Abstract

We have limited knowledge on ways to improve oral health-related behaviors for caregivers of minority preschoolers. Our objective was to evaluate the effectiveness of a bilingual educational flipchart. We piloted a bilingual flipchart with Korean-American caregivers of preschoolers (n=219) and administered pre-/post-intervention surveys. The paired t-test evaluated changes in knowledge and self-efficacy (for all caregivers and stratified by acculturation). There were significant improvements in knowledge on the bacterial etiology of tooth decay (P=0.02), mother-to-child transmission of tooth decay (P=0.03), fluoride toothpaste safety (P<0.0001), and dental visit frequency (P<0.0001). Caregivers' self-efficacy to keep their child's teeth healthy also improved (P<0.0001). There were differences in knowledge measures based on caregivers' acculturation. Bilingual educational materials help improve the oral health-related knowledge and self-efficacy of Korean-American caregivers of preschoolers. Larger confirmatory studies are needed and future work should evaluate clinical outcomes associated with improved knowledge and self-efficacy.

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