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J Caring Sci. 2019;8(2): 105-110.
doi: 10.15171/jcs.2019.015
  Abstract View: 178
  PDF Download: 164

Original Research

The Effect of Oral Health Promotion Program on Early Dental Decay in Students: a Cluster Randomized Controlled Trial

Vahid Naseri Salahshour 1 ORCID logo, Hamid Abredari 2 ORCID logo, Mahbobeh Sajadi 3 ORCID logo, Masoumeh Sabzaligol 4 ORCID logo, Mahmood Karimy 5 * ORCID logo

1 Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Arak University of Medical Sciences, Arak, Iran
2 Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
3 Department of Pediatric Nursing, Faculty of Nursing and Midwifery, Arak University of Medical Sciences, Arak, Iran
4 Department of Medical-Surgical Nursing, Faculty Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
5 Department of Social Determinate Health Research Center, Faculty of Nursing and Midwifery, Saveh University of Medical Sciences, Saveh, Iran

Abstract

Introduction: The use of different models play a significant role in health education and its promotion. Therefore, the present study aims to investigate the effect of the Theory of Planned Behavior (TPB) on early dental decay in elementary students. Methods: This study was a single-blinded, cluster randomized controlled trial, in which 470 elementary students in the fourth, fifth and sixth grades in Saveh, Iran were participated. A demographic questionnaire and a 5-item questionnaire consisting of questions on awareness, attitude, practice, tooth brushing, diet and referring to dentist, were used to data collection. The samples of the intervention (n=234) and control (n=236) groups filled out the questionnaires before intervention (pre-test), immediately after intervention and one month after intervention. The educational intervention based on the TPB was held in three 45-minute sessions. Finally, the data were analyzed, using the SPSS version 13. For analyzing, the Independent t-test, Chi-square, and repeated measures ANOVA were used. Results: This study showed that there is a significant difference in the mean scores obtained from knowledge, attitude, subjective norm, perceived behavioral control, behavioral intention and behavior among students in the experimental group (immediately after and one month after the intervention) and students in the control group. Conclusion: The results of this study showed that using of TPB, as a framework for providing behavior-led training, can be effective in promoting oral and dental health of students. Nurses as an important member of the treatment team can use the results of this study in school health programs.


Keywords: Oral health, Dental decay, Nursing education, prevention, Health promotion
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Submitted: 30 Oct 2017
Revision: 18 Jun 2018
Accepted: 04 Aug 2018
ePublished: 01 Jun 2019
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