Volume 10, Issue 1 (2022)
Health Educ Health Promot 2022, 10(1): 1-7 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Zareban I, Rahmani A, Allahqoli L, Ghanei Gheshlagh R, Hashemian M, Khayyati F, et al . Effect of Education Based on Trans-Theoretical Model in Social Media on Students with Gingivitis; a Randomized Controlled Trial. Health Educ Health Promot 2022; 10 (1) :1-7
URL: http://hehp.modares.ac.ir/article-5-50157-en.html
URL: http://hehp.modares.ac.ir/article-5-50157-en.html
I. Zareban1, A. Rahmani2, L. Allahqoli3, R. Ghanei Gheshlagh4, M. Hashemian *5, F. Khayyati6, S. Wai-chi Chan7, T. Volken8, B. Nemat9
1- Health Promotion Research Centre, Zahedan University of medical sciences, Zahedan, Iran
2- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
3- Department of Public Health, Iran University of Medical Sciences, Tehran, Iran
4- Spiritual Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
5- Department of Public Health & Health Education, Faculty of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran
6- Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
7- Department of Nursing and Midwifery, Faculty of Health and Medicine, University of Newcastle, Australia
8- School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland
9- Health Network of Sanandaj, Kurdistan University of Medical Sciences, Sanandaj, Iran
2- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
3- Department of Public Health, Iran University of Medical Sciences, Tehran, Iran
4- Spiritual Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
5- Department of Public Health & Health Education, Faculty of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran
6- Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
7- Department of Nursing and Midwifery, Faculty of Health and Medicine, University of Newcastle, Australia
8- School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland
9- Health Network of Sanandaj, Kurdistan University of Medical Sciences, Sanandaj, Iran
Abstract: (1877 Views)
Aims: Social media has increasingly been used as a tool to deliver health education. This study examined the effect of a Telegram delivered oral health education program on self-efficacy, perceived benefits and barriers, gingival index, motivational beliefs, and dental cleaning behavior among students with gingivitis.
Materials & Methods: This randomized controlled trial was conducted in Sanandaj city, Iran, from January to December 2019. A total of 160 students were recruited from 8 schools and randomized into intervention and control groups. An oral health education program aimed at increasing dental cleaning behavior was developed based on the trans-theoretical model. The program consisted of 9 sessions delivered via a social media app called Telegram for 24 weeks. Outcomes included dental cleaning behavior, perceived self-efficacy, benefits, barriers, motivational beliefs, and gingival index, measured at baseline and 24 weeks after the intervention.
Findings: There were significant differences between the intervention and the control groups in the mean scores of perceived self-efficacy (p=0.01), perceived benefits (p=0.01), motivational beliefs (p=0.01), and gingival index (p=0.01) after the intervention. Further, 71.3% (n=57) of students in the intervention group (versus 10.1% (n=10) in the control group) performed the dental cleaning behavior after intervention (p<0.01).
Conclusion: The findings showed that an oral health education program delivered via social media apps could improve students' oral health. Social media apps could reach a broad range of users, thus could improve access to oral health education programs.
Materials & Methods: This randomized controlled trial was conducted in Sanandaj city, Iran, from January to December 2019. A total of 160 students were recruited from 8 schools and randomized into intervention and control groups. An oral health education program aimed at increasing dental cleaning behavior was developed based on the trans-theoretical model. The program consisted of 9 sessions delivered via a social media app called Telegram for 24 weeks. Outcomes included dental cleaning behavior, perceived self-efficacy, benefits, barriers, motivational beliefs, and gingival index, measured at baseline and 24 weeks after the intervention.
Findings: There were significant differences between the intervention and the control groups in the mean scores of perceived self-efficacy (p=0.01), perceived benefits (p=0.01), motivational beliefs (p=0.01), and gingival index (p=0.01) after the intervention. Further, 71.3% (n=57) of students in the intervention group (versus 10.1% (n=10) in the control group) performed the dental cleaning behavior after intervention (p<0.01).
Conclusion: The findings showed that an oral health education program delivered via social media apps could improve students' oral health. Social media apps could reach a broad range of users, thus could improve access to oral health education programs.
