Effectiveness of oral health promotion in children and adolescents through behaviour change interventions: A scoping review.
<h4>Objective</h4>To explore the interventions for change in oral health behaviour that are effective in improving oral health behaviours in 8 to 18-year-old children during oral health promotion.<h4>Methods</h4>The Joanna Briggs Institute framework of evidence synthesis for...
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| Format: | Article |
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Public Library of Science (PLoS)
2025-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0316702 |
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| author | Fathima Peerbhay Robert Mash Saadika Khan |
| author_facet | Fathima Peerbhay Robert Mash Saadika Khan |
| author_sort | Fathima Peerbhay |
| collection | DOAJ |
| description | <h4>Objective</h4>To explore the interventions for change in oral health behaviour that are effective in improving oral health behaviours in 8 to 18-year-old children during oral health promotion.<h4>Methods</h4>The Joanna Briggs Institute framework of evidence synthesis for conducting a scoping review was implemented for the methodology. Included studies related to the objective, measured clinical or non-clinical outcomes, were in English, 2011-2023, and were experimental, observational or reviews. PUBMED, Science-Direct, Scopus and Sabinet were systematically searched with predetermined search strings. Studies were selected by appraisal of the title, abstract and full text. Data were extracted using a standardised template and the key questions were addressed via a qualitative analysis.<h4>Results</h4>Searches yielded 407 articles from electronic databases. Of these, 290 articles were excluded, and 47 full-text studies were assessed for eligibility, with 23 studies and two systematic reviews finalised for inclusion. In addition, a PEARL search was conducted from the reference lists of other studies. Most studies (91.3%) focused on educating children directly; 8.7% indirectly influenced parents, guardians, and teachers. Interventions focused largely on traditional oral health education presented in diverse forms and via different platforms. Studies differentiated clinical outcomes (indices) from non-clinical outcomes (knowledge, behaviour). All included RCTs were of different quality regarding selection, performance and detection bias. But all studies indicated a low risk of bias in attrition and Reporting bias. Seventeen of the 25 studies (68%) were not based on any behaviour change theory.<h4>Conclusions</h4>Oral health interventions based on motivational interviewing and the social cognitive theory have been shown to be to be effective. Interventions could also include practical tooth brushing activities, gamification, audio-visual components, as well as reinforcement and repetition in the longer term. Future oral health promotion in children should be designed to include these elements. There is a need for higher quality studies in this field, with future research being urged to provide detailed intervention descriptions and incorporate longer follow-up periods. |
| format | Article |
| id | doaj-art-f60f877b5fda491d8f8d4477181470f8 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Public Library of Science (PLoS) |
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| series | PLoS ONE |
| spelling | doaj-art-f60f877b5fda491d8f8d4477181470f82025-02-05T05:32:17ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031670210.1371/journal.pone.0316702Effectiveness of oral health promotion in children and adolescents through behaviour change interventions: A scoping review.Fathima PeerbhayRobert MashSaadika Khan<h4>Objective</h4>To explore the interventions for change in oral health behaviour that are effective in improving oral health behaviours in 8 to 18-year-old children during oral health promotion.<h4>Methods</h4>The Joanna Briggs Institute framework of evidence synthesis for conducting a scoping review was implemented for the methodology. Included studies related to the objective, measured clinical or non-clinical outcomes, were in English, 2011-2023, and were experimental, observational or reviews. PUBMED, Science-Direct, Scopus and Sabinet were systematically searched with predetermined search strings. Studies were selected by appraisal of the title, abstract and full text. Data were extracted using a standardised template and the key questions were addressed via a qualitative analysis.<h4>Results</h4>Searches yielded 407 articles from electronic databases. Of these, 290 articles were excluded, and 47 full-text studies were assessed for eligibility, with 23 studies and two systematic reviews finalised for inclusion. In addition, a PEARL search was conducted from the reference lists of other studies. Most studies (91.3%) focused on educating children directly; 8.7% indirectly influenced parents, guardians, and teachers. Interventions focused largely on traditional oral health education presented in diverse forms and via different platforms. Studies differentiated clinical outcomes (indices) from non-clinical outcomes (knowledge, behaviour). All included RCTs were of different quality regarding selection, performance and detection bias. But all studies indicated a low risk of bias in attrition and Reporting bias. Seventeen of the 25 studies (68%) were not based on any behaviour change theory.<h4>Conclusions</h4>Oral health interventions based on motivational interviewing and the social cognitive theory have been shown to be to be effective. Interventions could also include practical tooth brushing activities, gamification, audio-visual components, as well as reinforcement and repetition in the longer term. Future oral health promotion in children should be designed to include these elements. There is a need for higher quality studies in this field, with future research being urged to provide detailed intervention descriptions and incorporate longer follow-up periods.https://doi.org/10.1371/journal.pone.0316702 |
| spellingShingle | Fathima Peerbhay Robert Mash Saadika Khan Effectiveness of oral health promotion in children and adolescents through behaviour change interventions: A scoping review. PLoS ONE |
| title | Effectiveness of oral health promotion in children and adolescents through behaviour change interventions: A scoping review. |
| title_full | Effectiveness of oral health promotion in children and adolescents through behaviour change interventions: A scoping review. |
| title_fullStr | Effectiveness of oral health promotion in children and adolescents through behaviour change interventions: A scoping review. |
| title_full_unstemmed | Effectiveness of oral health promotion in children and adolescents through behaviour change interventions: A scoping review. |
| title_short | Effectiveness of oral health promotion in children and adolescents through behaviour change interventions: A scoping review. |
| title_sort | effectiveness of oral health promotion in children and adolescents through behaviour change interventions a scoping review |
| url | https://doi.org/10.1371/journal.pone.0316702 |
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