What influences the provision and reception of oral health education? A narrative review of the literature

Barnes, Emma ORCID: https://orcid.org/0000-0001-6447-6647, Bullock, Alison ORCID: https://orcid.org/0000-0003-3800-2186 and Chestnutt, Ivor ORCID: https://orcid.org/0000-0002-9228-800X 2023. What influences the provision and reception of oral health education? A narrative review of the literature. Community Dentistry and Oral Epidemiology 50 (5) , pp. 350-359. 10.1111/cdoe.12698

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Abstract

Objectives: Most common diseases of the mouth are preventable through behavioural changes, oral hygiene routines and regular professional care. Research suggests dental professionals may prioritize clinical experience, personal values and preferences over evidence when delivering such interventions. Research also suggests variable rates of patient behaviour change following oral health education (OHE) interactions. This review explores the literature to answer the question: what factors influence the provision and reception of OHE messages and the wider OHE process? Methods: A structured search of literature was carried out with databases covering a range of academic disciplines (healthcare sciences, social sciences, education). Key words/terms were searched to elicit papers published since 1998. Citation mining (relevant citations within papers) and citation tracking (papers citing relevant papers) were also used. Recurring themes within the papers were identified and coded using NVivo12 and presented in a conceptual model. Results: The studies analysed tended to employ small-scale surveys, larger-scale surveys (some with low response rates), or interview studies of varying sizes. There was also a limited number of review papers. However, several key messages were identified regarding dental professionals' and patients' views on OHE and the factors that influence its provision. Factors that were identified related to the wider social and policy context (macro), community-level factors (meso), the individual practitioner and patient (micro), factors that influenced the nature of OHE interaction and any resulting behaviour change, and how the outcomes of the process influence future OHE interactions for both parties. Conclusions: The literature highlighted how factors influence the OHE process before, during and after the educational interaction. The resultant conceptual model acknowledges the influence of wider 'upstream' factors alongside interpersonal and individual influences which should be taken into consideration when developing OHE interventions.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Social Sciences (Includes Criminology and Education) Dentistry Cardiff Unit for Research and Evaluation in Medical and Dental Education (CUREMeDE)
Publisher:	Wiley
ISSN:	0301-5661
Date of First Compliant Deposit:	2 October 2023
Date of Acceptance:	5 September 2023
Last Modified:	05 Sep 2024 22:31
URI:	https://orca.cardiff.ac.uk/id/eprint/162861

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