Keywords: Oral Health [MeSH], Education [MeSH], Social Media [MeSH], Students [MeSH], Gingivitis [MeSH], Behavior [MeSH]
Article Type: Original Research |
Subject:
Health Promotion Approaches
Received: 2021/02/14 | Accepted: 2021/06/26 | Published: 2022/01/24
Received: 2021/02/14 | Accepted: 2021/06/26 | Published: 2022/01/24
References
1. Hashemian M, Fallahi A, Tavakoli G, Zarezadeh Y, Nemat Shahr Babaki B, Rahaei Z. Study of the impact of education on inter-dental cleaning behavior based on trans-theoretical model. Oral Health Prev Dent. 2012;10(1):37-46. [Link]
2. Morowatisharifabad M, Fallahi A, Nadrian H, Haerian A, Nemat Babaki B. Interdental cleaning behaviour and its relationship with psychological constructs based on the trans-theoretical model. Oral Health Prev Dent. 2011;9(3):211-20. [Link]
3. Rostami S, Fallahi A, Pashaei T, Roshani D. Association of trans-theoretical model (TTM) based exercise behavior change with body image evaluation among female Iranian students. Int J Pediatr. 2017;5(3):4613-23. [Persian] [Link]
4. Tahani B, Moosavi SP. Assessment of oral health status and health behaviors in the adult population of nomadic tribes (2016). J Mashhad Dent Sch. 2018;42(4):307-19. [Persian] [Link]
5. Ortiz-Barrios LB, Granados-Garcia V, Cruz-Hervert P, Moreno-Tamayo K, Heredia-Ponce E, Sanchez-Garcia S. The impact of poor oral health on the oral health-related quality of life (OHRQoL) in older adults: The oral health status through a latent class analysis. BMC Oral Health. 2019;19(1):141. [Link] [DOI:10.1186/s12903-019-0840-3] [PMID] [PMCID]
6. Nemat-Shahrbabaki B, Fallahi A, Valiee S, Zarei M, Fallahi P. Exploring self-care needs of pregnant women with gingivitis: A qualitative study in Iran. Iran J Nurs Midwifery Res. 2018;23(4):292-7. [Link] [DOI:10.4103/ijnmr.IJNMR_163_17] [PMID] [PMCID]
7. Shahrbabaki B, Hashemian M, Fallahi A, Rahmani A, Saedpanah A. The relationship between stages of dental cleaning behavior change based on trans-theoretical Model (TTM) with school role and social support in students. Int J Pediatr. 2017;5(5):4939-49. [Persian] [Link]
8. Moynihan P, Petersen PE. Diet, nutrition and the prevention of dental diseases. Public Health Nutr. 2004;7(1):201-26. [Link] [DOI:10.1079/PHN2003589] [PMID]
9. Hobdell M, Petersen PE, Clarkson J, Johnson N. Global goals for oral health 2020. Int Dent J. 2003;53(5):285-8. [Link] [DOI:10.1111/j.1875-595X.2003.tb00761.x] [PMID]
10. Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005;83(9):661-9. [Link]
11. amar.org.ir [Internet]. Tehran: Statistical Center of Iran; 2017 [Unknown cited]. Available from: https://www.amar.org.ir/news/ID/2566/. [Persian] [Link]
12. Esmaeilzadeh S, Abbasi A, Nikniaz S, Fathi B, Saeli E. Evaluation of Oral and Dental Health among 12 Year-Old Students in Jolfa, East Azerbaijan. Depict Health. 2017;7(4):30-6. [Persian] [Link]
13. Gharibi F, Asghari-Jafarabadi M, Amini Daghalian B. Survey oral health status and its effective factors among primary school boy students of Paveh city via DMFT, CF and gingivitis indicators in 2013. Depict Health. 2014;5(3):5-12. [Persian] [Link]
14. Fallahi A, Ghofranipour F, Ahmadi F, Malekafzali B, Hajizadeh E. Challenges of Iranian adolescents for preventing of dental caries. Iran Red Crescent Med J. 2014;16(9):15009. [Link] [DOI:10.5812/ircmj.15009] [PMID] [PMCID]
15. Shirzad M, Taghdisi MH, Dehdari T, Abolghasemi J. Oral health education program among pre-school children: an application of health-promoting schools approach. Health Promot Perspect. 2016;6(3):164-170. [Link] [DOI:10.15171/hpp.2016.26] [PMID] [PMCID]
16. Solhi M, Shojaei Zadeh D, Seraj B, Faghih Zadeh S. The application of the health belief model in oral health education. Iran J Public Health. 2010;39(4):114-9. [Link]
17. Tilliss T, Stach D, Cross-Poline G, Annan S, Astroth D, Wolfe P. The Transtheoretical model applied to an oral self-care behavioral change: Development and testing of instruments for stages of change and decisional balance. J Dent Hyg. 2003;77(1):16-25. [Link]
18. Liu K, Kueh Y, Arifin W, Kim Y, Kuan G. Application of trans-theoretical model on behavioral changes, and amount of physical activity among university's students. Front Psychol. 2018;9:2402. [Link] [DOI:10.3389/fpsyg.2018.02402] [PMID] [PMCID]
