基于中学数字行为改变干预改善刷牙的过程评估:Bright随机对照试验
Sarab El-Yousfi1, Nicola Innes2, Ian Kellar3
1School of Clinical Dentistry, University of Sheffield, Sheffield, UK.
Community dentistry and oral epidemiology
|November 25, 2024
概括
这项研究评估了一项以学校为基础的干预措施,以减少英国儿童的牙损伤. 这次干预是干预.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康行为健康行为
背景情况:
- 牙损仍然是儿童的重大公共卫生问题.
- 基于学校的干预措施是促进年轻人口腔健康的关键策略.
- 在BRIGHT试验中,研究了一种多组分干预措施,以减少英国中学儿童的牙损伤.
研究的目的:
- 进行多组件行为改变干预措施的过程评估,旨在减少英国中学儿童的牙损伤.
- 评估BRIGHT随机对照试验中的干预措施的实施,影响机制和情境因素.
- 确定以学校为基础的口腔健康干预措施的可行性和有效性.
主要方法:
- 采用混合方法方法,将调查问卷和交付日志的定量数据与采访和重点小组的定性数据相结合.
- 检查的过程评估组件包括忠实性,输送/接收剂量,覆盖范围,可接受性和上下文因素.
- 与主要的BRIGHT试验一起收集数据,涉及42所学校的4680名参与者.
主要成果:
- 干预措施总体上按预期实施,但有一些明显的调整和技术问题.
- 覆盖范围很大,其中21.9%的参与者有资格获得免费的学校餐.
- 一般来说,可接受性很好,但所接收的剂量不清楚,并且基线牙刷频率已经很高.
结论:
- 干预的剂量和交付质量可能不足以显著改变行为.
- 高基线牙刷率质疑干预的潜在实质性影响.
- 虽然两部分干预措施不受青,但基于课堂的课程 (CBS) 可以被整合到英国的课程中,因为它的共同开发和可接受性.
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