Bonabi Maedeh, Mohebbi Simin Z, Yazdani Reza, Rabiei Sepide, Virtanen Jorma
Department of Community Oral Health, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Research Center for Caries Prevention, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Front Dent. 2024 Aug 10;21:31. doi: 10.18502/fid.v21i31.16193. eCollection 2024.
This study evaluated the effect of a flipped oral health educational program for primary healthcare providers (PHCPs) on their knowledge, attitude, and practice. This field trial was conducted on PHCPs (N=118; 61 cases and 57 controls) in District Health Centers (DHCs) of Tehran, Iran in 2012. The participants filled out a self-report questionnaire with questions on knowledge (N=34), attitude (N=8), and oral health practice (N=14). The intervention included an educational booklet delivered to the staff followed by a brief educational session using the flipped approach and a reminder pamphlet after 1 month. After 4 months, the questionnaire was completed again by the participants. Statistical analysis included paired sample t-test, ANCOVA, and linear and logistic regression. Most participants were females (N=114), and the mean age was 37±8 years. The scores of the three domains of knowledge and also the total knowledge score, the attitude score, and the practice score significantly improved in the intervention group compared to the control group (P<0.001). Knowledge about the oral health of children (P=0.001) and the total knowledge score (P<0.05) significantly increased in the control group, but the increase in other domains was not statistically significant (P>0.05). The oral health knowledge of PHCPs was insufficient, and their practice and attitude were not desirable. The oral health educational program with the flipped approach had a positive impact on the PHCPs' knowledge, attitude and practice, and may be utilized in the academic curriculum or continuing medical education (CME) courses.
本研究评估了针对初级医疗保健提供者（PHCPs）的翻转式口腔健康教育项目对其知识、态度和实践的影响。2012年，在伊朗德黑兰地区卫生中心（DHCs）对PHCPs（N = 118；61例干预组和57例对照组）进行了该现场试验。参与者填写了一份自我报告问卷，其中包含关于知识（N = 34）、态度（N = 8）和口腔健康实践（N = 14）的问题。干预措施包括向工作人员发放一本教育手册，随后采用翻转式方法进行简短的教育课程，并在1个月后发放一份提醒小册子。4个月后，参与者再次完成问卷。统计分析包括配对样本t检验、协方差分析以及线性和逻辑回归。大多数参与者为女性（N = 114），平均年龄为37±8岁。与对照组相比，干预组在知识的三个领域得分以及总知识得分、态度得分和实践得分均有显著提高（P < 0.001）。对照组中关于儿童口腔健康的知识（P = 0.001）和总知识得分（P < 0.05）显著增加，但其他领域的增加无统计学意义（P > 0.05）。PHCPs的口腔健康知识不足，其实践和态度也不理想。采用翻转式方法的口腔健康教育项目对PHCPs的知识、态度和实践产生了积极影响，可用于学术课程或继续医学教育（CME）课程。
