Reinhardt Claus H, Löpker Nadine, Noack Michael J, Klein Klaus, Rosen Evelyne
Department of Biology, Teacher Training College, Cologne, Germany.
Pediatr Dent. 2009 Nov-Dec;31(7):481-5.
Caries prevalence in underprivileged children is particularly high and, even though many efforts have been made, adherence to dental preventive programs is low. The purpose of this study was to evaluate whether a tutoring program can improve oral health behavior in underprivileged and/or immigrant children.
Thirty fourth-grade children (mean age = 9.6), over 50 percent of immigrant background, participated in this longitudinal pilot study. The fourth graders were invited to develop on oral health program for their first-grade peers. For this purpose, the fourth graders learned oral health practices and developed the peer tutoring program. Prior to the intervention and after having instructed their first-grade peers, all fourth graders were interviewed about their oral health habits and their tooth-brushing was recorded on video. Toothbrushing time, performance of circular tooth-brushing movements, and systematic cleaning of all dental surfaces were analyzed before and after the intervention.
After peer teaching, there was a significant increase concerning tooth-brushing time (P = .004), performance of circular tooth-brushing movements (P < .001), and systematic cleaning of all dental surfaces (P < .001).
The tutoring program yielded a significant improvement in relevant oral care behavior. This approach provided an environment which, in contrast to traditional approaches, facilitates empowerment.
贫困儿童的龋齿患病率特别高，尽管已经做出了许多努力，但对牙科预防项目的依从性仍然很低。本研究的目的是评估辅导项目是否能改善贫困和/或移民儿童的口腔健康行为。
30名四年级儿童（平均年龄=9.6岁）参与了这项纵向试点研究，其中超过50%有移民背景。四年级学生被邀请为他们一年级的同龄人制定一个口腔健康项目。为此，四年级学生学习了口腔健康知识并制定了同伴辅导项目。在干预前以及指导完一年级同学后，对所有四年级学生进行了关于他们口腔健康习惯的访谈，并对他们刷牙的过程进行了视频记录。分析了干预前后的刷牙时间、圆周刷牙动作的执行情况以及所有牙面的系统清洁情况。
同伴教学后，刷牙时间（P = .004）、圆周刷牙动作的执行情况（P < .001）以及所有牙面的系统清洁情况（P < .001）均有显著增加。
辅导项目在相关口腔护理行为方面取得了显著改善。与传统方法相比，这种方法提供了一个促进自主能力发展的环境。
