Effects of Lay Health Advisor Training for Urban Immigrant Women in a Community-based Oral Health Promotion Program

Autor: Yuan-Jung Hsu, 許原榕
Rok vydání: 2013
Druh dokumentu: 學位論文 ; thesis
Popis: 101
Background: The 5-year Lay Health Advisors Approach to Promote Oral Health Program, aimed at promoting the oral health of new immigrants’ children, was first implemented in Taiwan in 2011. Prior to this study, no oral health promotion programs for mixed-marriage preschool children and their mothers were conducted. The baseline data showed significant higher caries index in immigrant children aged 4 to 6 than in native children (6.05 vs. 3.88). The use of Lay Health Advisors (LHAs) to address health issues is well documented and considered an appropriate model of community health promotion. Objective: The aim was to evaluate the effectiveness of Lay Health Advisor (LHA) training for urban immigrant women in an oral health promotion program. Method: There were 50 Vietnamese and Indonesia women recruited from the churches, Chinese language program and immigrant service centers in Kaohsiung city. Four training classes were held. Each training cycle went for 15 consecutive weeks (one 2-hour training session per week) including 3 weeks practicum and each session is conducted by oral health professionals. The training manual includes caries-related knowledge, oral hygiene instructions and demonstrations, teaching/communication skill and hands-on practice etc. Overall, 37 participants finished the training course and passed post-training knowledge test. The pre- and post-data were collected by the self-administered questionnaire. Paired-t test, McNemar exact test and marginal homogeneity test were used to analyze the pre/post differences. Result: The results showed significantly increased level of oral hygiene knowledge, self-efficacy, and attitude toward oral hygiene. It also showed a higher frequency of brushing teeth a day, using dental floss a day, using fluoride toothpaste, and children’s dental visits (P
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