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Related Concept Videos

Teeth01:15

Teeth

317
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
317

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Optimizing mHealth Interventions for Children's Oral Hygiene: A Factorial Trial.

M Ihab1, Y El-Sherif2, R Yassin1

  • 1Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria University, Alexandria, Egypt.

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|December 4, 2024
PubMed
Summary

Behavioral interventions for children's oral hygiene showed limited success. Motivational interviewing (MI) showed promise, but other components like storytelling videos (STVs) and oral health promotion messages (OHPMs) require modification for effective use.

Keywords:
behavioral interventionsearly childhood cariesmobile health interventionsmotivational interviewingmultiphase optimization strategypreschoolers

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Area of Science:

  • Behavioral science
  • Public health
  • Pediatric dentistry

Background:

  • Improving children's oral hygiene is crucial for overall health.
  • Behavioral interventions offer a promising avenue for enhancing oral hygiene practices.
  • The Multiphase Optimization Strategy (MOST) provides a framework for developing effective interventions.

Purpose of the Study:

  • To optimize and evaluate behavioral intervention components for improving preschool children's oral hygiene.
  • To test the effectiveness of brief motivational interviewing (MI), storytelling videos (STVs), and oral health promotion messages (OHPMs).
  • To assess the impact of these components on children's plaque accumulation and mothers' toothbrushing frequency.

Main Methods:

  • A 2^3 factorial trial involving 128 mothers and their children under 5 years old.
  • Randomization to 8 experimental conditions based on combinations of MI, STVs, and OHPMs.
  • Outcomes measured included children's plaque scores and mothers' self-reported toothbrushing frequency over 3 months.

Main Results:

  • Overall plaque scores decreased from 1.8 to 1.5, and daily toothbrushing increased from 50.8% to 69.5% after 3 months.
  • Motivational interviewing (MI) showed a non-significant trend towards reduced plaque and increased toothbrushing.
  • Combining OHPMs and STVs without MI negated their effects; no significant effects were found for main effects or interactions.

Conclusions:

  • Individual or combined intervention components did not significantly improve children's oral hygiene or toothbrushing frequency.
  • Motivational interviewing (MI) demonstrated the most potential for behavior change in this context.
  • Oral health promotion messages (OHPMs) and storytelling videos (STVs) require modification before integration into a comprehensive intervention package with MI.