TY - JOUR
T1 - Effectiveness of various methods of educating children and adolescents for the maintenance of oral health
T2 - A systematic review of randomized controlled trials
AU - Atif, Mohammad
AU - Tewari, Nitesh
AU - Saji, Seba
AU - Srivastav, Sukeshana
AU - Rahul, Morankar
N1 - Publisher Copyright:
© 2023 BSPD, IAPD and John Wiley & Sons Ltd.
PY - 2024/5
Y1 - 2024/5
N2 - Background: School-based oral health education has emerged as one of the most effective methods to instill a positive attitude toward oral health in children. Aim: This systematic review (SR) aimed to assess the effectiveness of different methods of oral health education in children and adolescents. Design: Systematic search was conducted in PubMed, Cochrane, Web of Science, LILACS, Scopus, and EMBASE on January 29, 2023. Review included only randomized controlled trials (RCTs), and their risk of bias (ROB) was assessed by Cochrane RoB-2. Data were extracted and analyzed by expert group. The GRADE approach was used to assess the quality of evidence for each outcome. Every step was conducted in duplicate, and disagreements were resolved by consulting the third reviewer. Results: The SR included 10 RCTs with majority showing a high ROB. They included 12 methods with the commonest being the use of leaflets/flash cards. Most interventions were effective in improving oral hygiene, gingival health, and knowledge except conventional teaching methods, lecture by using PowerPoint by dentists, and e-learning interventions. The grade of evidence in the majority of outcomes was found to be low or very low. Conclusion: Interventions using the interactive methods such as games, motivational-experiential learning, and audiovisual methods were found to be more effective than controls and other interventions. Variabilities in study methods and outcome variables must be addressed in the future.
AB - Background: School-based oral health education has emerged as one of the most effective methods to instill a positive attitude toward oral health in children. Aim: This systematic review (SR) aimed to assess the effectiveness of different methods of oral health education in children and adolescents. Design: Systematic search was conducted in PubMed, Cochrane, Web of Science, LILACS, Scopus, and EMBASE on January 29, 2023. Review included only randomized controlled trials (RCTs), and their risk of bias (ROB) was assessed by Cochrane RoB-2. Data were extracted and analyzed by expert group. The GRADE approach was used to assess the quality of evidence for each outcome. Every step was conducted in duplicate, and disagreements were resolved by consulting the third reviewer. Results: The SR included 10 RCTs with majority showing a high ROB. They included 12 methods with the commonest being the use of leaflets/flash cards. Most interventions were effective in improving oral hygiene, gingival health, and knowledge except conventional teaching methods, lecture by using PowerPoint by dentists, and e-learning interventions. The grade of evidence in the majority of outcomes was found to be low or very low. Conclusion: Interventions using the interactive methods such as games, motivational-experiential learning, and audiovisual methods were found to be more effective than controls and other interventions. Variabilities in study methods and outcome variables must be addressed in the future.
KW - adolescents
KW - children
KW - dental education
KW - oral health education
KW - systematic review
KW - Humans
KW - Health Education, Dental
KW - Oral Hygiene
KW - Randomized Controlled Trials as Topic
KW - Adolescent
KW - Oral Health
KW - Child
KW - Schools
UR - http://www.scopus.com/inward/record.url?scp=85174211764&partnerID=8YFLogxK
U2 - 10.1111/ipd.13125
DO - 10.1111/ipd.13125
M3 - Review
C2 - 37840214
AN - SCOPUS:85174211764
SN - 0960-7439
VL - 34
SP - 229
EP - 245
JO - International Journal of Paediatric Dentistry
JF - International Journal of Paediatric Dentistry
IS - 3
ER -