Beigi Morteza Rostam, Gholami Mahdia, Jafari Ahmad
Department of Community Oral Health, Faculty of Dentistry, AJA University of Medical Sciences, Tehran, Iran.
Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Front Dent. 2021 Dec 1;18:43. doi: 10.18502/fid.v18i43.8015. eCollection 2021.
Based on the recommendations of the World Health Organization, we investigated the feasibility of oral health interventions (OHIs) as part of Health Promoting Schools (HPS) program in Karaj city elementary schools. OHIs were accepted to be integrated into the components of HPS program by using the nominal group technique (NGT) and semi-structured interviews. Three NGT meetings were held with the faculty members of the School of Dentistry, Tehran University of Medical Sciences, and Karaj elementary school health care providers. Semi-structured interviews were held with school health executives of the Ministry of Health and Medical Education. The expert panel edited the OHIs and corrected the fragmentations, overlaps, and duplications. OHIs were sent to 24 individuals in six multi-stakeholder groups (faculty members of pediatric dentistry and community oral health departments, elementary school administrators, executive managers of Ministry of Health and Medical Education, elementary school dean and school healthcare providers). They were asked to score the feasibility of each intervention on a scale of 0 to 10. Based on the mean score of feasibility (threshold: 8) the OHIs were divided into two groups of feasible and infeasible. Eighty-six interventions were feasible, with a total mean score of 8.83±0.59 out of 10. The highest feasibility score was related to "comprehensive school health education". Integration of OHIs in HPS program is acceptable and feasible. The results can help policy-makers support the integration of OHIs in HPS program and encourage them to implement the program at the national level.
根据世界卫生组织的建议，我们调查了在卡拉季市小学开展口腔健康干预措施（OHIs）作为健康促进学校（HPS）项目一部分的可行性。通过使用名义小组技术（NGT）和半结构化访谈，OHIs被纳入HPS项目的组成部分。与德黑兰医科大学牙科学院的教职员工以及卡拉季小学的医疗保健提供者举行了三次NGT会议。与卫生和医学教育部的学校卫生管理人员进行了半结构化访谈。专家小组对OHIs进行了编辑，并纠正了其中的碎片化、重叠和重复之处。OHIs被发送给六个多利益相关方小组中的24个人（儿童牙科和社区口腔卫生部门的教职员工、小学管理人员、卫生和医学教育部的执行经理、小学教务长和学校医疗保健提供者）。要求他们在0到10的量表上对每项干预措施的可行性进行评分。根据可行性平均得分（阈值：8），OHIs被分为可行和不可行两组。86项干预措施是可行的，总平均得分为8.83±0.59（满分10分）。可行性得分最高的是“全面的学校健康教育”。将OHIs纳入HPS项目是可以接受且可行的。研究结果可以帮助政策制定者支持将OHIs纳入HPS项目，并鼓励他们在国家层面实施该项目。
