Skip to main content
Top
Published in: BMC Oral Health 1/2023

Open Access 01-12-2023 | Caries | Research

Improvement of parents’ oral health knowledge by a school-based oral health promotion for parents of preschool children: a prospective observational study

Authors: Zhiyi Shan, Chongshan Liao, Jiajing Lu, Cindy Po Wan Yeung, Kar Yan Li, Min Gu, Chun Hung Chu, Yanqi Yang

Published in: BMC Oral Health | Issue 1/2023

Login to get access

Abstract

Background

Parents of preschool children have inadequate oral health knowledge in Hong Kong. Parents play a critical role in preschool children’s dietary patterns and oral health behaviors. A school-based oral health promotion (OHP) for parents of preschoolers was developed and investigated.

Objectives

The objective of this study was to evaluate effects of the school-based OHP for parents of preschool children on parents’ oral health knowledge and preschool children’s early childhood caries (ECC).

Materials and methods

This was a quasi-experimental study. Parents of preschool children were divided into the intervention group (IG) and the control group (CG) according to their own selection. Parents in the IG participated in a structured school-based OHP workshop, while those in the CG did not attend the OHP workshop. Parents in both groups were invited to complete a questionnaire assessing their oral health knowledge before (T0), one month after (T1), and twelve months after (T2) the OHP workshop. Preschool children’s caries was examined via dmft score at T0 and T2.

Results

Parents’ oral health knowledge was negatively correlated with preschool children’s dmft scores (R = -0.200, P < 0.001). Oral health knowledge was significantly improved in IG (P < 0.001) but not in CG (P = 0.392) at T1. Both groups experienced a significant improvement in oral health knowledge from T0 to T2 (P < 0.001). Parents’ oral health knowledge in the IG was significantly higher compared to the CG at T1 (P < 0.001), but difference in the scores at T2 between the two groups showed no significant difference (P = 0.727). No significant difference was found in changes in children’s dmft score from T0 to T2 between the IG and CG (p = 0.545).

