Volume 5, Issue 3 (8-2020)                   J Res Dent Maxillofac Sci 2020, 5(3): 26-32 | Back to browse issues page


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1- Associate Professor, Periodontology Dept, Dental Faculty, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran , sayar_f@yahoo.com
2- PhD in Community Oral Health
3- Associate Professor, Department of Mathematics, South Tehran Branch, Islamic Azad University
4- private practice
Abstract:   (2534 Views)
Background & Aim: Oral hygiene instructions are routinely provided at schools by health mentors and dentists. Recently, oral hygiene instruction by peers has gained popularity. This study aimed to compare the effect of oral hygiene instruction by dentists and peers on the level of knowledge of twelve-year old children.
Methods and Materials: In this interventional randomized clinical trial, four schools were randomly selected. The level of oral health knowledge of students was assessed by a pretest. Oral hygiene instructions were then provided by dentists in control schools and by peer mentors in test schools. Knowledge of students about oral health was evaluated in the two groups immediately and after 1 month post instruction. The mean test scores were analyzed using SPSS version 20 and compared between the groups using two-way and repeated measures ANOVA.
 
Results: Oral hygiene instruction enhanced the overall knowledge of students about oral health immediately and at one month after the instruction compared with baseline in both groups (P<0.05). The overall knowledge score of students in the test group was higher than that of the control group immediately and at 1 month after the instruction (P<0.05).
Conclusions: It appears that oral hygiene instruction by peer mentors can effectively increase knowledge acquisition with regard to oral health-related topics. Thus, peer mentoring in health-related topics is recommended as a practical and cost-effective approach. Considering the different pattern of learning in boys, repetition and reinforcement of instruction can promote their knowledge level in long-term.
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Type of Study: Original article | Subject: Periodontology

References
1. Parker EJ, Jamieson LM. Associations between indigenous Australian oral health literacy and self-reported oral health outcomes. BMC Oral Health. 2010 Mar 26;10:3. [DOI:10.1186/1472-6831-10-3] [PMID] [PMCID]
2. Lee JY, Divaris K, Baker AD, Rozier RG, Vann WF Jr. The relationship of oral health literacy and self-efficacy with oral health status and dental neglect. Am J Public Health. 2012 [DOI:10.2105/AJPH.2011.300291] [PMID] [PMCID]
3. Elder JP, Ayala GX, Harris S. Theories and intervention approaches to health-behavior change in primary care. Am J Prev Med. 1999 Nov;17(4):275-84. [DOI:10.1016/S0749-3797(99)00094-X]
4. Strecher VJ, DeVellis BM, Becker MH, Rosenstock IM. The role of self-efficacy in achieving health behavior change. Health Educ Q. 1986 Spring;13(1):73-92. [DOI:10.1177/109019818601300108] [PMID]
5. Mellanby AR, Rees JB, Tripp JH. Peer-led and adult-led school health education: a critical review of available comparative research. Health Educ Res. 2000 Oct;15(5):533-45. [DOI:10.1093/her/15.5.533] [PMID]
6. Turner G, Shepherd J. A method in search of a theory: peer education and health promotion. Health Educ Res. 1999 Apr;14(2):235-47. [DOI:10.1093/her/14.2.235] [PMID]
7. Tomé G, Matos M, Simões C, Diniz JA, Camacho I. How can peer group influence the behavior of adolescents: Explanatory model. Glob J Health Sci. 2012Mar;4(2):26-35. [DOI:10.5539/gjhs.v4n2p26] [PMID] [PMCID]
8. Milburn K. A critical review of peer education with young people with special reference to sexual health. Health Educ Res. 1995 Dec;10(4):407-20. [DOI:10.1093/her/10.4.407] [PMID]
9. Mirzaii K, Nessari Ashkezari S, Khadivzadeh T, Shakeri MT. Evaluation of the effects of breast cancer screening training based on the systematic comprehensive health education and promotion model on the attitudes and breast self-examination skills of women. Evidence Based Care. 2016,6:7-18.
10. Mirzaii K, Ashkezari SN, Khadivzadeh T. Comparing the effect of breast cancer screening education based on "systematic comprehensive health education and promotion" model to health volunteers on women's practice. BMJ open. 2017, 7:bmjopen-2016- 015415.33.
