Dental Caries in Children, Early Childhood Caries
Conditions
Keywords
MOST, behavioural intervention, early childhood caries
Brief summary
In the current study, MOST approach is proposed, to engineer an oral health behavior modification intervention, to increase the engagement of mothers in brushing their pre-school children's teeth.
Detailed description
The first phase of this study will be the preparation phase. This will comprise the development of a conceptual framework and conducting a feasibility pilot study consisting of three intervention components: Motivational interviewing (MI), Oral health promotion messages (OHPm), and Storytelling (ST). The second phase of the study is the optimization phase which constitutes a factorial trial of the three selected intervention components (MI, OHPm and ST). Each component will be set at two levels: yes (the intervention is applied) vs no (the intervention is not applied).
Interventions
The study will use a factorial design to evaluate the efficacy of three distinct intervention components: Motivational interviewing, storytelling videos and oral health promotion messages, in enhancing mothers' brushing of their preschool children's teeth using fluoridated toothpaste.
Sponsors
Study design
Intervention model description
A factorial trial following the Multiphase optimization Strategy (MOST)
Eligibility
Inclusion criteria
for mother's of children enrolled in study: * Has children between 2 and \<5 years of age * Has children with high plaque index scores (PlI≥2 or visible plaque accumulation on maxillary anterior teeth). * Literate and owns a mobile phone with already set-up or possibility to set-up Whats-App messenger application. * Willing to participate in the study and receive periodic OHPm and ST videos.
Exclusion criteria
* Mothers of children who are not willing to cooperate and show a definite negative behavior (Rating 1 Frankel's classification). * Mothers of children who are physically disabled or medically compromised. * Mothers of children in need of emergency dental treatments.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in the plaque index scores of participating children | at baseline, 3 and 6 months | Measured by the Plaque index of Silness and Loe. Lower plaque scores indicate better oral hygiene |
| Change in children's frequency of toothbrushing and use of fluoridated toothpaste | at baseline, 3 and 6 months | Using the World Health Organization questionnaire. Highrr tooth brushing frequency indicates better oral hygiene |
Countries
Egypt