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

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dc.check.chapterOfThesisArticles III - V (Pages 295 - 357)
dc.check.date2021-10-11T10:09:14Z
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dc.contributor.advisorAllen, P. Finbarren
dc.contributor.advisorWhelton, Helenen
dc.contributor.advisorHarding, Maireaden
dc.contributor.authorNishi, Makiko
dc.contributor.funderInternational Association for Dental Researchen
dc.contributor.funderUnileveren
dc.date.accessioned2018-10-12T10:09:13Z
dc.date.issued2018
dc.date.submitted2018
dc.description.abstractOverall 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.description.statusNot peer revieweden
dc.description.versionAccepted Version
dc.format.mimetypeapplication/pdfen
dc.identifier.citationNishi, 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.endpage357en
dc.identifier.urihttps://hdl.handle.net/10468/7001
dc.language.isoenen
dc.publisherUniversity College Corken
dc.relation.projectInternational Association for Dental Research (Unilever Social Entrepreneur Approach to Change Oral Health Behaviour Research Award)en
dc.rights© 2018, Makiko Nishi.en
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/en
dc.subjectDental cariesen
dc.subjectRisk factorsen
dc.subjectRisk assessmenten
dc.subjectPreventive dentistryen
dc.subjectPerceptionen
dc.subjectKnowledgeen
dc.subjectVulnerable populationsen
dc.subjectCell phoneen
dc.subjectTelemedicineen
dc.thesis.opt-outfalse
dc.titlePersonalised dental education for caries risk reduction in an adult population in the Republic of Irelanden
dc.typeDoctoral thesisen
dc.type.qualificationlevelDoctoralen
dc.type.qualificationnamePhDen
ucc.workflow.supervisorf.allen@ucc.ie
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