Use of an eBook for Oral Health Literacy© Curriculum to Elicit Functional Health Knowledge, Decision Making, and Goal Setting Among School-Aged Children
Keywords:
Oral Health Literacy, Nutrition, Health Education, Curriculum, Functional Health Knowledge, Functional Health LiteracyAbstract
An eBook for Oral Health Literacy© curriculum was used as a brief intervention to help school-aged children use their functional health literacy skills of reading, writing, and speaking to learn about oral health hygiene and the importance of choosing healthy food and beverages for their teeth. The curriculum focused on building functional knowledge about oral health hygiene and nutrition behaviors through a health literacy intervention that highlighted the need for reasoned actions when setting food goals for healthy teeth and making decisions to keep teeth healthy and strong. The aims of the study included: 1) determining what children learned about their teeth from two chapters of the eBook for Oral Health Literacy© curriculum and what they remembered from reading the oral health and nutrition stories; 2) determining whether children liked to read and what they liked about the words and the pictures of the stories, and; 3) determining whether children brushed their teeth in the morning and at night; had any cavities; had teeth or mouth pain; and visited the dentist every six months for a dental checkup. The visual textual narrative helped children to build a vocabulary about oral health when reading and writing about health. Children wrote about words and phrases that they recalled after reading each chapter. Their elaborations exemplified the importance of using a constructivist theoretical framework to elicit children’s functional health knowledge about oral health and nutrition. Chi-square results showed that there was a moderate significant correlation between children who reported brushing their teeth in the morning and having been to the dentist in the past year (p = .021).
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References
American Academy of Pediatrics, Section on Pediatric Dentistry. (2003). Policy statement: Oral health risk assessment timing and establishment of the dental home. Pediatrics, 11, 1113-1116.
Arenson, M., Hudson, P. J., Lee, N., & Lai, B. (2019). The evidence on school-based health centers: A review. Global Pediatric Health, 6, 1-10. https://doi.org/2333794X19828745
Avila-Varela, D. S., Arias-Trejo, N., & Mani, N. (2021). A longitudinal study of the role of vocabulary size in priming effects in early childhood. Journal of Experimental Child Psychology, 205, 105071. https://doi.org/10.1016/j.jecp.2020.105071
Brown, A., Lowe, E., Zimmerman, B., Crall, J., Foley, M., & Nehring, M. (2006). Preventing early childhood caries: Lessons from the field. Pediatric Dentistry, 28(6), 553–560.
Butera, A., Maiorani, C., Morandini, A., Simonini, M., Morittu, S., Trombini, J., & Scribante, A. (2022). Evaluation of children caries risk factors: A narrative review of nutritional aspects, Oral hygiene habits, and bacterial alterations. Children, 9(2), 262. https://doi.org/10.3390/children9020262
Cardina C. (2014). Academic majors and subject-area certifications of health education teachers in the United States, 2011-2012. Journal of Health Education Teaching, 5(1), 35–43. https://eric.ed.gov/?id=EJ1085288
Chawner, L. R., & Hetherington, M. M. (2021). Utilising an integrated approach to
Developing liking for and consumption of vegetables in children. Physiology & Behavior, 238, 113493. https://doi.org/10.1016/j.physbeh.2021.113493
Cook-Harvey, C. M., Darling-Hammond, L., Lam, L., Mercer, C., & Roc, M.
(2016). Equity and ESSA: Leveraging educational opportunity through the Every Student Succeeds Act. Learning Policy Institute.
Dong, Y., Tang, Y., Chow, B. W. Y., Wang, W., & Dong, W. Y. (2020). Contribution of vocabulary knowledge to reading comprehension among Chinese students: A meta-analysis. Frontiers in Psychology, 11, 1-15. https://doi.org/10.3389/fpsyg.2020.525369
dos Santos, A.P.P., Nadanovsky, P., & de Oliveira, B. H. (2011). Inconsistencies in recommendations on oral hygiene practices for children by professional dental and paediatric organisations in ten countries. International Journal of Paediatric Dentistry, 21(3), 223-231. https://doi.org/10.1111/j.1365-263X.2011.01115.x
Duijster, D., de Jong-Lenters, M., Verrips, E., & van Loveren, C. (2015). Establishing oral health promoting behaviours in children–parents’ views on barriers, facilitators and professional support: a qualitative study. BMC Oral Health, 15(1), 1-13. http://doi.10.1186/s12903-015-0145-0
Dweck, C. (1999). Self‐theories: Their role in motivation, personality and development, Philadelphia, PA: Psychology Press.
