E-learning or educational leaflet: does it make a difference in oral health promotion? A clustered randomized trial.

E-learning or educational leaflet: does it make a difference in oral health promotion? A clustered randomized trial.
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DOI:
10.1186/s12903-018-0540-4
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发表时间:
2018-05-10
期刊:
影响因子:
2.9
通讯作者:
Dashash M
Dashash M
中科院分区:
医学3区
文献类型:
--
作者:
Al Bardaweel S;Dashash M

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对技术的早期认识,以及使用计算机和智能系统的巨大能力,促使研究人员探索利用技术改善儿童保健的可能性。本研究的目的是比较传统教育宣传单和电子应用在改善叙利亚大马士革小学生口腔健康知识、口腔卫生和牙龈健康方面的作用。在两所公立小学进行了一项整群随机对照试验。这项研究包括了大约220名10-11岁的小学生,他们被分成两组。传单组的儿童通过传单接受口腔健康教育,而电子学习组的儿童通过电子学习计划接受口腔健康教育。设计调查问卷,记录口腔健康相关知识,记录菌斑指数和牙龈指数。在口腔健康教育的基线、6周和12周进行问卷调查和临床评估。数据分析采用单因素方差分析、后处理Bonferroni检验和独立样本t检验。在6周(P &lt; 0.05)和12周(P &lt; 0.05)(传单组:100名参与者,电子学习组:100名参与者)时,传单组(107名参与者)的口腔健康知识显著好于电子学习组(104名参与者)。与基线相比,小叶集群的平均知识收益高于电子学习集群。与基线相比,两组患者在6周和12周的PI平均值均显著降低(P &lt; 0.05)。在6周时(P &lt; 0.05)和12周时(P &lt; 0.05),小叶组的斑块明显少于E学习组(P<0.05)。同样,与基线相比,两组患者在6周和12周时的GI平均值均显著降低(P &lt; 0.05)。在6周(P &lt; 0.05)和12周(P &lt; 0.05),传单组儿童的牙龈健康状况明显好于E学习组(P传统的教育传单是改善叙利亚儿童口腔健康知识以及口腔卫生和护理临床指数的有效工具。宣传单张可用于学校口腔健康教育,取得积极效果。澳大利亚新西兰临床试验注册中心(ACTRN12618000395235),注册日期:2018年3月16日,追溯注册。本文的在线版本(10.1186/s12903-0180540-4)包含向授权用户提供的补充材料。
The early recognition of technology together with great ability to use computers and smart systems have promoted researchers to investigate the possibilities of utilizing technology for improving health care in children. The aim of this study was to compare between the traditional educational leaflets and E-applications in improving oral health knowledge, oral hygiene and gingival health in schoolchildren of Damascus city, Syria. A clustered randomized controlled trial at two public primary schools was performed. About 220 schoolchildren aged 10–11 years were included in this study and grouped into two clusters. Children in Leaflet cluster received oral health education through leaflets, while children in E-learning cluster received oral health education through an E-learning program. A questionnaire was designed to register information related to oral health knowledge and to record Plaque and Gingival indices. Questionnaire administration and clinical assessment were undertaken at baseline, 6 and at 12 weeks of oral health education. Data was analysed using one way repeated measures ANOVA, post hoc Bonferroni test and independent samples t-test. Leaflet cluster (107 participants) had statistically significant better oral health knowledge than E-learning cluster (104 participants) at 6 weeks (P < 0.05) and at 12 weeks (P < 0.05) (Leaflet cluster:100 participants, E-learning cluster:100 participants). The mean knowledge gain compared to baseline was higher in Leaflet cluster than in E-learning cluster. A significant reduction in the PI means at 6 weeks and 12 weeks was observed in both clusters (P < 0.05) when compared to baseline. Children in Leaflet cluster had significantly less plaque than those in E-learning cluster at 6 weeks (P < 0.05) and at 12 weeks (P < 0.05). Similarly, a significant reduction in the GI means at 6 weeks and 12 weeks was observed in both clusters when compared to baseline (P < 0.05). Children in Leaflet cluster had statistically significant better gingival health than E-learning cluster at 6 weeks (P < 0.05) and 12 weeks (P < 0.05). Traditional educational leaflets are an effective tool in the improvement of both oral health knowledge as well as clinical indices of oral hygiene and care among Syrian children. Leaflets can be used in school-based oral health education for a positive outcome. Australian New Zealand Clinical Trials Registry (ACTRN12618000395235), Date registered: 16/03/2018, retrospectively registered. The online version of this article (10.1186/s12903-018-0540-4) contains supplementary material, which is available to authorized users.
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