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健康微笑:一项关于简短在线干预措施对改善有心理困扰的年轻人口腔健康状况的调查。

Healthy Smiles: An Investigation of Brief Online Interventions to Improve Oral Health among Young People Experiencing Psychological Distress.

作者信息

Clough Bonnie A, Walton Emma, Robertson Caroline V, Tadakamadla Santosh, Prior Tanaya, Stainer Matt, Rowland Dale, Wheeler Amanda J

机构信息

Griffith University, Brisbane, Australia.

La Trobe University, Bendigo, Australia.

出版信息

Int J Behav Med. 2025 Jun 24. doi: 10.1007/s12529-025-10380-z.

Abstract

BACKGROUND

Young adults experiencing psychological distress are susceptible to poor oral health through a range of social, cognitive, and biological processes. However, only limited attention has been given to developing interventions to improve oral health behaviours and related factors in this population. This study aimed to compare the efficacy of two brief, online interventions (education and education with motivational interviewing components) to an active control condition.

METHOD

The interventions were informed by co-design and the Theory of Planned Behaviour (TPB), with TPB and related constructs measured pre, post, and one-week following the intervention. Participants were 152 young adults (aged 18-25 years) experiencing moderate or greater psychological distress.

RESULTS

Data were analysed using linear mixed-effect modelling, focussing on within groups effects over time and between groups effects at post and follow-up timepoints. Participants in the education intervention reported significantly greater oral health knowledge at post-intervention than pre-intervention (p = .007), with gains maintained at follow-up. Some benefits were also observed for attitudes and oral health values post-intervention, across conditions. The addition of motivational interviewing components did not result in improved intervention effects.

CONCLUSION

Brief online interventions may be appropriate for delivery of educational interventions within this population, but increased support may be needed to improve perceptions of control and behavioural enactment.

摘要

背景

经历心理困扰的年轻人容易通过一系列社会、认知和生物过程出现口腔健康问题。然而,在开发干预措施以改善该人群的口腔健康行为及相关因素方面,人们给予的关注有限。本研究旨在比较两种简短的在线干预措施(教育以及包含动机性访谈成分的教育)与积极对照条件的效果。

方法

干预措施基于共同设计和计划行为理论(TPB)制定,在干预前、干预后及干预后一周测量TPB及相关构念。参与者为152名经历中度或更严重心理困扰的年轻人(年龄在18 - 25岁之间)。

结果

使用线性混合效应模型分析数据,重点关注组内随时间的效应以及干预后和随访时间点的组间效应。接受教育干预的参与者在干预后报告的口腔健康知识显著高于干预前(p = 0.007),且在随访时保持了增长。在所有条件下,干预后在态度和口腔健康价值观方面也观察到了一些益处。添加动机性访谈成分并未带来更好的干预效果。

结论

简短的在线干预措施可能适合为该人群提供教育干预,但可能需要更多支持来改善控制感和行为实施情况。

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