11. Yazdani R, Vehkalahti MM, Nouri M, Murtomaa H. School-based education to improve oral cleanliness and gingival health in adolescents in Tehran, Iran. Int J Paediatr Dent. 2009 Jul;19(4):274-81. [DOI:10.1111/j.1365-263X.2009.00972.x] [PMID]
12. Haleem A, Siddiqui MI, Khan AA. School-based strategies for oral health education of adolescents-a cluster randomized controlled trial. BMC oral health. 2012Dec;12:54. [DOI:10.1186/1472-6831-12-54] [PMID] [PMCID]
13. Vangipuram S, Jha A, Raju R, Bashyam M. Effectiveness of peer group and conventional method (dentist) of oral health education programme among 12-15 year old school children-a randomized controlled trial. J Clin Diagn Res. 2016May;10(5):ZC125-9. [DOI:10.7860/JCDR/2016/17725.7844] [PMID] [PMCID]
14. Keikhaee R, Rakhshani F, Fijan S, Keikhaee M. The effectiveness of oral health education by peers on knowledge and performance of students in Zabol, Iran. Int J Res Med Sc. 2014;2(1):222-27. [DOI:10.5455/2320-6012.ijrms20140243]
15. Laiho M, Honkala E, Nyyssönen V, Milen A. Three methods of oral health education in secondary schools. Eur J Oral Sci. 1993Dec;101(6):422-7. [DOI:10.1111/j.1600-0722.1993.tb01142.x] [PMID]
16. Pancholi S, Patil S, Shivakumar K M, Malik N, Pawar R,Suresh KV,et al. Utility of pediatric cariogenicity index among preschoolers of the western part of Maharashtra: A cross-sectional study. J Indian Assoc Public Health Dent. 2015Mar;13(1):30-2 [DOI:10.4103/2319-5932.153564]
17. Lawshe CH. A quantitative approach to content validity 1. Pers Psychol. 1975 Dec;28(4):563-75. [DOI:10.1111/j.1744-6570.1975.tb01393.x]
18. Jönsson B, Ohrn K, Oscarson N, Lindberg P. The effectiveness of an individually tailored oral health educational programme on oral hygiene behaviour in patients with periodontal disease: a blinded randomized-controlled clinical trial (one-year follow-up). J Clin Periodontol. 2009 Dec;36(12):1025-34. [DOI:10.1111/j.1600-051X.2009.01453.x] [PMID]
19. Stice E, Rohde P, Shaw H, Gau JM. Clinician-led, peer-led, and internet-delivered dissonance-based eating disorder prevention programs: Acute effectiveness of these delivery modalities. J Consult Clin Psychol. 2017 Sep;85(9):883-895. [DOI:10.1037/ccp0000211] [PMID] [PMCID]
20. Strange V, Forrest S, Oakley A; RIPPLE Study Team. Randomized Intervention of PuPil-Led sex Education. What influences peer-led sex education in the classroom? A view from the peer educators. Health Educ Res. 2002 Jun;17(3):339-49. [DOI:10.1093/her/17.3.339] [PMID]
21. Biesbrock AR, Walters PA, Bartizek RD. Initial impact of a national dental education program on the oral health and dental knowledge of children. J Contemp Dent Pract. 2003 May 15;4(2):1-10. [DOI:10.5005/jcdp-4-2-1] [PMID]
22. Albandar JM, Buischi YA, Mayer MP, Axelsson P. Long-term effect of two preventive programs on the incidence of plaque and gingivitis in adolescents. J Periodontol. 1994 Jun;65(6):605-10. [DOI:10.1902/jop.1994.65.6.605] [PMID]
23. Sushanth VH, Krishna M, Babu AM,Prashant GM, Chandu GN. A peer group approach model of oral health promotion among orphans at Puduchery, South India. J Int Soc Prev Community Dent. 2011Jul-Dec;1(2):71-5. [DOI:10.4103/2231-0762.97710] [PMID] [PMCID]
24. Haleem A, Khan MK, Sufia S, Chaudhry S, Siddiqui MI, Khan AA. The role of repetition and reinforcement in school-based oral health education-a cluster randomized controlled trial. BMC Public Health. 2016 Jan 4;16:2. [DOI:10.1186/s12889-015-2676-3] [PMID] [PMCID]
25. Kim CR, Free C. Recent evaluations of the peer-led approach in adolescent sexual health education: a systematic review. Perspect Sex Reprod Health. 2008 Sep;40(3):144-51. [DOI:10.1363/4014408] [PMID]
26. Mainbolagh BL, Rakhshani F, Zareban I, et al. The effect of peer education based on health belief model on nutrition behaviors in primary school boys. J Research Health. 2012Fall-Win;2(2):214-25.
