Evaluation of effectiveness of two intervention packages for oral health promotion programs on oral self care of mothers and oral health status of toddlers

Determining the effectiveness of two intervention packages for oral health promotion on oral self-care of mothers and oral health status of toddlers in non-affluent areas of Tehran city

A controlled trial with three parallel arms, double-blind, randomized, on 396 samples. The rand function of Excel software was used for randomization.

Comprehensive health centers in South Tehran. First, a written consent form for the mothers ,then the basic knowledge and attitude and self-care of the mothers are recorded through an interview with a questionnaire. After that, the condition of children's primary dental plaque according to the Silness & Loe index and the dental caries index (dmft) is registered.

Inclusion criteria for participants: mothers with minimal reading and writing literacy and consent to participate in the project, mothers with Iranian children aged 12-24 months who refer to comprehensive health centers in the south of Tehran for routine vaccination or child growth monitoring. Exclusion criteria for participants: mental or systemic problems of the child.

The first group (mother and child level): educational booklet in the continuation of more educational materials in a virtual way The second group (community level, change in services): in addition to the first intervention, an additional service of toothbrush and fluoride toothpaste and this incentive is renewed in the second follow-up if the care continues. The third group (control group): Current situation and usual training in the centers.

dmft, index plaque, (knowledge, attitude, self-care of mothers for children)

The comprehensive health centers of southern areas of Tehran city are assigned to three groups by random sampling using random sequence generation software (Excel). Two intervention groups and one control group. In the Excel software page, the left column, the total number of comprehensive centers. It shows the health of southern areas of Tehran. The three groups of the first intervention, the second intervention, and the control group are randomized with the rand command, and in the next column it is determined that we will have 7 control groups, 5 first intervention groups, and 5 second intervention groups, and in the last column, comprehensive health centers are randomly selected in are placed in one of the intervention groups. Each comprehensive health center is assigned a code. Allocation of groups to intervention arms is done by the supervisor, and the examiner, researcher and the person who performs the statistical evaluation are unaware of this randomization.

The examiners and the researcher who conducts the statistical evaluation and analysis are blind to the allocation of the groups. Allocating groups to intervention arms is done by the supervisor. When entering information into the data file, groups are entered with numbers. Depending on which intervention group they are in, the participants in this study receive educational packages through health care providers. Before receiving the services and educational packages, a questionnaire and a blind intervention-type examination were conducted in another room, and then the participants went to the health care providers and received the services. The statistical analyzer also receives the information of the health centers in the form of codes or numbers and is unaware of the intervention groups.

After deidentifying individuals and comprehensive health centers, all data can be shared in the programs of Tehran University of Medical Sciences, comprehensive health centers of the whole country and the Ministry of Health, Treatment and Medical Education.

The data access period starts 6 months after the results are published.

Considering that the result of the work will be published as an article, the above materials will be provided to the journal (most of the international journals currently request the above materials), to be available to the interested parties. All data can be shared in Tehran University of Medical Sciences for those interested.

Considering that the result of the work will be published as an article, the above materials will be provided to the journal (most of the international journals currently request the above materials), to be available to the interested parties. All the data will be used for all comprehensive health centers in the country to improve the oral health status of toddlers.

Responsible person: Simin Zahra Mohebi Email: smohebi@tums.ac.ir Phone: 02188015960

Correspondent: Simin Z Mohebbi Email: smohebbi@tums.ac.ir