Ghaffari M, Rakhshanderou S, Ramezankhani A, Buunk-Werkhoven Yab, Noroozi M, Armoon B
Environmental and Occupational Hazards Control Research Center, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Public Health, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Dent Hyg. 2018 Feb;16(1):48-58. doi: 10.1111/idh.12305. Epub 2017 Aug 22.
It is estimated that about 20%-25% of the world's population are suffering from periodontal diseases or severe gum diseases. This requires appropriate interventions. For the development of effective and evidence-based programmes tailored to the target group, the aim of this review was to survey to the effectiveness of oral health education and promotion interventions in the relevant groups of people.
The electronic databases including PubMed, EMBASE, Web of science and Cochrane Library were searched for English language studies between 2010 and (January-December) 2016. To assess the quality of articles, the checklist was used that includes 19 items. Studies were selected based on PICOs criteria, and finally, 16 studies were entered in our study.
A total of 16 articles were selected, classified into two groups (A and B groups), so that group A with short-term effects includes improving knowledge, attitudes, self-efficacy, oral health behaviour (toothbrushing and flossing), theoretical constructs (perceived susceptibility, perceived severity and perceived behavioural control) which consists of 15 articles and group B with long-term effects includes improving decayed teeth, plaque, calculus and bleeding which consists of six articles.
Approximately, this study supports effectiveness of all oral health education and promotion interventions, especially in short-term outcomes. Regarding the importance of long-term and short-term outcomes for oral health education and promotion programmes, These interventions could be performed in the future with several target groups including family and teachers.
据估计，全球约20%-25%的人口患有牙周疾病或严重的牙龈疾病。这需要采取适当的干预措施。为了制定针对目标群体的有效且基于证据的方案，本综述的目的是调查口腔健康教育和促进干预措施在相关人群中的有效性。
检索电子数据库，包括PubMed、EMBASE、科学网和考克兰图书馆，查找2010年至2016年（1月至12月）期间的英文研究。为评估文章质量，使用了包含19项条目的清单。根据PICOs标准选择研究，最终有16项研究纳入我们的研究。
共选择了16篇文章，分为两组（A组和B组），A组具有短期效果，包括改善知识、态度、自我效能、口腔健康行为（刷牙和使用牙线）、理论结构（感知易感性、感知严重性和感知行为控制），由15篇文章组成；B组具有长期效果，包括改善龋齿、牙菌斑、牙结石和出血，由6篇文章组成。
本研究大致支持所有口腔健康教育和促进干预措施的有效性，尤其是在短期结果方面。鉴于长期和短期结果对口腔健康教育和促进方案的重要性，未来这些干预措施可针对包括家庭和教师在内的多个目标群体实施。