Conclusion

Preschool children’s high ECC is associated with the limited oral health knowledge of their parents. The school-based OHP workshop for parents increased parents’ oral health knowledge within one month. This positive effect was maintained for twelve months and can be extended to a larger scale in the school setting.
Literature
3.
go back to reference Pediatrics AA. .o. policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent. 2008;30:40–3. Pediatrics AA. .o. policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent. 2008;30:40–3.
4.
go back to reference Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J. 2006;201:625–6. https://.CrossRefPubMed Sheiham A. Dental caries affects body weight, growth and quality of life in pre-school children. Br Dent J. 2006;201:625–6. https://​.​CrossRefPubMed
10.
go back to reference Census, Department S, The government of the Hong Kong Special Administrative Region, Table. E2021A: 2021 Population consensus - Main Tables (Demographic) [Released date: 31 May 2022]. Available from: https://www.censtatd.gov.hk. Census, Department S, The government of the Hong Kong Special Administrative Region, Table. E2021A: 2021 Population consensus - Main Tables (Demographic) [Released date: 31 May 2022]. Available from: https://​www.​censtatd.​gov.​hk.
13.
go back to reference Phantumvanit P, Makino Y, Ogawa H, Rugg-Gunn A, Moynihan P, Petersen PE, Evans W, Feldens CA, Lo E, Khoshnevisan MH, Baez R. WHO global consultation on public health intervention against early childhood caries. Commun Dent Oral Epidemiol. 2018;46(3):280–7.CrossRef Phantumvanit P, Makino Y, Ogawa H, Rugg-Gunn A, Moynihan P, Petersen PE, Evans W, Feldens CA, Lo E, Khoshnevisan MH, Baez R. WHO global consultation on public health intervention against early childhood caries. Commun Dent Oral Epidemiol. 2018;46(3):280–7.CrossRef
14.
go back to reference Rai NK, Tiwari T. Parental factors influencing the development of early childhood caries in developing nations: a systematic review. Front Public Health. 2018;6:64.CrossRefPubMedPubMedCentral Rai NK, Tiwari T. Parental factors influencing the development of early childhood caries in developing nations: a systematic review. Front Public Health. 2018;6:64.CrossRefPubMedPubMedCentral
17.
go back to reference Campbell K, Crawford D. Family food environments as determinants of preschool-aged children’s eating behaviours: implications for obesity prevention policy. A review. Australian J Nutr Dietetics. 2001;58(1):19–26. Campbell K, Crawford D. Family food environments as determinants of preschool-aged children’s eating behaviours: implications for obesity prevention policy. A review. Australian J Nutr Dietetics. 2001;58(1):19–26.
19.
go back to reference Leventhal HOR, Ian B. The common-sense model of self-regulation of health and illness. In The self-regulation of health and illness behaviour, Routledge: 2012; pp. 56–79. Leventhal HOR, Ian B. The common-sense model of self-regulation of health and illness. In The self-regulation of health and illness behaviour, Routledge: 2012; pp. 56–79.
20.
go back to reference Horton S, Barker JC. Rural Mexican immigrant parents’ interpretation of children’s dental symptoms and decisions to seek treatment. Community Dent Health. 2009;26:216–21.PubMedPubMedCentral Horton S, Barker JC. Rural Mexican immigrant parents’ interpretation of children’s dental symptoms and decisions to seek treatment. Community Dent Health. 2009;26:216–21.PubMedPubMedCentral
23.
go back to reference Makuch A, Reschke K. Playing games in promoting childhood dental health. Patient Educ Couns. 2001;43(1):105–10.CrossRefPubMed Makuch A, Reschke K. Playing games in promoting childhood dental health. Patient Educ Couns. 2001;43(1):105–10.CrossRefPubMed
24.
go back to reference John BJ, Asokan S, Shankar S. Evaluation of different health education interventions among preschoolers: a randomized controlled pilot trial. J Indian Soc Pedod Prev Dentistry. 2013;31(2):96–9.CrossRef John BJ, Asokan S, Shankar S. Evaluation of different health education interventions among preschoolers: a randomized controlled pilot trial. J Indian Soc Pedod Prev Dentistry. 2013;31(2):96–9.CrossRef
26.
go back to reference Faul F, Erdfelder E, Buchner A, Lang AG. G* power (Version 3.1. 9.2). Germany: University of Kiel; 2014. Faul F, Erdfelder E, Buchner A, Lang AG. G* power (Version 3.1. 9.2). Germany: University of Kiel; 2014.
27.
go back to reference World Health Organization. Oral health surveys: basic methods. 5th ed. World Health Organization; 2013. pp. 42–7. World Health Organization. Oral health surveys: basic methods. 5th ed. World Health Organization; 2013. pp. 42–7.
28.
go back to reference Glanz K, Rimer BK, Viswanath K. 2008. The health belief model. Health behavior and health education: theory, research, and practice. 4th ed. United States: John Wiley & Sons, 45–65. Glanz K, Rimer BK, Viswanath K. 2008. The health belief model. Health behavior and health education: theory, research, and practice. 4th ed. United States: John Wiley & Sons, 45–65.
29.
go back to reference Adair PM, Pine CM, Burnside G, Nicoll AD, Gillett A, Anwar S, Broukal Z, Chestnutt IG, Declerck D, Ping FX, et al. Familial and cultural perceptions and beliefs of oral hygiene and dietary practices among ethnically and socio-economicall diverse groups. Community Dent Health. 2004;21:102–11.PubMed Adair PM, Pine CM, Burnside G, Nicoll AD, Gillett A, Anwar S, Broukal Z, Chestnutt IG, Declerck D, Ping FX, et al. Familial and cultural perceptions and beliefs of oral hygiene and dietary practices among ethnically and socio-economicall diverse groups. Community Dent Health. 2004;21:102–11.PubMed
30.
go back to reference Crawford AN, Lennon MA. Dental attendance patterns among mothers and their children in an area of social deprivation. Community Dent Health. 1992;9:289–94.PubMed Crawford AN, Lennon MA. Dental attendance patterns among mothers and their children in an area of social deprivation. Community Dent Health. 1992;9:289–94.PubMed
31.
go back to reference Kay E, Locker D. A systematic review of the effectiveness of health promotion aimed at improving oral health. Community Dent Health. 1998;15:132–44.PubMed Kay E, Locker D. A systematic review of the effectiveness of health promotion aimed at improving oral health. Community Dent Health. 1998;15:132–44.PubMed
32.
go back to reference Watt RG. Strategies and approaches in oral Disease prevention and health promotion. Bull World Health Organ. 2005;83:711–8.PubMedPubMedCentral Watt RG. Strategies and approaches in oral Disease prevention and health promotion. Bull World Health Organ. 2005;83:711–8.PubMedPubMedCentral
Metadata
Title
Improvement of parents’ oral health knowledge by a school-based oral health promotion for parents of preschool children: a prospective observational study
Authors
Zhiyi Shan
Chongshan Liao
Jiajing Lu
Cindy Po Wan Yeung
Kar Yan Li
Min Gu
Chun Hung Chu
Yanqi Yang
Publication date
01-12-2023
Publisher
BioMed Central
Keyword
Caries
Published in
BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-023-03567-x

Other articles of this Issue 1/2023

BMC Oral Health 1/2023 Go to the issue