Parents and school staff play important roles in promoting children's oral health. Our study goals were to investigate whether an intervention targeting parents and school staff can improve the oral-health behavior and oral-health status of schoolchildren. Three-hundred and ninety-two schoolchildren in six schools in Tehran participated in a group randomized trial from September 2010 to March 2011. Schools were randomly allocated into three groups: comprehensive, student, and control. Intervention in the comprehensive group consisted of strategies to encourage children, their parents, and school staff to increase the frequency of toothbrushing and flossing. In the student group, the intervention targeted only children. The control group received no intervention. The primary outcome was change in oral-health behaviors (brushing and flossing), while the secondary outcomes were changes in oral hygiene and Community Periodontal indices and in Health Belief Model components. Multilevel modeling was employed for data analyses. Students who were in the comprehensive intervention group brushed and flossed significantly more frequently compared with those in the student intervention group. Although students' gingival health improved significantly in the comprehensive intervention group, such significant improvement was not seen in the student group. In conclusion, promising results are seen when the oral-health education targets both school and home settings.

译文

:父母和学校职员在促进儿童口腔健康中发挥重要作用。我们的研究目标是调查针对父母和学校员工的干预措施是否可以改善小学生的口腔健康行为和口腔健康状况。从2010年9月至2011年3月,德黑兰六所学校的392名学童参加了一项小组随机试验。学校被随机分为三组:综合,学生和对照。对综合人群的干预包括鼓励儿童,他们的父母和学校工作人员增加刷牙和使用牙线的策略。在学生群体中,干预仅针对儿童。对照组未接受干预。主要结果是口腔健康行为的变化(刷牙和使用牙线),而次要结果是口腔卫生和社区牙周指数以及健康信念模型组成部分的变化。采用多级建模进行数据分析。与学生干预组相比,综合干预组的学生刷牙和使用牙线的频率明显更高。尽管在综合干预组中学生的牙龈健康显着改善,但在学生组中却没有看到这种显着改善。总之,当口腔健康教育针对学校和家庭环境时,可以看到令人鼓舞的结果。

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