Ghaffari M, Rakhshanderou S, Ramezankhani A, Noroozi M, Armoon B
Environmental & Occupational Hazards Control Research Center, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Health Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Int J Dent Hyg. 2018 Feb;16(1):59-67. doi: 10.1111/idh.12304. Epub 2017 Aug 24.
Oral Health Education and Promotion Interventions (OHEPIs) focus on improving knowledge, to adopt favourable oral health behaviours that can enhance oral health and clinical oral health. However, no meta-analyses exist that evaluate the effectiveness of OHEPI programmes. The aim of this meta-analysis was to determine the effectiveness of oral health education and promotion programmes.
The PubMed, EMBASE, Cochrane and ScienceDirect databases from years 2000 to 2016 were searched. Eleven studies based on Participant, Intervention, Comparison, Outcome Study (PICOs) and quality assessment criteria were selected for the systematic review and meta-analysis. Meta-analysis of the data was carried out using the Comprehensive Meta-Analysis V2.0 software. As the heterogeneity of subgroups was higher than 50%, an effect random model was used for the computation of average odds ratio.
The heterogeneity of the studies was higher than 50% (I = 92%, P < .001); therefore, the random effect model was used to calculate the average odds ratio. 3 subgroups, (A) programme outcomes (long- and short-term outcomes), (B) age groups and (C) the follow-up periods after the intervention, were extracted for the intervention review. Overall, programme outcome and the 3-month subgroup follow-up were both significantly increased (OR = 2. 41, CI: 1.3, 4.7; P = .005) (OR = 1.14, CI: 1.01, 1.30; P = .03) in terms of odds effectiveness of the interventions. But the age subgroups showed no significance (OR = 0.93, CI: 0.74, 1.17; P = .52) in odds effectiveness of the interventions.
This study found that past OHEPIs are effective and positive impacts on dental visits, attitudes, as well as brushing and flossing behaviours during 3 months post-intervention among children.
口腔健康教育与促进干预措施（OHEPI）侧重于提高认知，以促使人们采取有利于改善口腔健康和临床口腔健康状况的口腔健康行为。然而，尚无荟萃分析来评估OHEPI项目的效果。本荟萃分析的目的是确定口腔健康教育与促进项目的效果。
检索了2000年至2016年期间的PubMed、EMBASE、Cochrane和ScienceDirect数据库。根据参与者、干预措施、对照、结局研究（PICOs）和质量评估标准，选取了11项研究进行系统评价和荟萃分析。使用Comprehensive Meta-Analysis V2.0软件对数据进行荟萃分析。由于亚组的异质性高于50%，因此采用效应随机模型计算平均比值比。
研究的异质性高于50%（I² = 92%，P <.001）；因此，使用随机效应模型计算平均比值比。为进行干预措施评价，提取了3个亚组，即（A）项目结局（长期和短期结局）、（B）年龄组以及（C）干预后的随访期。总体而言，就干预措施的比值有效性而言，项目结局和3个月亚组随访均显著增加（OR = 2.41，CI：1.3，4.7；P =.005）（OR = 1.14，CI：1.01，1.30；P =.03）。但年龄亚组在干预措施的比值有效性方面无显著差异（OR = 0.93，CI：0.74，1.17；P =.52）。
本研究发现，过去的OHEPI对儿童的看牙就诊、态度以及干预后3个月内的刷牙和使用牙线行为具有有效且积极的影响。