19. Kapoor KK, Tamilmani K, Rana N, Patil P, Dwivedi YK, Nerur S. Advances in social media research: Past, present and future. Inf Syst Front. 2018;20:531-58 [Link] [DOI:10.1007/s10796-017-9810-y]
20. Rahmani A, Allahqoli L, Hashemian M, Ghanei Gheshlagh R, Nemat-Shahrbabaki B. Effect education based on trans-theoretical model on reduction of the prevalence of gingivitis among pregnant women: Application of Telegram social network. Sci J Kurdistan Univ Med Sci. 2019;24(2):74-83. [Persian] [Link] [DOI:10.29252/sjku.24.2.74]
21. Rezaei M, Shobeiri S, Sarmadi M, Larijani M. The effect of Instagram social network usage on the promotion of environmental Literacy of students. Environ Sci. 2016;14(3):89-106. [Persian] [Link]
22. Balappanavar A, Sardana V, Hegde P. Social networking and oral health education. Int J Sci Stud. 2013;1(1):16-9. [Link]
23. Bull SS, Breslin LT, Wright EE, Black SR, Levine D, Santelli JS. Case study: An ethics case study of HIV prevention research on Facebook: The just/us study. J Pediatr Psychol. 2011;36(10):1082-92. [Link] [DOI:10.1093/jpepsy/jsq126] [PMID] [PMCID]
24. Iranian students new agency. Telegram and Instagram use among adolescences [Internet]. Tehran: Iranian students New Agency; 2019 [Unknown cited]. Available from: https://www.isna.ir/news/98020301268. [Persian] [Link]
25. Iranian students polling agency. Poll about using Telegram [Internet]. Tehran: Iranian Students Polling Agency; 2018 [Unknown cited]. Available from: Not Found. [Link]
26. Taymoori P, Fallahi A, Berry T. Developing an instrument to measure dental flossing in Iranian adolescents. East J Med. 2011;16(4):261-8. [Link]
27. Fallahi A, Ghofranipour F, Ahmadi F, Hajizadeh E, Malekafzali B. Psychometric properties of questionnaire of predicting factors for dental caries in adolescents: Fitness theory through factor analysis. J Sabzevar Univ Med Sci. 2014;21(1):69-80. [Persian] [Link]
28. Rocha MO, Oliveira DD, Costa FO, Pires LR, Diniz AR, Soares RV. Plaque index and gingival index during rapid maxillary expansion of patients with unilateral cleft lip and palate. Dent Press J Orthod. 2017;22(6):43-8. [Link] [DOI:10.1590/2177-6709.22.6.043-048.oar] [PMID] [PMCID]
29. Debate RD, Severson H, Zwald ML, Shaw T, Christiansen S, Koerber A, et al. Development and evaluation of a web-based training program for oral health care providers on secondary prevention of eating disorders. J Dent Educ. 2009;73(6):718-29. [Link] [DOI:10.1002/j.0022-0337.2009.73.6.tb04751.x]
30. Bhardwaj VK, Sharma KR, Luthra RP, Jhingta P, Sharma D, Justa A. Impact of school-based oral health education program on oral health of 12 and 15 years old school children. J Edu Health Promot. 2013;2:33. [Link] [DOI:10.4103/2277-9531.115820] [PMID] [PMCID]
31. Chou WS, Hunt YM, Beckjord EB, Moser RP, Hesse BW. Social media use in the United States: Implications for health communication. J Med Internet Res. 2009;11(4):48. [Link] [DOI:10.2196/jmir.1249] [PMID]
32. Fallahi A, Shahrbabaki B, Hashemian M, Kahanali A. The needs of women referring to health care centers for doing pap smear test. Iran J Obstet Gynecol Infertil. 2016;19(6):1-10. [Persian] [Link]
33. Damle SG, Patil A, Jain S, Damle D, Chopal N. Effectiveness of supervised toothbrushing and oral health education in improving oral hygiene status and practices of urban and rural school children: A comparative study. J Int Soc Prev Community Dent. 2014;4(3):175-81. [Link] [DOI:10.4103/2231-0762.142021] [PMID] [PMCID]
34. Tavakoli G, Fallahi A. The effect of educating mothers in inter-dental cleaning behavior on their children's dental health behavior: Testing the trans-theoretical model. Health Educ Health Promot. 2013;1(2):5-19. [Persian] [Link]
35. Ajzen I. The theory of planned behaviour: Reactions and reflections. Psychol Health. 2011;26(9):1113-27. [Link] [DOI:10.1080/08870446.2011.613995] [PMID]
36. Rahmani A, Hamanajm S, Allahqoli L, Fallahi A. Factors affecting dental cleaning behaviour among pregnant women with gingivitis. Int J Dent Hyg. 2019;17(3):214-20. [Link] [DOI:10.1111/idh.12387] [PMID]
37. Mohamadnejad E, Shariyat E, Bigjani J, Abotalebi G. Oral health status of elementary school students in Saveh, 2009. J Res Dev Nurs Midwifery Gorgan. 2011;8(1):74. [Persian] [Link]
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |