Online Program

A multi-method approach for designing an effective family-based oral health intervention to prevent early childhood dental caries in southern Brazil

Tuesday, November 5, 2013 : 5:10 p.m. - 5:30 p.m.

Andreia Morales Cascaes, Post-graduate program in Epidemiology. Social Medicine Department. Medical School., Universidade Federal de Pelotas, Pelotas, RS, Brazil
Guadalupe X. Ayala, PhD, MPH, College of Health and Human Services, San Diego State University, San Diego, CA
Background/purpose: Early childhood caries negatively impacts the quality of life of children and families, and it is a strong predictor of caries in permanent dentition. In Brazil, although a slight reduction in caries prevalence was observed in 5-year old children, 80% of their teeth remained with cavities, indicating a need for oral health promotion. The purpose of this study was to conceptualize and design an oral health intervention to prevent early childhood dental caries through family behavior change that ultimately could be sustained by Primary Health Care of National Public Health System in Southern Brazil. Methods: A systematic literature review examined current oral health interventions. A population-based oral health survey with 1,123 mother-child dyad provided data on family oral health behaviors and children's prevalence of caries and dental plaque. In-depth interviews with 32 families evaluated their understanding of oral health beliefs, motivations, and barriers to adopt preventive behaviors providing insights into challenges and opportunities for reaching the target audience. The Intervention Mapping Framework was used to guide the intervention design. Results: Results from this mixed-methods approach were combined to identify relevant behavioral determinants and appropriate intervention methods to meet the needs of the target population. The intervention components consist of seven group-based wellness sessions, a video storyline (fotonovela, testimonials and oral health messages) and printed educational materials for parents and children. Conclusions: A pilot-test evaluating perceived feasibility and acceptability by the target audience is now being planned and will be included in our presentation.

Learning Areas:

Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
Analyze multi-method results and apply them to inform the design of an oral health intervention. Describe how theory can be used to develop wellness curriculum and audio-visual materials. Describe the kind of oral health messages and intervention strategies that are more effective for families with young children.

Keyword(s): Oral Health, Interventions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am DDS, MPH and have 8-year experience with Oral Health research and also have experience working with public oral health services and community oral health education. This work is part of my PhD Dissertation and the intervention was designed in collaboration with a research group in the United Stated with 25-year experience in the planning, implementation and evaluation of health promotion interventions.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.