Evidence map›Paper›PMID 40275272›Full record

Trial reportBMC oral health2025

Effectiveness of a school-based educational intervention on oral health knowledge, attitudes, practices, and self-efficacy among female secondary school students: a randomized controlled trial.

Akram Mehtari Taheri, Fatemeh Zarei, Alireza Hidarnia, Mahmoud Tavousi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Akram Mehtari TaheriDepartment of Health Education and Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.ORCID http://orcid.org/0000-0002-6325-269X
Fatemeh ZareiDepartment of Health Education and Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. f.zarei@modares.ac.ir.ORCID http://orcid.org/0000-0003-1561-3646
Alireza HidarniaDepartment of Health Education and Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. hidarnia@modares.ac.ir.ORCID http://orcid.org/0000-0003-1534-4757
Mahmoud TavousiHealth Research Center, Iranian Institute for Health Sciences Research, ACECR, Tehran, Iran.ORCID http://orcid.org/0000-0002-8629-1851

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOral health is crucial during adolescence, yet many young individuals engage in suboptimal oral hygiene behaviors, contributing to oral health issues. While genetics may have some influence, lifestyle factors such as diet, preventive care, and oral hygiene practices play a more critical role in the development of dental caries. The World Health Organization recognizes oral health as a lifelong cornerstone of overall well-being. This study aimed to evaluate the effectiveness of a school-based educational intervention for improving oral health knowledge, attitudes, practices, and self-efficacy among female secondary school students in Kashan, Iran.

methodsThis randomized controlled trial was conducted in 2023 with 80 female students aged 12 years from two public schools at Kashan. The participants were selected via cluster sampling and randomly assigned to either the intervention group (n = 40) or the control group (n = 40). Data were collected at baseline, one month postintervention, and three months postintervention via a standardized questionnaire administered to both groups. The intervention consisted of four weekly 90-minute educational sessions led by a dentist and a health education specialist, with a focus on oral health knowledge, attitudes, practices, and self-efficacy. Additionally, the intervention group received a digital educational booklet, while parents were provided with a checklist to monitor their children's tooth brushing and flossing behaviors. The control group did not receive any educational intervention or a checklist for tracking oral hygiene behaviors during the study period. Dental plaque levels were assessed via plaque-disclosing tablets (PDTs) at baseline and three months postintervention. Data analysis was performed via SPSS version 24, which employs the chi-square test, Wilcoxon test, Mann‒Whitney test, and Friedman test.

resultsThere was a significant difference between the intervention and control groups in all the measured variables after the intervention (p < 0.001). Postintervention, the intervention group demonstrated significant increases in mean scores for oral health knowledge (from 5.4 to 9.3), attitudes (from 55.6 to 62.1), self-efficacy (from 53.5 to 62.7), and practices (from 28.0 to 33.4) (p < 0.05). No significant changes were observed in the control group (p > 0.05). There was a significant difference between the intervention and control groups in all the measured variables after the intervention (p < 0.001). The average score of dental plaque was significantly different between the two groups (p < 0.001). The Wilcoxon test revealed that after the intervention, the test group had improved indicators, and the control group had increased dental plaque scores.

conclusionThe educational intervention effectively enhanced oral health knowledge, attitudes, self-efficacy, and practices among female students. The incorporation of such interventions into school health programs may promote long-term improvements in oral health behaviors among adolescents.

trial registrationClinical Trial Registry (IRCT code: IRCT20180827040889N1), registered on 27/01/2024.

Indexed as

Health Education, DentalHealth Knowledge, Attitudes, PracticeOral HealthSchool Health ServicesSelf EfficacyAdolescentChildFemaleHumansIranOral HygieneStudentsToothbrushingDental plaqueHealth educationOral healthSelf-efficacyStudents

Identifiers

PMID40275272
PMCPMC12023554

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.