Basu Saurav, Rajeev Anjali, Garg Suneela, Singh Mongjam Meghachandra
Department of Community Medicine, Maulana Azad Medical College, New Delhi, India.
Indian J Community Med. 2022 Jan-Mar;47(1):133-137. doi: 10.4103/ijcm.ijcm_929_21. Epub 2022 Mar 16.
This study aimed to determine the effect of a mHealth (text message) intervention compared with a structured health educational session on the oral care and hygiene practices of pregnant women.
We conducted a pilot randomized control trial, parallel design superiority trial, with a 1:1 allocation ratio. A total of 76 pregnant women up to 20 weeks of gestational age and capable of reading mobile phone text messages were recruited during August-October 2020 from the antenatal clinic of a primary health center in a low-income urban agglomeration in Delhi, India. The mHealth intervention arm participants were sent a daily text message for 30 days, while all participants were provided a one-time, face-face, brief didactic structured educational session toward oral health promotion.
The baseline characteristics of both groups were comparable in terms of age structure, education, parity, and oral hygiene but differed in terms of oral health problems. Postintervention, although the twice-brushing frequency increased in both arms, only the mHealth arm revealed a statistically significant reduction in the incidence of missed twice-daily brushing episodes ( = 0.016).
A mHealth-based daily text-message intervention for 1 month was not superior to a one-time brief didactic structured educational intervention for oral health promotion in antenatal women.
本研究旨在确定与结构化健康教育课程相比，移动健康（短信）干预对孕妇口腔护理和卫生习惯的影响。
我们进行了一项试点随机对照试验，采用平行设计优效性试验，分配比例为1:1。2020年8月至10月期间，从印度德里一个低收入城市集聚区的初级卫生中心产前诊所招募了76名孕周达20周且能够阅读手机短信的孕妇。移动健康干预组的参与者连续30天每天收到一条短信，而所有参与者都接受了一次面对面的、简短的、关于促进口腔健康的结构化教育课程。
两组的基线特征在年龄结构、教育程度、产次和口腔卫生方面具有可比性，但在口腔健康问题方面存在差异。干预后，尽管两组每天刷牙两次的频率都有所增加，但只有移动健康干预组在每日漏刷两次的发生率上有统计学意义的降低（P = 0.016）。
在促进产前妇女口腔健康方面，为期1个月的基于移动健康的每日短信干预并不优于一次性简短的结构化教育干预。
