Cunha-Cruz Joana, Huebner Colleen E, Ludwig Sharity, Dysert Jeanne, Mitchell Melissa, Allen Gary, Shirtcliff R Mike, Scott JoAnna M, Milgrom Peter
Department of Oral Health Sciences, University of Washington, Seattle, WA, United States.
Department of Health Services, University of Washington, Seattle, WA, United States.
Front Public Health. 2017 Sep 27;5:264. doi: 10.3389/fpubh.2017.00264. eCollection 2017.
Twice-daily caregiver-supervised toothbrushing with fluoridated toothpaste is an effective and widely recommended strategy to prevent tooth decay in children. Qualitative research suggests that low-income caregivers know the recommendation but would benefit from toothbrushing supplies and advice about how to introduce this health behavior especially as the child becomes older and asserts autonomy to do it "myself." Our objective is to assess consumer satisfaction with the evidence-based theory-informed campaign and usefulness of materials that were home delivered. The focus of the evaluation was families with children <36 months of age because of the high incidence of disease in this population.
A dental care organization designed and implemented in three counties of Central Oregon. Participants were families of Medicaid-insured children <21 years of age. Participants were randomly assigned to one of the three study groups: test (supplies, voice/printed messages, telephone support), active (supplies), and a waitlist control. Program materials were in English and Spanish. Caregivers of children <36 months were interviewed at the beginning and end of the program.
A total of 83,148 toothbrushing kits were mailed to 21,743 families. In addition, 93,766 printed messages and 110,367 recorded messages were sent to half of the families. Caregivers were highly satisfied. On a global rating scale from 0 to 10 (worst to best program possible), they rated the program 9.5 on average (median: 10, SD 0.9). On a scale from 0 to 10 (not at all to very useful), mean ratings for usefulness of the toothbrushing supplies was 9.5 (SD = 1.5), for the printed postcard messages was 7.2 (SD 3.6), and for the voice telephone messages was 6.5 (SD 3.9).
A dental care organization carried out a complex community intervention designed to address excess tooth decay among low-income children. Caregivers were highly satisfied with the program and toothbrushing supplies were considered the most useful, followed by printed messages. Voice telephone messages were rated least useful. Further evaluation of the impact of the program on toothbrushing behavior and dental-care utilization is underway.
由照顾者监督、每天两次使用含氟牙膏刷牙是预防儿童龋齿的一种有效且被广泛推荐的策略。定性研究表明，低收入家庭的照顾者了解这一建议，但如果能获得刷牙用品以及关于如何引入这种健康行为的建议，他们将从中受益，尤其是当孩子长大并主张“自己”做这件事的时候。我们的目标是评估消费者对基于证据且有理论依据的活动的满意度以及家庭收到的材料的有用性。评估的重点是年龄小于36个月的儿童家庭，因为这个群体疾病发病率高。
一个牙科护理组织在俄勒冈州中部的三个县设计并实施了该项目。参与者是年龄小于21岁、参加医疗补助保险儿童的家庭。参与者被随机分配到三个研究组之一：试验组（用品、语音/印刷信息、电话支持）、活跃组（用品）和候补对照组。项目材料有英文和西班牙文两种。对年龄小于36个月儿童的照顾者在项目开始和结束时进行了访谈。
总共向21,743个家庭邮寄了83,148套刷牙用品套装。此外，向一半家庭发送了93,766条印刷信息和110,367条录音信息。照顾者非常满意。在从0到10（最差到最好的项目）的总体评分量表上，他们对该项目的平均评分为9.5（中位数：10，标准差0.9）。在从0到10（一点也没用处到非常有用处）的量表上，刷牙用品有用性的平均评分为9.5（标准差 = 1.5），印刷明信片信息为7.2（标准差3.6），语音电话信息为6.5（标准差3.9）。
一个牙科护理组织开展了一项复杂的社区干预措施，旨在解决低收入儿童龋齿过多的问题。照顾者对该项目非常满意，刷牙用品被认为最有用，其次是印刷信息。语音电话信息被评为最没用。该项目对刷牙行为和牙科护理利用影响的进一步评估正在进行中。
