Effect of Motivational Interviewing and Game Based Education on Oral Hygiene Behavior of Preschool Children
1 other identifier
interventional
174
1 country
1
Brief Summary
The purpose of this study was to evaluate the effectiveness of motivational interviewing as well as games in changing oral health behaviors among preschool children.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2017
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 29, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 30, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
January 5, 2020
CompletedFirst Submitted
Initial submission to the registry
February 4, 2020
CompletedFirst Posted
Study publicly available on registry
February 6, 2020
CompletedAugust 20, 2020
August 1, 2020
2.3 years
February 4, 2020
August 19, 2020
Conditions
Outcome Measures
Primary Outcomes (2)
Rate of dental plaque accumulation
It was assesed using modified OHI-S.The presence of plaque was verified on the buccal surface of 6 index teeth: the upper right second deciduous molar (tooth 55), the upper right central deciduous incisor (tooth 51), the upper left second deciduous molar (tooth 65), the lower right second deciduous molar (tooth 85), the lower left central deciduous incisor (tooth 71), and the lower left second deciduous molar (tooth 75). According to the OHI-S, dental plaque is defined as a soft organic material loosely adhering to the tooth surface. The tooth surface covered by plaque was estimated by visual examination according to the following criteria: 0 =no plaque present; 1 = plaque covering no more than 1/3 of the surface in question; 2 = plaque covering more than 1/3, but no more than 2/3 of the surface; 3= plaque covering more than 2/3 of the surface; 9 = tooth excluded, no information.
baseline
Rate of dental plaque accumulation
It was assesed using modified OHI-S.The presence of plaque was verified on the buccal surface of 6 index teeth: the upper right second deciduous molar (tooth 55), the upper right central deciduous incisor (tooth 51), the upper left second deciduous molar (tooth 65), the lower right second deciduous molar (tooth 85), the lower left central deciduous incisor (tooth 71), and the lower left second deciduous molar (tooth 75). According to the OHI-S, dental plaque is defined as a soft organic material loosely adhering to the tooth surface. The tooth surface covered by plaque was estimated by visual examination according to the following criteria: 0 =no plaque present; 1 = plaque covering no more than 1/3 of the surface in question; 2 = plaque covering more than 1/3, but no more than 2/3 of the surface; 3= plaque covering more than 2/3 of the surface; 9 = tooth excluded, no information.
6 months
Study Arms (3)
Motivational Interviewing (MI)
EXPERIMENTALGaming and MI
EXPERIMENTALConventional dental health education
ACTIVE COMPARATORInterventions
In each of the four MI counseling sessions that were delivered, the researcher approached mothers in small groups of 5 via three phases, in 15-30 minutes, to establish rapport/ alliance in the first phase, to identify health needs in the second phase and finally to reinforce dental needs in the third phase.
In each of the four MI counseling sessions, the researcher approached mothers via three phases, in 15-30 minutes, to establish rapport/ alliance, to identify and finally reinforce dental needs in the same pattern as MI group. In addition, the children were engaged in 'Happy Teeth, Healthy Kids' which is an android tablet game that was included in the MI session scheduled for the mothers. Children were told to follow correct steps of brushing in order to obtain happy bright teeth. This helped the children realize that brushing teeth will give them a bright smile.
It was delivered through a 15-minutes oral health session given to mothers of preschoolers. Mothers were given brief information about causes of dental caries and role of plaque, toothbrush size, diet / frequency of sweet snacks, brushing technique, toothpaste and fluoride use as well as regular dental visits. Participants were then shown a short educational video about prevention of dental caries among children coupled with oral hygiene instructions. At the end of the session, participants were given a leaflet reinforcing the information to take home.
Eligibility Criteria
You may qualify if:
- Children having unfavorable oral health behavior (reporting a maximum tooth brushing frequency of 1-2 times/ week).
- The child's mother agreed to join the study so that parent/child can be recruited as pairs/dyads.
- Children enrolled in one of the nurseries selected
You may not qualify if:
- Children having a history of serious medical condition or special care needs
- Using any type of removable appliances such as space maintainer or tongue guard.
- Children whose mothers refused to give consent to participate in the study.
- Illiterate mothers who were not able to understand the oral health materials and instructions.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Nourhan M.Alylead
- Alexandria Universitycollaborator
Study Sites (1)
Governmental nurseries within Edko administration
Beheira, Egypt
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Amani Nomair, BDS
Faculty of Dentistry, Alexandria University, Egypt
- STUDY DIRECTOR
Maha Hamza, PhD
Faculty of Dentistry, Alexandria University, Egypt
- STUDY DIRECTOR
Wafaa Essameldin, PhD
Faculty of Dentistry, Alexandria University, Egypt
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Instructor of Dental Public Health and Statistician
Study Record Dates
First Submitted
February 4, 2020
First Posted
February 6, 2020
Study Start
May 29, 2017
Primary Completion
August 30, 2019
Study Completion
January 5, 2020
Last Updated
August 20, 2020
Record last verified: 2020-08