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MySmileBuddy干预措施对幼儿龋齿的可行性、可接受性及短期行为影响

Feasibility, Acceptability, and Short-term Behavioral Impact of the MySmileBuddy Intervention for Early Childhood Caries.

作者信息

Lumsden Christie, Wolf Randi, Contento Isobel, Basch Charles, Zybert Patricia, Koch Pamela, Edelstein Burton

出版信息

J Health Care Poor Underserved. 2019;30(1):59-69. doi: 10.1353/hpu.2019.0007.

Abstract

OBJECTIVES

To evaluate acceptability, feasibility, and short-term behavioral impact of an early childhood caries (ECC) intervention.

METHODS

Predominantly low-income Hispanic parent/child (2-6 years) dyads attending a busy pediatric dental clinic in New York City completed a single administration of the iPad-based technology-assisted education, goal-setting, and behavior change MySmileBuddy program. Self-reported behavior change was assessed via telephone survey one month post-intervention.

RESULTS

Of 113 parent/child dyads approached, 108 (95.6%) participated and all completed MySmileBuddy in its entirety. Over 96% (n = 76) of 79 parents reached for follow-up recalled MySmileBuddy; 63.3% (n = 50) recalled their diet-and/or oral hygiene-related behavioral goal; and 79.7% (n = 79) reported taking action to initiate behavior change.

CONCLUSIONS

Findings suggest that MySmileBuddy was feasibly implemented in a busy clinic, acceptable to this high-risk population, and effectively promoted preliminary ECC-related behavior changes. Larger, long-term studies are warranted to further investigate the impact of the MySmileBuddy program.

摘要

目的

评估幼儿龋齿(ECC)干预措施的可接受性、可行性和短期行为影响。

方法

在纽约市一家繁忙的儿科牙科诊所就诊的主要为低收入西班牙裔父母/儿童(2至6岁)二元组完成了基于iPad的技术辅助教育、目标设定和行为改变MySmileBuddy项目的单次实施。干预后一个月通过电话调查评估自我报告的行为改变。

结果

在113个接触的父母/儿童二元组中,108个(95.6%)参与,且全部完整完成了MySmileBuddy。在79名接受随访的父母中,超过96%(n = 76)回忆起了MySmileBuddy;63.3%(n = 50)回忆起了他们与饮食和/或口腔卫生相关的行为目标;79.7%(n = 79)报告采取行动开始行为改变。

结论

研究结果表明,MySmileBuddy在繁忙的诊所中可行实施,该高危人群可接受,且有效促进了与ECC相关的初步行为改变。需要进行更大规模的长期研究以进一步调查MySmileBuddy项目的影响。

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