改变行为,刷牙可以预防11-13岁儿童的牙吗?
Darshini Ramasubbu1, Jonathan Lewney2
1Dublin Dental University Hospital, Trinity College Dublin, Dublin, Ireland. RAMASUBD@TCD.IE.
Evidence-based dentistry
|September 17, 2024
概括
刷牙提醒4良好的口腔健康 (BRIGHT) 试验发现,50分钟的教育课程和每日短信提醒并没有显著降低2.5年多的青少年的牙率.
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:
- 青少年口腔健康仍然是一个公共卫生问题.
- 需要有效的干预措施来改善刷牙的习惯,并减少学校病的流行.
- 刷牙提醒4良好的口腔健康 (BRIGHT) 试验调查了一种结合教育和短信提醒的新型干预措施.
研究的目的:
- 评估基于学校干预的牙刷行为和牙率的临床和成本效益.
- 为了比较教育课程和短信提醒对标准牙科健康教育的影响.
主要方法:
- 一个多中心随机对照试验,涉及到4680名11-13岁的学生,在国家资助的中学.
- 干预组通过短信接受了50分钟的教育课程和每天两次刷牙提醒.
- 对照组接受了正常教育课程,没有SMS;结果在2.5年内进行评估.
主要成果:
- 虽然短期坚持每天两次刷牙的情况有所改善,但在2.5年后这种情况并没有持续下去.
- 干预组和对照组之间没有观察到虫病 (D4-6MFT) 流行率的统计学上显著差异.
- 该干预措施的成本效益率为7%,在质量调整后寿命年 (QALYs) 或成本方面没有显著差异.
结论:
- 在2.5年后,BRIGHT干预并没有导致脏病发病率在统计学上显著降低.
- 涉及教育和短信提醒的行为改变策略可能不足以影响青少年的长期口腔健康结果.
- 需要进一步的研究,以确定更有效的干预措施,以改善青少年的口腔卫生和预防牙.
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