Eklund, K., Burns, M. K., Oyen, K., DeMarchena, S., & McCollom, E. M. (2022). Addressing chronic absenteeism in schools: A meta-analysis of evidence-based interventions. School Psychology Review, 51(1), 95-111. https://doi.org/10.1080/2372966X.2020.1789436
Farrar, S. T., Plagnol, A. C., & Tapper, K. (2022). The effect of priming on food choice: A field and laboratory study. Appetite, 168, 105749. https://doi.org/10.1016/j.appet.2021.105749
Ferrer-Cacales, R., Sánchez-SanSegundo, M., Ruiz-Robledillo, N., Albaladejo-Blazquez, N., Laguna-Perez, A., & Zaragoza-Marti, A. (2018). Eat or skip breakfast? The important role of breakfast quality for health-related quality of life, stress and depression in Spanish adolescents. International Journal of Environmental Research in Public Health, 15, 1781. https://doi.org/10.3390/ijerph15081781
Giovannini, M., Verduci, E., Scaglioni, S., Salvatici, E., Bonza, M., Riva, E., & Agostonic, C. (2018). Breakfast: A good habit, not a repetitive custom. Journal of Internal Medicine Research, 36, 613-624. https://doi.org/10.1177/147323000803600401
Griffin, S.O., Naavaal, S., Scherrer, C.R., Patel, M., & Chattopadhyay, S. (2017). Evaluation of school-based dental sealant programs: An updated community guide systematic economic review. American Journal of Preventive Medicine, 52(3), 407-415. https://doi.org/10.1016/j.amepre.2016.10.004
Griffin, S.O., Wei, L., Gooch, B., Weno, K., & Espinoza, L. (2016). Changes in dental sealant and untreated tooth decay prevalence and the estimated impact of increasing school-based sealant program coverage. MMWR, 65, 1141-1145.
Griffin, S.O., Barker L.K., Wei, L., Chien-Hsun, L., Albuquerque, M.S, & Gooch, B.F. (2014). Use of dental care and effective preventive services in preventing tooth decay among US children and adolescents—Medical Expenditure Panel Survey, United States, 2003–2009 and National Health and Nutrition Examination Survey, United States, 2005–2010. MMWR, 63(2), 55–61.
Jackson, S.L., Vann Jr, W.F., Kotch, J.B., Pahel, B.T., & Lee, J.Y. (2011). Impact of poor oral health on children's school attendance and performance. American Journal of Public Health, 101(10), 1900-1906. https://doi.org/10.2105/AJPH.2010.200915
Jenssen, B.J., Kelly, M.K., Powell, M., Bouchelle, Z., Mayne, S.L., & Fiks, A.G., (2021). COVID-19 and changes in child obesity. Pediatrics. 147 (5). https://doi.org/10.1542/peds.2021-050123
Joint Committee on National Health Education Standards (2007). National health education standards: Achieving excellence (2nd ed). Atlanta, GA: American Cancer Society.
Knopf, J. A., Finnie, R. K., Peng, Y., Hahn, R. A., Truman, B. I., Vernon-Smiley, M., ... & Community Preventive Services Task Force. (2016). School-based health centers to advance health equity: A community guide systematic review. American Journal of Preventive Medicine, 51(1), 114-126. https://doi.org/10.1016/j.amepre.2016.01.009.
Lastrucci, V., Lorini, C., Caini, S., Florence Health Literacy Research Group, & Bonaccorsi, G. (2019). Health literacy as a mediator of the relationship between socioeconomic status and health: A cross-sectional study in a population-based sample in Florence. PLoS One, 14(12), e0227007.
