Cynthia Miller Lovell
5-2-1-0 Activity and Nutrition Challenge for Elementary Students: New, Evidence-Based, Promising
The Journal of school nursing : the official publication of the National Association of School Nurses
evaluated effects healthpromoting school hps strategy plaque control behavior change highcaries schoolchildren taitung taiwan quasiexperimental design adopted six intervention schools intervention group ig six comparison schools comparison group cg selected elementary schools higherthanaverage caries rates 68 ig selected using cluster sampling cg selected match ig total ig cg groups included 166 174 children selected schools implemented hps framework 3 months 2019 academic year oral examination dental plaque administered selfadministered questionnaire regarding knowledge attitude selfefficacy behaviors distributed baseline 2week followup linear logistic regression model using generalized estimating equations gees used analyze differences baseline followup data compared cg ig greater reduction plaque index among second graders 036 plaque control record scores among second fourth sixth graders 2748 2604 1838 respectively ig also exhibited greater increase followup respect oral healthrelated knowledge among second graders fourth graders 146 092 respectively attitude toward oral hygiene behaviors among sixth graders 178 selfefficacy regarding flossing sixth graders 143 sixth graders ig significantly likely brush sleeping adjusted odds ratio aor 299 use fluoride toothpaste aor 588 cg hps strategy effective reducing dental plaque promoting preventing behaviors rural highcaries schoolchildren