Department of Paediatric Dentistry, Orthodontics, and Preventive Dentistry, Faculty of Dentistry, The University of Jordan, Amman, Jordan.
Population and Patient Health Division, King's College London Dental Institute, London, UK.
Int J Paediatr Dent. 2017 Nov;27(6):476-485. doi: 10.1111/ipd.12286. Epub 2017 Jan 4.
Families of children undergoing general anaesthesia (GA) for caries management requested that oral health advice is delivered using audio-visual media.
To compare an oral health education computer game to one-to-one education.
A blind randomised controlled trial of 4- to 10-year-old children scheduled for GA due to caries. Primary outcome measures were (1) parent and child satisfaction with education method; (2) improvements in child's dietary knowledge; and (3) changes in child's diet and toothbrushing habits. Measures were taken at baseline, post-intervention, and three months later.
One hundred and nine families took part. Both methods of education were highly satisfactory to children and parents. Children in both groups showed significant improvement in recognition of unhealthy foods immediately post-education (P < 0.001). Fifty-five per cent of all participants completed telephone follow-up after 3 months and reported improvements in diet, including reducing sweetened drinks (P = 0.019) and non-core foods (P = 0.046) intake, with no significant differences between the groups. Children reported twice-daily toothbrushing but no changes in snack selection. Attendance for a 3-month dental review was poor (11%).
Oral health education using a computer game can be as satisfactory and as effective in improving high-risk-children's knowledge as one-to-one education. The education received can lead to the positive dietary changes in some families.
接受全麻（GA）治疗龋齿的儿童的家庭要求使用视听媒体提供口腔健康建议。
比较口腔健康教育计算机游戏和一对一教育。
对因龋齿而接受 GA 的 4 至 10 岁儿童进行的盲随机对照试验。主要结局指标为：（1）家长和儿童对教育方法的满意度；（2）儿童饮食知识的提高；（3）儿童饮食和刷牙习惯的变化。在基线、干预后和三个月后进行测量。
109 个家庭参与了研究。两种教育方法都受到了儿童和家长的高度满意。两组儿童在接受教育后立即对不健康食品的识别能力显著提高（P < 0.001）。所有参与者中有 55%在 3 个月后完成了电话随访，并报告了饮食方面的改善，包括减少含糖饮料（P = 0.019）和非核心食品（P = 0.046）的摄入，两组之间无显著差异。儿童报告每天刷牙两次，但零食选择没有变化。参加为期 3 个月的牙科复查的比例很低（11%）。
使用计算机游戏进行口腔健康教育可以像一对一教育一样令人满意和有效，可以提高高危儿童的知识水平。所接受的教育可以导致一些家庭的饮食发生积极变化。
