Effect of a Text-Messaging Intervention on Oral Self-Care Practices in Antenatal Women in Delhi, India: A Pilot Randomized Control Trial.
Effect of a Text-Messaging Intervention on Oral Self-Care Practices in Antenatal Women in Delhi, India: A Pilot Randomized Control Trial.
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文本处理干预对印度德里产前妇女口腔自我护理实践的影响：一项试验随机控制试验。
DOI：
10.4103/ijcm.ijcm_929_21
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发表时间：
2022-01
期刊：
影响因子：
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通讯作者：
Singh MM
中科院分区：
文献类型：
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作者：
Basu S;Rajeev A;Garg S;Singh MM
本研究旨在确定移动医疗（短信）干预与结构化健康教育课程相比对孕妇口腔护理和卫生习惯的影响。我们进行了一项试点随机对照试验、平行设计优势试验，分配比例为 1:1。 2020 年 8 月至 10 月期间，从印度德里低收入城市群一家初级卫生中心的产前诊所招募了 76 名孕龄不超过 20 周、能够阅读手机短信的孕妇。移动健康干预组的参与者在 30 天内每天都会收到一条短信，同时向所有参与者提供一次性、面对面、简短的结构化教育课程，以促进口腔健康。两组的基线特征在年龄结构、教育程度、胎次和口腔卫生方面具有可比性，但在口腔健康问题方面存在差异。干预后，尽管双臂的两次刷牙频率有所增加，但只有 mHealth 臂显示每日两次刷牙缺失的发生率在统计学上显着降低（P = 0.016）。在促进产前妇女口腔健康方面，为期 1 个月的基于移动医疗的每日短信干预并不优于一次性简短的教学式结构化教育干预。
This study aimed to determine the effect of a mHealth (text message) intervention compared with a structured health educational session on the oral care and hygiene practices of pregnant women. We conducted a pilot randomized control trial, parallel design superiority trial, with a 1:1 allocation ratio. A total of 76 pregnant women up to 20 weeks of gestational age and capable of reading mobile phone text messages were recruited during August–October 2020 from the antenatal clinic of a primary health center in a low-income urban agglomeration in Delhi, India. The mHealth intervention arm participants were sent a daily text message for 30 days, while all participants were provided a one-time, face-face, brief didactic structured educational session toward oral health promotion. The baseline characteristics of both groups were comparable in terms of age structure, education, parity, and oral hygiene but differed in terms of oral health problems. Postintervention, although the twice-brushing frequency increased in both arms, only the mHealth arm revealed a statistically significant reduction in the incidence of missed twice-daily brushing episodes (P = 0.016). A mHealth-based daily text-message intervention for 1 month was not superior to a one-time brief didactic structured educational intervention for oral health promotion in antenatal women.