第一个牙科步骤干预:健康访客带领婴儿口腔健康改善计划的可行性研究
Joanna G Williams1, Patricia Nicole Albers2, Sarab El-Yousfi3
1Bristol Medical School, Population Health Sciences, University of Bristol, Bristol, England.
BMC oral health
|July 3, 2025
概括
发现第一牙医步骤 (FDS) 干预是可行的和可接受的,以支持婴儿刷牙. 然而,招聘和保留方面的挑战表明,如果没有修改,目前无法进行完整的试验.
科学领域:
- 公共卫生 公共卫生
- 儿科牙科 儿科牙科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 牙损伤是英格兰重要的公共卫生问题,影响5岁儿童的22.4%,是儿童入院的主要原因.
- 在英格兰西南部的"第一牙医步骤" (FDS) 干预计划旨在通过培训保健访客和向弱势家庭提供口腔保健包来改善婴儿口腔健康.
- FDS的主要目标是让家长能够提高婴儿刷牙的频率.
研究的目的:
- 评估FDS干预措施的可行性和可接受性,以支持婴儿牙刷.
- 评估研究中使用的研究方法的可行性和可接受性.
- 确定FDS干预的潜在好处和改进领域.
主要方法:
- 在英格兰西南部的5个地方自治区进行了一项可行性研究,其中有4个比较站点.
- 数据收集包括基线和后续调查问卷 (平均5个月),以及与家长,医疗访问者和利益相关者的半结构化访谈.
- 定量数据被描述性地分析,而定性访谈数据被使用框架方法分析.
主要成果:
- 总共有59名家长填写了基线问卷和26人填写了后续问卷.
- 10名家长 (40%) 报告刷牙频率增加,4个家庭 (15%) 报告去看牙医.
- 采访数据揭示了干预可接受性,可行性,感知效益,研究方法可接受性和改进建议等主题. 他们注意到招聘和留住员工的挑战.
结论:
- 发现FDS干预是可以接受和可行的父母,健康访问者,和利益相关者.
- 招聘,留住和数据收集方面的重大挑战表明,没有达到完整试验的进展标准.
- 建议对干预和进一步的联合制作进行修改,以提高对多样化人口的文化适应性和可行性.
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