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Published on: July 29, 2020
Changes in young children's oral health-related behaviours and caregiver knowledge: A cluster randomized controlled
Aryane Marques Menegaz1, Luciana de Ávila Quevedo2, Ludmila Correa Muniz3
1Graduate School of Dentistry, Pelotas Federal University, Pelotas, Brazil.
Insights
This study shows that a targeted intervention significantly improved young children's oral hygiene habits and increased caregiver knowledge. The findings highlight the intervention's effectiveness in promoting better oral health behaviors.
Area of Science:
- Public Health
- Pediatric Dentistry
- Health Behavior Interventions
Background:
- Young children are susceptible to poor oral health behaviors.
- Caregiver knowledge is crucial for establishing effective oral hygiene practices in children.
- Early interventions can positively impact long-term oral health outcomes.
Purpose of the Study:
- To evaluate an intervention aimed at enhancing children's oral health behaviors.
- To assess the intervention's impact on caregiver knowledge regarding oral health.
- To determine the effectiveness of a community-based oral health program.
Main Methods:
- A cluster randomized controlled trial was conducted over 12 months in Pelotas, Southern Brazil.
- 170 caregiver-child dyads received the intervention, while 174 formed the control group.
- Multilevel mixed-effects models analyzed changes in oral hygiene, sugar intake, dental service use, and caregiver knowledge.
Main Results:
- Children in the intervention group showed significant improvements in oral hygiene behaviors.
- Intervention participants were more likely to use fluoride toothpaste twice daily and brush before bed.
- Caregivers in the intervention group demonstrated increased oral health knowledge and higher utilization of preventive dental services.
Conclusions:
- The intervention demonstrated positive effects on children's oral health-related behaviors.
- Caregiver knowledge of oral health significantly improved following the intervention.
- This program is effective in promoting better oral health practices among young children and their caregivers.
Objective:
To evaluate the effectiveness of an intervention to improve young children's oral health-related behaviours and caregiver knowledge.
Methods:
This paper reports on findings from a cluster randomized controlled trial, 12 months after of baseline, conducted in Pelotas, Southern Brazil. Two Primary Healthcare Centers (PHCs) and 170 caregiver-child dyads were assigned to an intervention group, and two PHCs and 174 dyads were assigned to a control group. Children's oral hygiene behaviours, sugar consumption and use of dental services were the outcomes analysed as well as changes in caregiver knowledge. The impact of the intervention was assessed using multilevel mixed-effects model regressions and the change rate ratios (IRR) were expressed.
Results:
There were positive and significant changes in favour of the intervention group in children's oral hygiene behaviours, use of dental services, and caregivers' knowledge of oral health. For example, children in the intervention group were more likely to have brushed with fluoride toothpaste at least two times a day (IRR 1.43, 95% CI 1.06-1.92), to have brushed their teeth before bedtime (IRR 1.37, 95% CI 1.02-1.84), and to have used dental services for preventive care (IRR 2.54, 95% CI 2.02-3.19) than children in the control group.
Conclusion:
This intervention had positive effects on children's oral health-related behaviours and caregivers' oral health knowledge.
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