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This study aimed to compare the impact of anticipatory guidance on the caries incidence of 2-3-year-old preschool children and their 4-6-year-old siblings, as well as on their mothers' oral health literacy, as compared to the conventional Ministry of Health (MOH) programme.
This quasi-experimental study was conducted at two government dental clinics in Batu Pahat District, Malaysia. The samples comprised of 478 mother-child-sibling trios (233 families in the intervention group, and 245 families in the control group). An oral health package named the Family Dental Wellness Programme (FDWP) was designed to provide anticipatory guidance to the intervention group at six-month intervals over three years. The control group received the standard MOH oral health education activities. The impact of FDWP on net caries increment, caries prevented fraction, and mother's oral health literacy was assessed after three years of intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| one-to-one dental health education | Active Comparator | Conventional oral health education programme that mainly focuses at child level, which has been the normal practice at the Ministry of Health, were provided to the control participants. |
|
| anticipatory guidance technique | Experimental | Anticipatory guidance technique were applied where appropriate dental health education (according to the children's milestones) were provided to mothers and their children. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dental health education | Other | Anticipatory guidance given to mothers to promote their children's oral health. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of dental caries | Change from baseline dental caries prevalence at 3 years using visual and tactile examination | Baseline and 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Mothers' oral health literacy | Changes in mothers' oral health literacy at 3 year follow up using a validated Dental Health Literacy instruments | Baseline and 3 years |
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Inclusion Criteria:
Exclusion Criteria:
• Medically compromised children
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| Name | Affiliation | Role |
|---|---|---|
| Norintan Ab Murat, PhD | University of Malaya | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Batu Pahat Dental Clinic | Batu Pahat | Johor | 83100 | Malaysia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30053849 | Derived | Ismail A, Razak IA, Ab-Murat N. The impact of anticipatory guidance on early childhood caries: a quasi-experimental study. BMC Oral Health. 2018 Jul 27;18(1):126. doi: 10.1186/s12903-018-0589-0. |
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| ID | Term |
|---|---|
| D003731 | Dental Caries |
| ID | Term |
|---|---|
| D017001 | Tooth Demineralization |
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
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| ID | Term |
|---|---|
| D006267 | Health Education, Dental |
| ID | Term |
|---|---|
| D006266 | Health Education |
| D011314 | Preventive Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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The model is an oral health education package that covers the following aspects: (i) cognitive component (for example, the provision of basic oral health knowledge using an anticipatory guidance technique); (ii) psychomotor component (for example, the demonstration of basic oral health skills such as toothbrushing skills with a hands-on practical); and (iii) attitude component (activities that help to improve the children's attitude towards oral health). Children (along with their older siblings and mothers) in the study group were required to make six-monthly visits to the dental clinic in the three-year study period. Those in the control group received the conventional Ministry of Health programme.
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Both investigators and participants knew about the intervention and who were involved.
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|
| D011636 | Public Health Dentistry |
| D004778 | Environment and Public Health |