Lewallen, T. C., Hunt, H., Potts‐Datema, W., Zaza, S., & Giles, W. (2015). The Whole School, Whole Community, Whole Child Model: A new approach for improving educational attainment and healthy development for students. Journal of School Health, 85(11), 729-739. https://doi-org/10.1111/josh.12310
López-Barroso, D., de Schotten, M. T., Morais, J., Kolinsky, R., Braga, L. W., Guerreiro-Tauil, A., Dehaene, S., & Cohen, L. (2020). Impact of literacy on the functional connectivity of vision and language related networks. NeuroImage, 213, 116722. https://doi.org/10.1016/j.neuroimage.2020.11672
McHugh, M.L. (2013). The chi-square test of independence. Biochemical Medicine, 23(2), 143-149. https://doi.org/10.11613/BM.2013.018
McNamara, J., Mena, N.Z., Neptune, L., & Parsons, K. (2021). College students’ views on functional, interactive and critical nutrition literacy: A qualitative study. International Journal of Environmental Research in Public Health, 18, 1124. https://doi.org/10.3390/ijerph18031124
Mishra, P., Pandey, C. M., Singh, U., Gupta, A., Sahu, C., & Keshri, A. (2019). Descriptive statistics and normality tests for statistical data. Annals of Cardiac Anesthesia, 22(1), 67. https://doi.org/10.4103/aca.ACA_157_18
Mobley, C., Marshall, T. A., Milgrom, P., & Coldwell, S. E. (2009). The contribution of dietary factors to dental caries and disparities in caries. Academic Pediatrics, 9(6), 410-414.
https://doi.org/10.1016/j.acap.2009.09.008
Morrison, A. K., Glick, A., & Yin, H. S. (2019). Health literacy: Implications for child health. Pediatrics in Review, 40(6), 263-277. https://doi.org/10.1542/pir.2018-0027
Naavaal, S. & Kelekar, U. (2018). School hours lost due to acute/unplanned dental care. Health Behavior Policy Review, 5(2), 66-73. https://doi.org/10.14485/HBPR.5.2.7
National Consensus for School Health Education. (2022). National Health Education Standards: Model Guidance for Curriculum and Instruction (3rd Edition). www.schoolhealtheducation.org
National Dairy Council. (2019). Discover milk’s nutritional value. https://www.usdairy.com/news-articles/is-milk-nutritious
National Institute of Dental and Craniofacial Research (NIDCR). (2021). Oral health in America: Advances and challenges. Bethesda, MD. National Institutes of Health.
Nicol, D.J. & Macfarlane‐Dick, D. (2006). Formative assessment and self‐regulated learning: A model and seven principles of good feedback practice. Studies in Higher Education, 31(2), 199-218. https://doi.org/10.1080/03075070600572090
Nielsen-Bohlman, L., Panzer, A. M., & Kindig, D. A. (2004). Health literacy: A prescription to end confusion. Institute of Medicine.
Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259–267.
Phantumvanit, P., Makino, Y., Ogawa, H., Rugg-Gunn, A., Moynihan, P., Petersen, E., Evans, W., Feldens, C.A., Lo, E., Khoshnevisan, M.H., Baez, R., Varenne, B., Vichayanrat, T., Songpaisan, Y., Woodward, M., Nakornchai, S., & Ungchusak C. (2018). WHO global consultation on public health intervention against early childhood caries. Community Dentistry and Oral Epidemiology, 46, 280–7. https://doi.org/10.1111/cdoe.12362
Protudjer, J.L.P., Marchessault, G., Kozyrskyj, A.L., & Becker, A.B. (2010) Children’s perceptions of healthful eating and physical activity. Canadian Journal of Dietetic Practice and Research, 71,19–23. https://doi.org/10.3148/71.1.2010.19
Ramos-Gomez, F., Kinsler, J., & Askaryar, H. (2020). Understanding oral health disparities in children as a global public health issue: How dental health professionals can make a difference. Journal of Public Health Policy, 41, 1-11. https://doi.org/10.1057/s41271-020-00222-5
Ruff, R. R., Senthi, S., Susser, S. R., Tsutsui, A. (2019). Oral health, academic performance, and school absenteeism in children and adolescents: A systematic review and meta-analysis. The Journal of the American Dental Association, 150(2): 111-121. https://doi.org/10.1016/j.adaj.2018.09.023
Schunk, D. H., & Hanson, A. R. (1985). Peer models: Influence on children's self-efficacy and achievement. Journal of Educational Psychology, 77(3), 313.
