Department of Epidemiology, Human Genetics & Environmental Sciences, Michael & Susan Dell Center for Healthy Living, University of Texas Health Science Center at Houston School of Public Health, 1200 Pressler, RAS E643, Houston, TX, 77030, USA.
Department of Epidemiology, Human Genetics, and Environmental Sciences, Michael & Susan Dell Center for Healthy Living, University of Texas Health Science Center, School of Public Health, Austin Regional Campus, 1616 Guadalupe St., Suite 6300, Austin, TX, 78701, USA.
J Sch Health. 2022 Jan;92(1):20-30. doi: 10.1111/josh.13100. Epub 2021 Nov 17.
We present results of the development and feasibility testing of CATCH Healthy Smiles, a school-based oral health program, among children in grades K-2 in Houston, Texas.
Study design was cross-sectional (N = 2 schools; N = 125 parent-child dyads; 31 kindergarteners, 42 first graders, and 52 second graders). CATCH Healthy Smiles program was implemented by trained school teachers in the 2016-2017 school year. Trained dentists conducted dental assessments to measure dental caries increment score (d3mfs). Parent-reported 24-hour dietary recalls and surveys assessed child and parent behavioral, environmental, and psychosocial factors. Logistic regression analysis assessed factors associated with caries experience adjusting for covariates.
Of the 113 children with complete dental assessments, 54% children in grade K, 62% in first grade, and 73% in second grade had caries experience. Children with caries experience had a higher body weight (AdjOR = 1.13, 95% confidence interval [CI]: 1.02-1.29), were less likely to be girls (AdjOR = 0.22, 95% CI: 0.05-0.82), had greater odds of difficulty drinking hot or cold beverages because of dental problems (AdjOR = 13.13, 95% CI: 1.09-275.14), greater frequency of consuming sugar-sweetened beverages (AdjOR = 11.53, 95% CI: 2.10-87.19), greater odds of receiving government assistance (AdjOR = 14.62, 95% CI: 2.74-119.81), and lower odds of seeing a dental provider (AdjOR = 0.11, 95% CI: 0.02-0.45). Process evaluation showed that 100% of the CATCH Healthy Smiles lessons and activities were taught in the two schools with a high degree of program fidelity and acceptability across the schools, children, and parents.
These data will be used to conduct a subsequent fully powered cluster randomized controlled trial.
我们展示了 CATCH Healthy Smiles 的开发和可行性测试结果，这是一项基于学校的口腔健康计划，在德克萨斯州休斯顿的 K-2 年级儿童中进行。
研究设计为横断面研究（N=2 所学校；N=125 对亲子对；31 名幼儿园儿童、42 名一年级儿童和 52 名二年级儿童）。CATCH Healthy Smiles 计划由经过培训的学校教师在 2016-2017 学年实施。经过培训的牙医进行了口腔评估，以测量龋齿增量评分（d3mfs）。家长报告的 24 小时膳食回忆和调查评估了儿童和家长的行为、环境和心理社会因素。逻辑回归分析评估了调整协变量后与龋齿经历相关的因素。
在 113 名完成口腔评估的儿童中，54%的幼儿园儿童、62%的一年级儿童和 73%的二年级儿童有龋齿经历。有龋齿经历的儿童体重更高（调整后的优势比[AdjOR]=1.13，95%置信区间[CI]：1.02-1.29），女孩的可能性较小（AdjOR=0.22，95%CI：0.05-0.82），因为牙齿问题而更难喝热或冷饮料的可能性更大（AdjOR=13.13，95%CI：1.09-275.14），更频繁地消费含糖饮料（AdjOR=11.53，95%CI：2.10-87.19），获得政府援助的可能性更高（AdjOR=14.62，95%CI：2.74-119.81），看牙医的可能性较低（AdjOR=0.11，95%CI：0.02-0.45）。过程评估显示，在这两所学校中，100%的 CATCH Healthy Smiles 课程和活动都得到了教授，并且在学校、儿童和家长中都具有高度的计划一致性和可接受性。
这些数据将用于开展后续的完全随机对照试验。
