Personalised dental education for caries risk reduction in an adult population in the Republic of Ireland

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dc.contributor.advisor Allen, P. Finbarr en
dc.contributor.advisor Whelton, Helen en
dc.contributor.advisor Harding, Mairead en Nishi, Makiko 2018-10-12T10:09:13Z 2018 2018
dc.identifier.citation Nishi, M. 2018. Personalised dental education for caries risk reduction in an adult population in the Republic of Ireland. PhD Thesis, University College Cork. en
dc.identifier.endpage 357 en
dc.description.abstract Overall aim: To investigate the impact on caries risk reduction of a personalised dental education approach based on individual caries risk assessment using mobile-phone short text messages in an economically disadvantaged adult population in the Republic of Ireland. Methods: Two studies were conducted: a cross-sectional study with patients recruited through a non-profit organisation in Japan using questionnaires, and a 2-arm parallel-group, single-blinded, randomised controlled study with medical-card holders recruited in Ireland; caries risk was assessed using the Cariogram and participants responded to a survey questionnaire. Results: A higher proportion of Irish participants (n = 159) identified “Not visiting the dentist for check-up and cleaning” (odds ratio (OR) 2.655; 99% confidence interval (CI) 1.550, 4.547) and “Not using fluoride” (OR 1.714; 99% CI 1.049, 2.802) than did Japanese participants (n =482) as caries risk factors. There was an association between assessed caries risk (Chance-AC) and self-perceived caries risk in the four risk groups (n = 165). Approximately two-thirds of participants in the high-risk groups did not consider themselves as being more prone to dental decay than the average person. Caries risk profiles among participants (n = 167) were clustered into five groups. As a result of protocol violations, 84% of the 111 participants (56: personalised group; 55: non-personalised group) were not sent their assigned number and combination of text messages. Intent-to-treat analysis did not show a personalised intervention effect in Chance-AC. Of the secondary outcome measures, the stimulated saliva amount factor showed a personalised intervention effect, P = 0.036 (OR 0.3; 95% CI 0.1, 0.9). Conclusions: This thesis could not reach a definitive conclusion as to whether a personalised mHealth approach was more effective than a non-personalised mHealth approach, the exception being for the saliva amount parameter. It is worth further exploring the potential of mobile-devices for personalised caries risk reduction. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher University College Cork en
dc.rights © 2018, Makiko Nishi. en
dc.rights.uri en
dc.subject Dental caries en
dc.subject Risk factors en
dc.subject Risk assessment en
dc.subject Preventive dentistry en
dc.subject Perception en
dc.subject Knowledge en
dc.subject Vulnerable populations en
dc.subject Cell phone en
dc.subject Telemedicine en
dc.title Personalised dental education for caries risk reduction in an adult population in the Republic of Ireland en
dc.type Doctoral thesis en
dc.type.qualificationlevel Doctoral en
dc.type.qualificationname PhD en
dc.internal.availability Full text not available en Restricted to everyone for three years en 2021-10-11T10:09:14Z
dc.description.version Accepted Version
dc.contributor.funder International Association for Dental Research en
dc.contributor.funder Unilever en
dc.description.status Not peer reviewed en Dental School and Hospital en
dc.check.reason Not applicable en
dc.check.opt-out No en
dc.thesis.opt-out false
dc.check.chapterOfThesis Articles III - V (Pages 295 - 357)
dc.check.embargoformat Apply the embargo to the e-thesis on CORA (If you have submitted an e-thesis and want to embargo it on CORA) en
dc.internal.conferring Autumn 2018 en
dc.internal.ricu Oral Health Services Research Centre en
dc.relation.project International Association for Dental Research (Unilever Social Entrepreneur Approach to Change Oral Health Behaviour Research Award) en

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