牙刷行为改变干预 (课程和短信),以预防中学生的牙损伤:BRIGHT随机对照试验
Nicola Innes1, Caroline Fairhurst2, Katie Whiteside2
1School of Dentistry, Cardiff University, Cardiff, UK.
Community dentistry and oral epidemiology
|January 8, 2024
概括
英国的一项研究发现,每天两次刷牙的移动干预措施并没有减少中学生的牙损伤. 六个月后改善刷牙习惯并没有带来显著的长期虫预防.
科学领域:
- 公共卫生 公共卫生
- 牙科公共卫生 牙科公共卫生
- 行为科学 行为科学
背景情况:
- 牙损仍然是青少年的重要公共卫生问题.
- 有效的基于学校的干预措施对于促进口腔健康至关重要.
- 之前的干预措施在改变行为和减少病方面表现出不同程度的成功.
研究的目的:
- 评估基于移动的行为改变干预措施的临床和成本效益,以促进英国中学刷牙.
- 评估短信提醒对刷牙频率和牙腐烂患病率的影响.
- 确定干预措施的经济可行性.
主要方法:
- 一个多中心,集群随机试验,涉及4680名11-13岁的学生.
- 干预组接受了课程和每天两次的短信;对照组接受了通常的护理.
- 主要结局:使用国际虫检测和评估系统在2.5年后评估的虫患病率 (D4-6MFT).
主要成果:
- 干预组和对照组在2.5年内没有病发病率 (44.6%与43.0%) 的统计学上显著差异.
- 6个月后观察到每天刷牙两次的显著增加 (86.9% vs 83.0%),但在2.5年后没有持续.
- 在20,000英/QALY获得的门下,干预不是成本效益的,概率为7%.
结论:
- 行为改变干预措施并没有显著降低中学学生的牙损伤患病率.
- 刷牙行为的短期改善并没有转化为长期的临床益处.
- 由于COVID-19大流行影响了随访,这可能会影响研究结果.
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