27. Stock S, Miranda C, Evans S, Plessis S, Ridley J, Yeh S, Chanoine JP. Healthy Buddies: a novel, peer-led health promotion program for the prevention of obesity and eating disorders in children in elementary school. Pediatrics. 2007 Oct;120(4):e1059-68. [DOI:10.1542/peds.2006-3003] [PMID]
28. White S, Park YS, Israel T, Cordero ED. Longitudinal evaluation of peer health education on a college campus: impact on health behaviors. J Am Coll Health. 2009 Mar-Apr;57(5):497-505. [DOI:10.3200/JACH.57.5.497-506] [PMID]
29. Al-Ansari JM, Honkala S. Gender differences in oral health knowledge and behavior of the health science college students in Kuwait. J Allied Health. 2007 Spring;36(1):41-6.
30. Halpern DF, LaMay ML. The Smarter Sex: A Critical Review of Sex Differences in Intelligence. Educ Psychol Rev. 2000Jun;12:229-46. [DOI:10.1023/A:1009027516424]
31. Al Subait AA, Alousaimi M, Geeverghese A, Ali A,Metwally A. Oral health knowledge, attitude and behavior among students of age 10-18 years old attending Jenadriyah festival Riyadh; a cross-sectional study. The Saudi Journal for Dental Research. 2016Jan;7(1):45-50. [DOI:10.1016/j.sjdr.2015.05.001]
32. Al-Ansari JM, Honkala S. Gender differences in oral health knowledge and behavior of the health science college students in Kuwait. J Allied Health. 2007 Spring;36(1):41-6.
33. Amin TT, Al-Abad BM. Oral hygiene practices, dental knowledge, dietary habits and their relation to caries among male primary school children in Al Hassa, Saudi Arabia. Int J Dent Hyg. 2008 Nov;6(4):361-70. [DOI:10.1111/j.1601-5037.2008.00310.x] [PMID]
34. Hamilton ME, Coulby WM. Oral health knowledge and habits of senior elementary school students. J Public Health Dent. 1991 Fall;51(4):212-9. [DOI:10.1111/j.1752-7325.1991.tb02217.x] [PMID]
35. D'Cruz AM, Aradhya S. Impact of oral health education on oral hygiene knowledge, practices, plaque control and gingival health of 13- to 15-year-old school children in Bangalore city. Int J Dent Hyg. 2013 May;11(2):126-33. [DOI:10.1111/j.1601-5037.2012.00563.x] [PMID]
36. Carneiro L, Kabulwa M, Makyao M, Mrosso G, Choum R. Oral health knowledge and practices of secondary school students, tanga, Tanzania. Int J Dent. 2011;2011:806258. [DOI:10.1155/2011/806258] [PMID] [PMCID]
37. Lian CW, Phing TS, Chat CS, Shin BC, Baharuddin LH, Jalil ZB. Oral health knowledge, attitude and practice among secondary school students in Kuching, Sarawak. Arch orofac Sci. 2010;5(1):9-16.
38. Joshi N, Rajesh R, Sunitha M. Prevalence of dental caries among school children in Kulasekharam village: a correlated prevalence survey. J Indian Soc Pedod Prev Dent. 2005 Sep;23(3):138-40. [DOI:10.4103/0970-4388.16887] [PMID]
39. Abdi F, Simbar M. The Peer Education Approach in Adolescents- Narrative Review Article. Iran J Public Health. 2013 Nov;42(11):1200-6.
40. Powers AR, Struempler BJ, Guarino A, Parmer SM. Effects of a nutrition education program on the dietary behavior and nutrition knowledge of second-grade and third-grade students. J Sch Health. 2005 Apr;75(4):129-33. [DOI:10.1111/j.1746-1561.2005.tb06657.x] [PMID]

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