Abstract
BackgroundOral and dental health has a significant impact on public health as well as the quality of life among individuals and families. This study aims to design, implement, and evaluate an intervention based on the PRECEDE-PROCEED model for oral and dental health among primary school students in Rafsanjan city, Southern Iran.MethodsAccording to the nature of the model and with the focus group discussion and interview methods, in phases 1 to 4 (PRECEDE), predisposing, enabling, and reinforcing factors related to oral health were identified. The training program was designed and consisted of six sessions for students (250 students) with a brushing session, three sessions for parents, and two sessions for teachers. Process evaluation and the effect of the program on behavioral and factors affecting oral health were evaluated (PROCEED).ResultsIn the qualitative section, seven predisposing factors, five enabling factors, and two reinforcing factors were identified. A training program based on the PRECEDE-PROCEED model was found to be effective in increasing the mean scores of the above constructs and the students’ brushing behavior (P < 0.001).ConclusionBased on the model planning phases, the factors affecting the brushing behavior of children aged 6–12 years were identified. The educational program has had a significant effect on improving the scores of predisposing, enabling and reinforcing factors and children’s brushing behavior.
Highlights
Oral and dental health has a significant impact on public health as well as the quality of life among individuals and families
Due to the failure to achieve World Health Organization (WHO)’s goals for children’s oral and dental health, this study aims to design, implement, and evaluate an intervention based on the PRECEDE-PROCEED model for oral and dental health among primary school students in Rafsanjan city
The results of the independent t-test and the chi-square test showed no significant difference in the variables of age, gender, parental education, parental occupation, family income, as well as oral and dental health status between the two groups (P > 0.05)
Summary
Oral and dental health has a significant impact on public health as well as the quality of life among individuals and families. Oral and dental health has a significant impact on public health as well as the quality of life among individuals and their family [1, 2]. The World Health Organization (WHO) defines oral and dental health as “ a person’s status being free from any acute and chronic diseases in the mouth, teeth, face, and throat, which limit their capacity for nutrition, smile, speech, as well as mental and social health” [3]. The household’s economic status [5] as well as the family’s high education level promote children’s oral and dental health [12, 13]
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