L6 Effectiveness of Oral health promotion Flashcards
What are the common findings of OHP effectiveness reviews?
Increasing knowledge of oral health:
-effective in short term,
-limited in changing behavior (other factors HAM and HBM model concerned)
Delivery of information alone
-not effective in producing long term behavior changes
Interventions at individual levels
-Effective in decreasing plaque levels in short term
Tooth brushing campaigns aimed at increasing oral health
-ineffective
Mass media campaigns:
-Good at raising awareness
-No good at administering knowledge or delivering behavior change
Water fluoridation
-Effective in decreasing dental caries
Fluoride tooth paste:
-Effective, use of fluoride supplements in school is ineffective
What are the strengths of reviews?
Standardised and scientific methodologies are used
What are the weaknesses of reviews?
Used inadequate/ inappropriate methods poorly designed
Inappropriate outcome measure (focused on clinical measure, overemphasized outcomes that linked to behavior changes)
Publication bias
Political/funding issues
Difficult to obtain a true control group
Do not asses confounding factors
What are the ways to effectively promote health?
Approaches incorporating the five key areas of the Ottawa charter were effective
Settings approaches was effective
Access to education/ info in appropriate language (no jargon)
Government having health promotion as priority
Decreasing amount of treatment and focusing on prevention
What improvements can be made?
People (particularly those at greatest risk and affected by health issues should be at the heart of effective health promotion
Access to information, in easy to understand language and style is vital
Describe traditional oral health promotion
Current traditional curatively (being able to cure diseases) are expensive and ineffective
OHP should focus on
Use of sugar products/fluoridation/effective oral hygiene/ reductions in smoking and drinking/prevention of trauma and appropriate use of dental care
Traditional approaches = ineffective
Interventions incorporating models of health behavior = effective
Motivational interviewing = effective in changing health behavior
Describe the nutbeam model
Evaluates health promotion programmes
Investigates deeper than just looking at RCT’s (Root canal treatment) + DMFT’s (Decayed-missing-filled-teeth)
What does the nutbeam model consist of?
Health and social outcomes - QOL - Equity (justice) - Mortality (death rate) Intermediate health outcomes: - Healthy lifestyles - Effective health services - Healthy environments Health promotion outcomes: - Health literacy - Social influences & action - Healthy public policy Health promotion actions - Education - Facilitation - Support
What factors ensure good practice at dental practices?
Place emphasis on addressing inequalities long term effect Adopt common risk factor approach Work with community locally orientated interventions Adopt a range of public health strategies Respect patients (demands/norms/values/needs) Provide support makes changes easier No jargon understandable language Integrate oral health with general health promotion
