysis of (quasi-)experimental studies identified from 13 electronic databases (last update: 6 April 2018), reference and citation searches and via expert consultation.SettingLMICsParticipantsWomen and childrenInterventionsImproved biomass cookstovesMain outcome measuresLow birth weight (LBW), preterm birth, perinatal mortality, paediatric acute respiratory infections (ARIs) and COPD among women.ResultsWe identified 53 eligible studies, including 24 that met prespecified design criteria. Improved cookstoves had no demonstrable impact on paediatric lower ARIs (three studies; 11 560 children; incidence rate ratio (IRR)=1.02 (95% CI 0.84 to 1.24)), severe pneumonia (two studies; 11 061 children; IRR=0.88 (95% CI 0.39 to 2.01)), LBW (one study; 174 babies; OR=0.74 (95% CI 0.33 to 1.66)) or miscarriages, stillbirths and infant mortality (one study; 1176 babies; risk ratio (RR) change=15% (95% CI –13 to 43)). No (quasi-)experimental studies assessed preterm birth or COPD. In observational studies, improved cookstoves were associated with a significant reduction in COPD among women: two studies, 9757 participants; RR=0.74 (95% CI 0.61 to 0.90). Reductions in cough (four studies, 1779 participants; RR=0.72 (95% CI 0.60 to 0.87)), phlegm (four studies, 1779 participants; RR=0.65 (95% CI 0.52 to 0.80)), wheezing/breathing difficulty (four studies; 1779 participants; RR=0.41 (95% CI 0.29 to 0.59)) and conjunctivitis (three studies, 892 participants; RR=0.58 (95% CI 0.43 to 0.78)) were observed among women.ConclusionImproved cookstoves provide respiratory and ocular symptom reduction and may reduce COPD risk among women, but had no demonstrable child health impact.RegistrationPROSPERO: CRD42016033075


Author(s):  
Lalit Yadav ◽  
Ayantika Haldar ◽  
Unyime Jasper ◽  
Anita Taylor ◽  
Renuka Visvanathan ◽  
...  

The objective of this review is to evaluate the effectiveness of digital health supported targeted patient communication versus usual provision of health information, on the recovery of fragility fractures. The review considered studies including older people, aged 50 and above, with a fragility fracture. The primary outcome was prevention of secondary fractures by diagnosis and treatment of osteoporosis, and its adherence. This review considered both experimental and quasi-experimental study designs. A comprehensive search strategy was built to identify key terms including Medical subject headings (MeSH) and applied to the multiple electronic databases. An intention to treat analysis was applied to those studies included in the meta-analysis and odds ratio was calculated with random effects. Altogether, 15 studies were considered in the final stage for this systematic review. Out of these, 10 studies were Randomised controlled trials (RCT) and five were quasi experimental studies, published between the years 2003 and 2016 with a total of 5037 participants. Five Randomised control trails were included in the meta-analysis suggesting that digital health supported interventions were overall, twice as effective when compared with the usual standard care (OR 2.13, 95% CI 1.30–3.48), despite the population sample not being homogeneous. Findings from the remaining studies were narratively interpreted.


2019 ◽  
Vol 17 (2) ◽  
pp. 142-152 ◽  
Author(s):  
Hormoz Sanaei Nasab ◽  
Mohsen Yazdanian ◽  
Yaser Mokhayeri ◽  
Marzieh Latifi ◽  
Negin Niksadat ◽  
...  

2017 ◽  
Vol 29 (2) ◽  
pp. 195-205 ◽  
Author(s):  
Debra S. Borquist-Conlon ◽  
Brandy R. Maynard ◽  
Kristen Esposito Brendel ◽  
Anne S. J. Farina

Purpose: To examine the effects on anxiety of mindfulness-based interventions (MBIs) among youth with anxiety disorders. Method: Systematic review and meta-analytic procedures were employed to synthesize experimental and quasi-experimental studies authored between 1980 and 2015. Results: The search yielded five studies from five countries reporting results for a total of 188 youth between the ages of 5 and 18 (mean age 13.26) who met criteria for an anxiety disorder. Risk of bias varied across studies. Meta-analytic results suggest a moderate and significant effect ( g = .62; 95% confidence interval = [0.20, 1.04], p = .004). Heterogeneity was moderate ( I2 = 47.22) and not statistically significant ( Q = 7.58, df = 4, p = .11), thus moderator analyses were not warranted. Discussion: The findings of this review suggest that MBIs for the treatment of anxiety in youth with anxiety disorders are effective.


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