scholarly journals Effect of education based on the theory of planned behavior on adoption of oral health behaviors of pregnant women referred to health centers of Birjand in 2016

Author(s):  
Hossein Ebrahimipoiur ◽  
Sediqe Ebrahimipour ◽  
Fateme Alibakhshian ◽  
Marzieh Mohamadzadeh
Author(s):  
Zahra Farzaneh ◽  
Zahra Asadollahi ◽  
Mohammad Asadpour ◽  
Zohre Rahaei ◽  
Farzaneh Sardari ◽  
...  

Introduction: Theory of planned behavior can provide a framework for intervention to understand how to prevent health problems. The aim of this study was to determine the effect of training intervention based on the theory of planned behavior in promoting oral health behavior of pregnant women who visit health care centers of Rafsanjan. Methods: In this educational intervention trial, 100 pregnant women in Rafsanjan were selected by multi-stage sampling in 2016. Initially, four centers were randomly selected, followed by two centers selected as intervention groups and two centers as control groups. Data were collected using a three-part researcher-made questionnaire, that were completed by pregnant women in two periods, ie, before and three months after the intervention. Quantitative data were presented as mean ± SD and qualitative data as n (%). First, the homogeneity of the two groups was examined using an independent t-test and chi-square test. Data were analyzed with SPSS 18. The significance level of all tests was considered to be 0.05. Results: Findings showed that there was no statistically significant difference between the demographics of the two groups (p> 0.05). After the implementation of the program, the mean score of intervention in all constructs of the theory of planned behavior model was significant between the control and intervention groups (p < 0.001). Following the educational program, the oral health behavior of pregnant women increased in the intervention group (3.72 ± 4.22) which was significantly higher than the control group (1.48 ± 2.58) (p < 0.001). Conclusion: The results of this study showed that educational interventions can focus on the subjective norm which had fruitful results in the field of oral health. This theory can be used as an appropriate model for oral health promotion programs.


2021 ◽  
Author(s):  
Masoumeh Divdar ◽  
Marzieh Araban ◽  
Akbar Babaei Heydarabadi ◽  
Bahman Cheraghian

Abstract Background: Oral health is considered as a prominent factor that contribute to quality of life. Hormonal changes during pregnancy can influence oral health. Message framing can play an important role in motivating oral health behaviors. The aim of the present study was to investigate the effect of message framing on the oral health behaviors and dental plaque among pregnant women.Methods: This randomized field trial was conducted in 2017 on 108 pregnant women in Izeh county, Iran.The participants were randomly divided into three groups; gain-framed, loss-framed, and control group. The research instrument included a two parts questionnaire containing demographic information and oral health knowledge, attitude, behavioral intention, self-efficacy, practice, and dental plaque index. Gain-and loss-framed messages were sent to the intervention groups via cell phones, but the control group did not receive any messages. The participants’ dental plaque were clinically assessed. Data were analyzed using SPSS version, 23.0. P-value less than 0.05 was considered statistically significant.Results: The mean scores of knowledge, attitude, behavioral intention, and self-efficacy were significantly increased in the gain- and loss-framed intervention groups (gain knowledge (6.05±1.90; CI:5.40-6.71); gain attitude(5.00±3.61; CI:3.75-6.24); gain behavioral intention (2.91±1.59; CI:2.36-3.46); gain self-efficacy (4.42±2.69; CI:3.50-5.35); loss knowledge (5.71±1.52; CI:5.19-6.23); loss attitude (4.54±2.67; CI:3.62-5.46); loss behavioral intention (2.25±1.94; CI:1.58-2.92); loss self-efficacy (3.97±2.60; CI:3.07-4.86) (p<0.001). No significant difference was observed in the control group (knowledge (0.38±1.45; CI:0.12-0.89, p=0.135); attitude (0.88±3.63; CI:0.38-2.14, p= 0.166); behavioral intention (-0.38±1.74; CI: -0.98-0.22, p=0.2); self-efficacy (.0.50±3.23; CI: -1.62-0.62, p=0.37). The rising trend in the mean score of the behaviors in the intervention groups was significantly higher than that in the control group (p<0.001). The ratio of dental plaque on teeth surfaces in the gain- and loss-framed intervention groups also showed a significant decrease compared to control group (gain dental plaque (16.46±11.66; CI:12.46-20.47, p<0.001); loss dental plaque (15.06±8.52; CI:12.13-17.99, p<0.001). Conclusion: Text message intervention improved knowledge, attitude, behavioral intention, self-efficacy, and dental plaque among pregnant women. The results show that text messages mattered, but the framing did not"; because there was a difference between intervention and control groups but not that "message framing matters" because the particular framing of the messages had no pronounced effect.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wirongrong Traisuwan

Abstract Background There is evidence to show that immigrants have poorer oral health status than their local counterparts, and low-skilled migrant workers may also be more prone to poor oral health. This study aims to evaluate the oral health status and oral health behaviors of pregnant migrant workers compared to those of local pregnant women. Methods A hospital-based cross-sectional study was conducted in a public general hospital in Bangkok. Pregnant migrant workers who attended the antenatal clinic were randomly enrolled at their first antenatal booking; local pregnant women were also randomly included to form a comparison group. Oral health status of all eligible pregnant women was evaluated according to the World Health Organization (WHO) protocol, and their oral health behaviors were assessed using a structured questionnaire. Oral health status and behaviors of the two pregnant groups were compared using Chi-Square test, Student’s t test, Mann–Whitney U test, Fisher’s exact test and multiple logistic regression analysis. Results A total of 208 pregnant migrant workers and 210 local pregnant women were included. Pregnant migrant workers had significantly more dental disease than local pregnant women (DMFT mean (SD) = 5.8 (4.4) vs 4.8 (4.0), p = 0.014) with significant more dental decay (D mean (SD) = 5.5 (3.6) vs 3.8 (2.9), p < 0.001; adjusted OR 3.56 (95%CI 1.74–7.27)). Pregnant migrant workers suffered greater periodontal disease with mean (SD) CPI of 2.9 (0.6) vs 2.2 (0.5), p < 0.001. CPI = 3 or 4 occurred in 74.5% of migrants compared to only 22.4% of local pregnant women (adjusted OR 6.39: 95%CI 3.53–11.58). A significant greater percentage of pregnant migrants had a CPI of 4 (11.1% vs 0.5%). Pregnant migrant workers tended not to use fluoride toothpaste or dental floss and despite having 76.0% healthcare coverage, they made significantly fewer dental visits compared to local women; furthermore, the majority of them (74.5%) were under the misconception that dental treatment was prohibited during pregnancy. Conclusion Pregnant migrant workers experienced more dental caries and periodontal disease, had less access to oral health facilities, had less knowledge of healthy oral hygiene, and had poorer oral health practices than local pregnant women. Comprehensive oral health screening and treatment during antenatal visits, together with appropriate systematic antenatal health education, could play a crucial role in improving their oral health.


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