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改善青少年牙周健康:移动口腔健康应用程序联合常规教育方法的效果评估:一项整群随机试验。

Improving adolescents' periodontal health: evaluation of a mobile oral health App associated with conventional educational methods: a cluster randomized trial.

机构信息

Pediatric Dentistry, Department of Stomatology, Universidade Federal do Paraná, Curitiba, PR, Brazil.

Bachelor of Computer Information Systems, Universidade Tecnológica Federal do Paraná, Curitiba, PR, Brazil.

出版信息

Int J Paediatr Dent. 2018 Jul;28(4):410-419. doi: 10.1111/ipd.12371. Epub 2018 May 13.

DOI:10.1111/ipd.12371
PMID:29756308
Abstract

BACKGROUND

Adolescence is a decisive period in the construction of new conduits.

OBJECTIVE

The influence of an App associated with conventional educational methods in adolescents' oral health.

STUDY DESIGN

Randomized controlled trial including 291 participants (mean age = 16.1 years) in baseline. The study consisted of four phases. Interventions were evaluated through the knowledge score (KS) and oral indexes (OHI-S/GBI). KS was obtained through five affirmations about periodontal diseases applied in different moments (pre-test, post-test, and follow-up test). Phase I included pre-test and oral clinical examination. Sample was randomly divided into two groups: oral (OG) and video orientation (VG) and post-test (phase II). Phase III characterized the formation of groups: OG + App/OG without App/VG + App/VG without App. App consisted of reinforcement messages which was sent during 30 days. Phase IV comprised follow-up test and clinical evaluation.

RESULTS

There was no significant difference in KS between OG/VG. Overall, App improved KS (P < 0.001). VG + App showed a significant increase in KS in the follow-up test compared to the post-test (P = 0.046). There was a significant reduction in oral indexes for all methods.

CONCLUSION

App was effective in increasing knowledge, especially associated with video. The different methods were equally effective for a better standard in oral hygiene.

摘要

背景

青春期是构建新途径的决定性时期。

目的

评估与传统教育方法相结合的应用程序对青少年口腔健康的影响。

研究设计

本研究纳入了 291 名参与者(平均年龄 16.1 岁),采用随机对照试验设计,基线时进行研究。研究分为四个阶段。通过知识评分(KS)和口腔指标(OHI-S/GBI)评估干预措施。KS 通过五项关于牙周病的肯定陈述在不同时间点(预测试、后测试和随访测试)获得。第一阶段包括预测试和口腔临床检查。将样本随机分为两组:口腔组(OG)和视频指导组(VG),并进行后测试(第二阶段)。第三阶段是组形成特征:OG+应用程序/OG 无应用程序/VG+应用程序/VG 无应用程序。应用程序包括在 30 天内发送的强化信息。第四阶段包括随访测试和临床评估。

结果

OG/VG 之间 KS 无显著差异。总体而言,应用程序提高了 KS(P<0.001)。与后测试相比,VG+应用程序在随访测试中 KS 显著增加(P=0.046)。所有方法的口腔指标均显著降低。

结论

应用程序在提高知识方面有效,特别是与视频相结合时效果更好。不同的方法在口腔卫生方面同样有效。

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