The Effectiveness of an Oral Health Promotion Program on the Level of Oral Health Literacy and Oral Health Care Behaviors Among Older Adults

Main Article Content

Pannapa Jittimanee
Pajaree Abdullakasim
Yuvadee Rodjarkpai
Nipa Maharachpong

Abstract

Background: Oral health problems among older adults remain a significant issue but can be prevented through appropriate oral health care behaviors.


Objectives: To examine the effects of an oral health promotion program on oral health literacy and oral health care behaviors among older adults.


Methods: This quasi-experimental study was conducted among 70 older adults aged 60-69 years in Health Region 6. Participants were divided into an experimental group (n=35) and a comparison group (n=35). The experimental group participated in a 12-week program consisting of six learning activities, while the comparison group received standard services. Data were collected at three time points: before the intervention, after the intervention, and at a four-week follow-up. Research instruments included an oral health literacy assessment and an oral health care behavior questionnaire. Data were analyzed using descriptive statistics, paired t-tests, independent t-tests, and repeated measures ANOVA.


Results: After participating in the program, the experimental group showed significantly higher oral health literacy and better oral health care behaviors compared to their pre-intervention scores and those of the comparison group (p<0.05). Moreover, the improvements in oral health literacy and behaviors were sustained at the four-week follow-up.


Conclusions: The oral health promotion program effectively improved oral health literacy and oral health care behaviors among older adults. Therefore, relevant medical agencies should implement similar programs to promote oral health and reduce oral health problems in the elderly population.

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How to Cite
Jittimanee, P., Abdullakasim, P. ., Rodjarkpai, Y. ., & Maharachpong, N. . (2025). The Effectiveness of an Oral Health Promotion Program on the Level of Oral Health Literacy and Oral Health Care Behaviors Among Older Adults. BCNNON Health Science Research Journal, 19(1), e276542. retrieved from https://he01.tci-thaijo.org/index.php/JHR/article/view/276542
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Original Articles

References

Adil, A. H., Eusufzai, S. Z., Kamruddin, A., Ahmad, W., Jamayet, N. B., Karobari, M. I., & Alam, M. K. (2020). Assessment of parents’ oral health literacy and its association with caries experience of their preschool children. Children, 7(8), 3-15. https://doi.org/10.3390/children7080101

Al-Qahtani, S. M., Razak, P. A., & Khan, S. D. (2020). Knowledge and practice of preventive measures for oral health care among male intermediate schoolchildren in Abha, Saudi Arabia. Int J Environ Res Public Health, 17(3), 1-11. https://doi.org/10.3390/ijerph17030703

Alzahrani, A. Y., Meligy, O. E., Bahdila, D., Aljawi, R., Bamashmous, N. O., & Almushayt, A. (2024). The influence of parental oral health literacy on children’s oral health: A scoping review. J Clin Pediatr Dent, 48 (4), 16-25. https://doi.org/10.22514/jocpd.2024.074

Baur, C. E., Comings, J. P., Evan, C., Garcia, R., Horowitz, A. M., & Ismail, A. (2005). The invisible barrier: literacy and its relationship with oral health. J. Public Health Dent, 65(3), 174-182. https://doi.org/10.1111/j.1752-7325.2005.tb02808.x

Brar, P. R., & Prayaga, R. S. (2020). Mobile Fotonovelas within a text message outreach: An innovative tool to build health literacy and influence behaviors in response to the COVID-19 pandemic. JMIR mHealth and uHealth, 8(8), e19529. https://doi.org/10.2196/19529

Bureau of Dental Health. (2023). The 9th National Oral Health Survey 2023 of Thailand. Department of Health. (in Thai)

Chan, A. K. Y., Tamrakar, M., Jiang, C. M., Lo, E. C. M., Leung, K. C. M., & Chu, C. H. (2021). Common medical and dental problems of older adults: A narrative review. Geriatrics, 6(3), 1-11. https://doi.org/10.3390/geriatrics6030076

Department of Older Persons. (2023). Situation of the Thai older person 2023. Amarin Corporation Public Company Limited.

Hakim, H. S., Rosli, T. I., Rani, H., & Ashar, A. (2024). mHealth and oral health care among older people: A narrative review. J. Res. Med. Dent. Sci., 12(9), 9-18.