Setyarini, S., Muslim, A. B., Rukmini, D., Yuliasri, I., & Mujianto, Y. (2018). Thinking critically while storytelling: Improving children’s HOTS and English oral competence. Indonesian Journal of Applied Linguistics, 8(1), 189-197. https://doi.org/10.17509/ijal.v8i1.11480
Sharma, S. V., Kelder, S., Yamal, J., Chuang, R., Byrd-Williams, C., Bona, G., Bajaj, N., Brito, F., & Neumann, A. S. (2022). Development and feasibility testing of CATCH Healthy Smiles, an oral health promotion intervention for prevention of dental caries among elementary school children. Journal of School Health, 92(1), 20-30. https://doi.org/10.1111/JOSH.13100
Tappe, M. K., Wilbur, K. M., Telljohann, S. K., & Jensen, M. J. (2009). Articulation of the National Health Education Standards to support learning and healthy behaviors among students. American Journal of Health Education, 40(4), 245-253. https://doi.org/10.1080/19325037.2009.10599100
Thiebaut de Schotten, M., Cohen, L., Amemiya, E., Braga, L. W., & Dehaene, S. (2014). Learning to read improves the structure of the arcuate fasciculus. Cerebral Cortex, 24(4), 989-995. https://doi.org/10.1093/cercor/bhs383
Thornton-Evans, G., Junger, M. L., Lin, M., Wei, L., Espinoza, L., & Beltran-Aguilar, E.
(2019). Use of toothpaste and toothbrushing patterns among children and adolescents - United States, 2013-2016. MMWR. Morbidity and Mortality Weekly Report, 68(4), 87–90. https://doi.org/10.15585/mmwr.mm6804a3
Tinanoff, N., Baez, R.J., Diaz-Guillory, C. Donly, K. J., Feldens, C. A., McGrath, C., Phantumvanit, P., Pitts, N. B., Seow, W. K., Sharkov, N., Songpaisan, Y., & Twetman, S. (2019). Early childhood caries epidemiology, etiology, risk assessment, societal burden, management, education, and policy: Global perspective. International Journal of Pediatric Dentistry, 29, 238–48. https://doi.org/10.1111/ipd.12484
Author, V.A. & Miami University Libraries. (2022). Digital Literacy Partnership at Miami University. https://dlp.lib.miamioh.edu
Author, V.A. & Witter, A. (2021). Parental influences on children’s oral health behaviors, reading behaviors, and reading attitudes associated with the sharing of a digital story from the eBook for Oral Health Literacy© Curriculum, Children and Teenagers, 4(3), 26-55. https://doi.org/10.22158/ct.v4n3p26
Author, V.A., Witter, A.M., Kraska, C.M., Justus, E.E. (2020a). Evaluation of an eBook for oral health literacy© to promote child health: Readability, suitability, understandability, actionability, and gist-based message design. Children and Teenagers, 3(1), 54-80.
https://doi.org/10.22158/ct.v3n1p54
Author, V.A. & Ausherman, J. (2018). A historical comparison of reading materials originating in the 19th & 20th centuries that contributed a language and vocabulary for functional health literacy. The Health Educator, 50(2), 26-40.
Author, V.A., Dillhoff, R., & Maldonado, W. (2018b). Reading and writing attitudes of children: Conceptual implications for health education and health literacy. Journal of Health Education Teaching, 9(1), 49-67.
Author, V.A., Coyle, J., & Tzoc, E. (2018c). Evaluation of an oral health curriculum: Design feedback from three audiences. The International Journal of Health, Wellness, & Society, 8(4), 1-10. https://doi.org/10.18848/2156-8960/CGP/v08i04/1-10
Author, V.A., Black, J.M., & Ausherman, J.A. (2009). Teaching for understanding in health education: The role of critical and creative thinking skills within constructivism theory. In Black, J.M., Furney, S.R., Graf, H.M. & Nolte, A.E. (Eds.). Philosophical Foundations of Health Education. San Francisco, CA: Jossey-Bass.
Author, V.A. (2008). Educating for health: An inquiry-based approach to preK-8 pedagogy. Champaign, IL: Human Kinetics.
U.S. Department of Health and Human Services. (2000). Oral Health in America: A Report of the Surgeon General. Rockville, MD: USDHHS, National Institute of Dental and Craniofacial Research, National Institutes of Health. https://www.nidcr.nih.gov/sites/default/files/2017-10/hck1ocv.%40www.surgeon.fullrpt.pdf.
Velardo, S., & Drummond, M. (2017). Emphasizing the child in child health literacy research. Journal of Child Health Care, 21(1), 5-13. https://doi.org/10.1177/1367493516643423
Videto, D. M., & Dake, J. A. (2019). Promoting health literacy through defining and measuring quality school health education. Health Promotion Practice, 20(6), 824-833. https://doi.org/10.1177/1524839919870194
Vygotsky, L.S. (1978). Mind in society (M. Cole, Trans.). Cambridge, MA: Harvard University Press.
