基于电话的家长支持计划,用于预防儿童:一个随机对照试验
I Brännemo1,2, T Hasselblad1, A Levinsson3,4
1Division of Pediatric Dentistry, Department of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.
JDR clinical and translational research
|December 4, 2024
概括
一个通过电话交付的家长支持计划改善了儿童早期严重虫的饮食习惯. 然而,在全身麻醉下进行牙科治疗后,它并没有减少牙复发.
科学领域:
- 儿科牙科 儿科牙科
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 严重的早期儿童 (ECC) 存在治疗后持续的高风险.
- 在ECC全身麻醉下接受牙科康复的儿童需要持续的预防策略.
研究的目的:
- 为了评估一个电话交付,基于激励面试的家长支持计划.
- 评估该计划对在全身麻醉下治疗ECC的学龄前儿童牙复发和口腔健康习惯的影响.
主要方法:
- 一项前性,双臂随机临床试验,涉及151名患有ECC的儿童 (<6岁).
- 干预组每两周接受一次电话咨询,持续一年;对照组接受标准咨询.
- 在手术后1年和2年使用国际虫检测和评估系统 (ICDAS) 评估虫进展情况.
主要成果:
- 在手术后1或2年间,脏复发率在两组之间没有显著差异.
- 干预组在1年后显著减少了不良的口腔健康行为 (例如,吃零食,饮用甜饮料).
- 在每日化物牙膏刷牙频率方面没有观察到群体差异.
结论:
- 基于激励面试的家长支持计划有效地改善了ECC儿童的饮食习惯.
- 该计划没有在高风险人群中对预防脏病复发产生显著影响.
- 研究结果表明,虽然行为干预可以影响习惯,但需要进一步的策略来影响在全身麻醉下治疗的ECC患者的空复发.
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