基于应用程序的口腔健康促进干预措施对与幼儿龋齿相关的可改变风险因素的影响：一项系统综述。
App-based oral health promotion interventions on modifiable risk factors associated with early childhood caries: A systematic review.
作者信息
Ajay Kamalapriya, Azevedo Liane B, Haste Anna, Morris Alexander John, Giles Emma, Gopu Banu Preethi, Subramanian Murali Perumbakkam, Zohoori Fatemeh Vida
机构信息
School of Health and Life Sciences, Teesside University, Middlesbrough, United Kingdom.
School of Human and Health Sciences, University of Huddersfield, Huddersfield, United Kingdom.
出版信息
Front Oral Health. 2023 Mar 10;4:1125070. doi: 10.3389/froh.2023.1125070. eCollection 2023.
BACKGROUND
Early childhood caries (ECC) is a preventable chronic disease. Parents' knowledge and attitudes toward oral healthcare have been associated with higher caries experience in their children. Mobile apps within the context of mHealth interventions are a potential tool for raising awareness and informing parents about their children's oral health.
OBJECTIVES
The aim of this systematic review was to examine the effectiveness of mobile health apps, targeted at parents and caregivers, for the prevention of ECC.
DATA SOURCES
A systematic search was carried out in five scientific databases; Embase, CINAHL, MEDLINE, PsycINFO and Web of Science.
STUDY SELECTION AND DATA EXTRACTION
Original studies, delivering oral health interventions to parents of children <6 years smartphones, were included. Both quantitative and qualitative findings from the included studies were extracted.
SYNTHESIS
A convergent segregated approach was used to integrate the quantitative and qualitative evidence, followed by side-by-side display and narrative synthesis.
RESULTS
Out of 5,953 retrieved articles, five met the inclusion criteria and were included in the review. Three articles reported quantitative findings, while two reported both quantitative and qualitative findings. Four studies reported that a mobile app can be an effective tool to improve the oral health knowledge of parents/caregivers, aiding them in incorporating good oral health habits into their children's daily routines.
CONCLUSION
This review demonstrated that oral health promotion programs delivered through mobile apps to parents could be effective in improving child oral health awareness among parents. There is a need for more high-quality studies with a large number of participants to find out which features of mHealth interventions with parents could effectively be employed to reduce the prevalence of ECC. Further studies and apps should be developed based on evidence-based behaviour change techniques and incorporate features such as gamification to increase the effectiveness and engagement of the target population.
SYSTEMATIC REVIEW REGISTRATION
[https://www.crd.york.ac.uk/prospero/display_record.php?], identifier [CRD42021268331].
背景
幼儿龋齿（ECC）是一种可预防的慢性疾病。父母对口腔保健的知识和态度与孩子更高的龋齿经历有关。移动健康干预背景下的移动应用程序是提高认识并向父母宣传其子女口腔健康的潜在工具。
目的
本系统评价的目的是检验针对父母和照顾者的移动健康应用程序预防幼儿龋齿的有效性。
数据来源
在五个科学数据库中进行了系统检索；Embase、护理学与健康领域数据库（CINAHL）、医学期刊数据库（MEDLINE）、心理学文摘数据库（PsycINFO）和科学引文索引数据库（Web of Science）。
研究选择与数据提取
纳入了向6岁以下儿童的父母提供口腔健康干预的原始研究。提取了纳入研究的定量和定性结果。
综合分析
采用趋同分离法整合定量和定性证据，然后进行并排展示和叙述性综合分析。
结果
在检索到的5953篇文章中，有5篇符合纳入标准并被纳入本评价。3篇文章报告了定量结果，2篇文章同时报告了定量和定性结果。4项研究报告称，移动应用程序可以成为提高父母/照顾者口腔健康知识的有效工具，帮助他们将良好的口腔健康习惯融入孩子的日常生活。
结论
本评价表明，通过移动应用程序向父母提供的口腔健康促进项目可以有效地提高父母对儿童口腔健康的认识。需要开展更多有大量参与者的高质量研究，以确定与父母进行移动健康干预的哪些特征可以有效地用于降低幼儿龋齿的患病率。应基于循证行为改变技术开展进一步的研究并开发应用程序，并纳入游戏化等功能，以提高目标人群的有效性和参与度。
系统评价注册
[https://www.crd.york.ac.uk/prospero/display_record.php?]，标识符[CRD42021268331]。
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