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Article: The effectiveness of behavioral interventions to improve oral health in adolescents at different periods of follow-up: A systematic review and meta-analysis

TitleThe effectiveness of behavioral interventions to improve oral health in adolescents at different periods of follow-up: A systematic review and meta-analysis
Authors
KeywordsAdolescent
Behavioral intervention
Meta-analysis
Oral health
Systematic review
Issue Date2020
PublisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/pec
Citation
Patient Education and Counseling, 2020, v. 103 n. 4, p. 725-733 How to Cite?
AbstractBackground: The aim of this review was to examine the effectiveness of behavioral interventions at different follow-up periods to improve adolescents’ oral health. Methods: CENTRAL, MEDLINE, EMBASE and other databases were systematically searched. Inclusion criteria were as follows: participants aged 10–19 years old, randomized controlled trials using behavioral interventions, outcome measurements including oral health knowledge, attitudes, practices, and oral health status. For each included study, behavior change techniques (BCT) were identified and the quality and risk of bias assessments obtained. PROSPERO reference: CRD42018090341. Results: After searching and screening, 17 clinical trials were included in the systematic review. The most commonly used BCTs were behavior health link, information on consequences, and social comparisons. A significant reduction of plaque index was detected (SMD:-0.46; 95 % CI:-0.82∼-0.10) for 3 months and (SMD:-0.71; 95 % CI:-1.08∼-0.33) for 6 months. The reduction of gingival index after 6 months was also significant (SMD:-0.90; 95 % CI:-1.33∼-0.47). Oral health knowledge and oral health-related behavior were also improved after behavioral interventions. Conclusion: There is moderate evidence that behavioral interventions are effective in promoting oral health in adolescents. To establish more evidence-based conclusions, further research should focus on: quality control of interventions, full descriptions regarding the BCT, long-term follow-ups, and behavior change reinforcements. Practical Value: Given the need of early prevention of oral diseases, well-designed oral health promotion programme are needed to improve behavior and outcome of adolescents’ oral health. © 2019 Elsevier B.V.
Persistent Identifierhttp://hdl.handle.net/10722/290535
ISSN
2020 Impact Factor: 2.94
2020 SCImago Journal Rankings: 1.098
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorXiang, B-
dc.contributor.authorWong, HM-
dc.contributor.authorPerfecto, AP-
dc.contributor.authorMcGrath, CPJ-
dc.date.accessioned2020-11-02T05:43:37Z-
dc.date.available2020-11-02T05:43:37Z-
dc.date.issued2020-
dc.identifier.citationPatient Education and Counseling, 2020, v. 103 n. 4, p. 725-733-
dc.identifier.issn0738-3991-
dc.identifier.urihttp://hdl.handle.net/10722/290535-
dc.description.abstractBackground: The aim of this review was to examine the effectiveness of behavioral interventions at different follow-up periods to improve adolescents’ oral health. Methods: CENTRAL, MEDLINE, EMBASE and other databases were systematically searched. Inclusion criteria were as follows: participants aged 10–19 years old, randomized controlled trials using behavioral interventions, outcome measurements including oral health knowledge, attitudes, practices, and oral health status. For each included study, behavior change techniques (BCT) were identified and the quality and risk of bias assessments obtained. PROSPERO reference: CRD42018090341. Results: After searching and screening, 17 clinical trials were included in the systematic review. The most commonly used BCTs were behavior health link, information on consequences, and social comparisons. A significant reduction of plaque index was detected (SMD:-0.46; 95 % CI:-0.82∼-0.10) for 3 months and (SMD:-0.71; 95 % CI:-1.08∼-0.33) for 6 months. The reduction of gingival index after 6 months was also significant (SMD:-0.90; 95 % CI:-1.33∼-0.47). Oral health knowledge and oral health-related behavior were also improved after behavioral interventions. Conclusion: There is moderate evidence that behavioral interventions are effective in promoting oral health in adolescents. To establish more evidence-based conclusions, further research should focus on: quality control of interventions, full descriptions regarding the BCT, long-term follow-ups, and behavior change reinforcements. Practical Value: Given the need of early prevention of oral diseases, well-designed oral health promotion programme are needed to improve behavior and outcome of adolescents’ oral health. © 2019 Elsevier B.V.-
dc.languageeng-
dc.publisherElsevier Ireland Ltd. The Journal's web site is located at http://www.elsevier.com/locate/pec-
dc.relation.ispartofPatient Education and Counseling-
dc.subjectAdolescent-
dc.subjectBehavioral intervention-
dc.subjectMeta-analysis-
dc.subjectOral health-
dc.subjectSystematic review-
dc.titleThe effectiveness of behavioral interventions to improve oral health in adolescents at different periods of follow-up: A systematic review and meta-analysis-
dc.typeArticle-
dc.identifier.emailWong, HM: wonghmg@hkucc.hku.hk-
dc.identifier.emailMcGrath, CPJ: mcgrathc@hkucc.hku.hk-
dc.identifier.authorityWong, HM=rp00042-
dc.identifier.authorityMcGrath, CPJ=rp00037-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.pec.2019.11.030-
dc.identifier.pmid31813713-
dc.identifier.scopuseid_2-s2.0-85076531724-
dc.identifier.hkuros318341-
dc.identifier.volume103-
dc.identifier.issue4-
dc.identifier.spage725-
dc.identifier.epage733-
dc.identifier.isiWOS:000523305400009-
dc.publisher.placeIreland-
dc.identifier.issnl0738-3991-

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