Health Education Division, Department of Health Service Support. (2021). The system of enhancing health literacy among the elderly. New Thammada Press (THAILAND) Company. (in Thai)

Health Education Division. (2018). Strategies for promoting health literacy and health behaviors. Health Education Division, Ministry of Public Health. (in Thai)

Inkaew, S. (2020). The effectiveness of oral health care program among the elderly case study: Namom district, Songkhla province. Journal of disease prevention and control: DPC.2 Phitsanulok, 7(2), 28-39. (in Thai)

Jirawatkul, A. (2015). Statistics for health science research (4th ed). Wittayapat. (in Thai)

Jittimanee, P., Rodjakpai, Y., & Maharatchapong, N. (2019). Development of an oral health literacy instrument for elderly. Journal of public health nursing, 33(3), 114–31. (in Thai)

Kaeodumkoeng, K. (2018). Health Literacy: Access understand and application. (2nd ed.). AmarinPrinting & PublishingPublic, LLC. (in Thai)

Khamrin, P., Boonyathee, S., Bootsikeaw, S., Ong-Artborirak, P., & Seangpraw, K. (2021). Factors associated with health literacy, self-efficacy, social support, and oral health care behaviors among elderly in northern border community Thailand. Clin Interv Aging, 16, 1427-37. https://doi.org/10.2147/CIA.S320900

Kongsri, S., & Srisaad, S. (2018). The component of oral health literacy among elderly in Khon Kaen province, Thailand. Thai dental nurse journal, 29(2), 55–68. (in Thai)

Lawler, H. M., Farrell, C., Fitzgerald, M., Jones, D., & Cullen, J. (2023). Oral health literacy education and practice in US dental hygiene programs: A national survey. J Dent Educ, 87(3), 287-94. https://doi.org/10.1002/jdd.13129

Li, Y., Liu, J., Xu, Y., Yin, J., & Li, L. (2022). Oral health self-management ability and its influencing factors among adolescents with fixed orthodontics in China: A mixed methods study. Dis Markers, 3657357, 1-8. https://doi.org/10.1155/2022/3657357

Lipsky, M. S., Singh, T., Zakeri, G., & Hung, M. (2024). Oral health and older adults: A narrative review. Dent. J, 12(2), 1-14. https://doi.org/10.3390/dj12020030

Moghaddam, F., Sargeran, K., Gholami, M., Jamali, J., & Shamshiri, A. (2023). Social cognitive predictors of regular dental visits and mouth self-examination behaviors among the elderly population: An application of the health action process approach model. PLOS ONE, 18(11), 1-19. https://doi.org/10.1371/journal.pone.0293843

Muller, R., Bilich, L., & Jones, M. (2024). Impact of an oral health education program on the oral health literacy of refugees. J Immigr Minor Health, 26(4), 699-710. https://doi.org/10.1007/s10903-024-01594-6

Nurash, P., Kasevayuth, K., & Intarakamhang, U. (2020). Learning programmes and teaching techniques to enhance oral health literacy or patient-centred communication for healthcare providers: A systematic review. Eur J Dent Educ, 24(1), 134-44. https://doi.org/10.1111/eje.12477

Piyakhunakorn, P., & Sermsuti-anuwat, N. (2021). The associations between oral health literacy and oral health-related behaviours among community-dwelling older people in Thailand. Glob. J. Health Sci, 13(3), 1-7. https://doi.org/10.5539/gjhs.v13n3p1

Srivastava, R., Tangade, P., & Priyadarshi, S. (2023). Transforming public health dentistry: Exploring the digital foothold for improved oral healthcare. Int Dent J Stud Res, 11(2): 61-7. https://doi.org/10.18231/j.idjsr.2023.013

Toibin, M., Pender, M., & Cusack, T. (2017). The effect of a healthcare communication intervention — ask me 3; on health literacy and participation in patients attending physiotherapy. Eur. J. Physiother., 19(1), 12-4. https://doi.org/10.1080/21679169.2017.1381318

Tseng, W., Pleasants, E., Ivey, S. L., Sokal-utierrez, K., Kumar, J., & Hoeft, K. S. (2020). Barriers and facilitators to promoting oral health literacy and patient communication among dental providers in California. Int J Environ Res Public Health, 18(1), 216-33. https://doi.org/10.3390/ijerph18010216