Parental-oriented educational mobile messages to aid in the control of early childhood caries in low socioeconomic children: A randomized controlled trial
Parental-oriented educational mobile messages to aid in the control of early childhood caries in low socioeconomic children: A randomized controlled trial
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DOI：
10.1016/j.jdent.2020.103456
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发表时间：
2020-10-01
影响因子：
4.4
通讯作者：
Cruvinel, Thiago
中科院分区：
文献类型：
--
作者：
Lotto, Matheus;Strieder, Anna Paola;Cruvinel, Thiago
目的：评价教育信息对社会经济水平低的儿童早期儿童龋病控制的有效性。方法：采用单盲、随机、平行分组研究方法，对来自巴西Baum的104对36-60个月大的父母和儿童进行研究。参与者被随机分为对照组和干预组(1：1)，根据父母电子健康素养得分(EHEALS)和儿童龋齿经历进行分层。每隔2周通过WhatsApp向干预组家长发送短信。在基线、3个月和6个月随访时评估可见菌斑指数(VPI)和国际龋病检测与评估系统(ICDAS)，并在基线和6个月随访时测定eHEALS和饮食习惯。组内和组间比较分别采用Fischer‘s Exact和McNemar检验，Mann-Whitney U和Friedman检验(P<；结果：尽管有相似之处，但干预提高了父母的eHEALS评分，影响了有关儿童食用无糖糖果的报道，控制了ECC的严重程度。结论：手机短信可以有效地控制低社会经济学龄前儿童ECC的严重程度，提高父母的eHealth素养，改变儿童的饮食模式。
Objectives: To evaluate the effectiveness of educational messages as an aid in the control of early childhood caries (ECC) in low socioeconomic children.Methods: A single-blinded, randomized, and parallel-group study was conducted with 104 dyads of parents and children aged between 36-60 months, recruited in preschools from Baum, Brazil. The participants were randomly allocated into control and intervention groups (1:1), stratified by parental eHealth literacy scores (eHEALS) and children's caries experience. Every 2 weeks, text messages were sent to parents of intervention group via WhatsApp. Visible plaque index (VPI) and the International Caries Detection and Assessment System (ICDAS) were assessed at baseline, 3- and 6-month follow-ups, while eHEALS and dietary habits were determined at baseline and 6-month follow-up. Statistical analysis was performed to intra and intergroup comparisons through Fischer's exact and McNemar tests, and Mann-Whitney U and Friedman tests, respectively (P < 0.05).Results: Despite similarities between groups, intervention increased parental eHEALS scores, influencing the reports about the children's consumption of sugar-free sweets and controlling the severity of ECC.Conclusion: Therefore, mobile text messages were effective to control the severity of ECC in low socioeconomic preschoolers, improving parental eHealth literacy and changing children's dietary patterns.Clinical significance: These findings demonstrate that parental-oriented WhatsApp messages can contribute to oral health education of socioeconomic vulnerable parents towards risk behavior changes to control ECC.