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虚拟牙科策略,以增强对选择加糖超加工食品的知识、态度和实践。

Virtual dentistry strategy to enhance knowledge, attitudes, and practices in selecting sweetened ultra-processed foods.

机构信息

Facultad de Odontología, Universidad Cooperativa de Colombia, Villavicencio, Colombia.

Food Security and Nutrition Dimension, Public Health Department, Villavicencio Health Secretariat, Villavicencio, Colombia.

出版信息

PLoS One. 2024 Nov 15;19(11):e0312288. doi: 10.1371/journal.pone.0312288. eCollection 2024.

Abstract

Education on the selection of low-sugar ultra-processed foods (UPF) plays a crucial role in promoting good oral health. This study aimed to assess the impact of a virtual educational strategy, developed in the field of dentistry, on improve Knowledge, Attitudes, and Practices (KAPs) related to oral health and the appropriate selection of sweet-tasting UPF. A quasi-experimental study with a pre-test and post-test design was conducted, involving parents and caregivers of children and pre-adolescents. Thirteen virtual learning objects (VLO) were delivered via Facebook. To measure the impact of the strategy, a validated instrument was used before the intervention, immediately after, and again six months later to assess Knowledge, Attitudes, and Practices (KAPs) on the subject. The median scores before and after the intervention were compared using the Friedman test for related samples, followed by multiple comparisons with Dunn's test. Participants' KAP levels were analyzed using Pearson's Chi-square test and multiple comparisons of column proportions with Bonferroni correction. Finally, a satisfaction and applicability survey was conducted. A significant improvement (p < 0.01) was observed in the participants' median KAP scores both immediately after the intervention and six months later. A greater number of participants reached the highest level in knowledge (Before (B): 43.8%, Immediately After (IA): 86%, After six months (A6): 81.3%), attitudes (B: 34.2%, IA: 69.4%, A6: 65.2%), and practices (B: 22.5%, IA: 53.7%, A6: 47.3%). Most participants described the course as consistently dynamic, well-organized, and appropriate timing. They also expressed their intention to apply the knowledge in their daily lives. The implemented strategy improved participants' KAPs concerning oral health and the appropriate selection of sweet-tasting UPF. It also resulted in participants' children consuming fewer sweet bakery products, candies, and flavored milk. Additionally, more participants reported consistently reading food labels after the intervention, although this behavior was not adopted by the majority.

摘要

教育人们选择低糖超加工食品(UPF)对于促进良好的口腔健康至关重要。本研究旨在评估一种虚拟教育策略的效果,该策略是在牙科领域开发的,旨在提高与口腔健康和适当选择含糖 UPF 相关的知识、态度和实践(KAP)。这是一项采用前后测试设计的准实验研究,涉及儿童和青春期前儿童的父母和照顾者。通过 Facebook 发布了 13 个虚拟学习对象(VLO)。为了衡量该策略的影响,在干预前、干预后立即以及六个月后使用经过验证的工具评估了主题的知识、态度和实践(KAP)。使用相关样本的 Friedman 检验比较干预前后的中位数得分,然后使用 Dunn 检验进行多次比较。使用 Pearson 卡方检验和 Bonferroni 校正的列比例多次比较分析参与者的 KAP 水平。最后,进行了满意度和适用性调查。参与者的 KAP 得分在干预后立即和六个月后均有显著提高(p < 0.01)。更多的参与者达到了知识的最高水平(前测(B):43.8%,立即后测(IA):86%,六个月后测(A6):81.3%)、态度(B:34.2%,IA:69.4%,A6:65.2%)和实践(B:22.5%,IA:53.7%,A6:47.3%)。大多数参与者认为该课程始终充满活力、组织良好且时间安排合理。他们还表示打算将所学知识应用于日常生活中。实施的策略提高了参与者有关口腔健康和适当选择含糖 UPF 的 KAP。它还导致参与者的孩子减少了食用甜面包店产品、糖果和风味牛奶。此外,更多的参与者表示在干预后始终阅读食品标签,尽管这种行为没有被大多数人采用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5d7/11567513/d29fec53a292/pone.0312288.g001.jpg

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