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Developing an oral health literacy inter Developing an oral health literacy inter... - PDF Document (1 M)
Title Developing an oral health literacy intervention for Aboriginal adults in a regional community
Creator(s) Mills, Helen;
Resource Type honours thesis
Date 2011
Rights Copyright 2011 Helen Mills
Description/Abstract Background: The oral health of Aboriginal people is considerably poorer than their non-Aboriginal counterparts. Poor oral health literacy, among other factors, is a key determinant of poor oral health outcomes. Low levels of oral health literacy have been described previously in Aboriginal populations and are associated with sub-optimal oral health related knowledge, a lack of confidence to improve their situation (self-efficacy) and a sense their situation was out of their control (fatalism).
Aim: To determine if a series of oral health education sessions designed for Aboriginal adults will a) improve oral health literacy related outcomes of oral health knowledge, self-efficacy and sense of fatalism in the short term and b) be acceptable by the community as measured by attendance, evaluation and feedback.
Method: An intervention study design was used incorporating 4 oral health education sessions developed and delivered in association with Aboriginal project officers, pre and post questionnaires and health literacy screening using the TS-REALD Health literacy screening tool. Participant feedback was collected from session evaluations sheets and a face to face interview.
Results: A convenience sample of 15 Aboriginal adults from Whyalla was recruited. Participants were mostly female, over 30 years old, with high levels of post secondary education and with a high level of unemployment. Session attendance was recorded for up to 11 participants per session. Improvement in oral health knowledge (OHK) was statistically significant (p=0.015, CI: -6.25 to -0.835) while oral health self- efficacy (OHSE) indicated a positive trend for improvement (p= 0.055). Improvement in oral health fatalism (OHF) did not reach statistical significance. A tendency towards high levels of oral health literacy was found in the study population. This was more likely for participants who were older and had achieved post secondary education. The association between oral health literacy and OHK was statistically significant (p= 0.01, CI: 0.36 to 2.18) and maintained statistical significance when controlled for age (p=0.032, CI: -4.01 to -0.22). Participant feedback supported improvements in OHK, OHSE and OHF. Participants indicated approval of the program by their attendance of the 4 education sessions and comments given in evaluations and interview feedback.
Conclusion: The program findings were limited by the small, non-random sampling frame. Participants indicated the education program was suitable for use in their community. While this program was deemed effective in this sample and was effective in improving oral health knowledge and self-efficacy, oral health fatalism remains to be confirmed. Study findings remain to be confirmed using a larger sample in other Aboriginal communities.
BHealthScience(Hons)--University of South Australia, 2011
Language eng
URA record number 60789
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Theses and Research Proposals > Honours Theses and Student Projects