Easy to Read Health Education Material Improves Oral Health Literacy of Older Adults in Rural Community-Based Care Centers: A Quasi-Experimental Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Setting
2.2. Social Demographic Data
2.3. The Mandarin Version of the Oral Health Literacy Adult Questionnaire (MOHL-AQ)
2.4. Educational Material
2.5. Statistical Analysis
3. Results
3.1. Similar Demographic Background between EZ to Read Group and General Text Group
3.2. The ANCOVA Analysis Showed Significant Score Improvements in EZ to Read Group
3.3. The MOHL-AQ Level Significantly Improved in EZ to Read Group
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variance | EZ to Read Material (n%) | General Text Material (n%) | p Value | |
---|---|---|---|---|
Sex | Female | 51 (70.8) | 42 (73.7) | 0.72 |
Male | 21 (29.2) | 15 (26.3) | ||
Age (years) | 60–64 | 4 (5.5) | 3 (5.3) | 0.361 |
65–74 | 27 (37.5) | 19 (33.4) | ||
75–84 | 32 (44.5) | 21 (36.8) | ||
>85 | 9 (12.5) | 14 (24.5) | ||
Educational level | Elementary | 48 (66.7) | 34 (59.7) | 0.313 |
Junior | 11 (15.3) | 11 (19.3) | ||
Secondary | 11 (15.3) | 10 (17.5) | ||
Vocational and technique school | 2 (2.7) | 0 | ||
Certificate and above | 0 | 2 (3.5) | ||
Living status | Alone | 12 (16.7) | 7 (12.2) | 0.522 |
With a partner/spouse | 9 (12.5) | 3 (5.3) | ||
With a partner/spouse and children | 24 (33.3) | 19 (33.3) | ||
With children | 24 (33.3) | 25 (43.9) | ||
With friend or relative | 3 (4.2) | 3 (5.3) | ||
Have a denture | 58 (80.6) | 46 (80.7) | 0.983 | |
Type of denture | Fixed | 31 (54.4) | 24 (51) | 0.931 |
Removable | 17 (29.8) | 14 (29.8) | ||
Both | 9 (15.8) | 9 (19.2) | ||
Regular dental visit for denture adjustment | No | 45 (62.5) | 40 (70.2) | 0.361 |
Yes | 27 (37.5) | 17 (29.8) |
Group | N | Mean (SD) | a Adjusted Mean (SE) |
---|---|---|---|
EZ to read material | 72 | 11.222 (3.545) | 11.272 (0.364) |
General text material | 57 | 9.982 (3.377) | 9.919 (0.409) |
Source | Type III Sum of Square | df | Mean Square | F |
---|---|---|---|---|
Group × pre-test score | 32.67 | 1.00 | 32.67 | 3.48 n.s. |
Error | 1170.73 | 125.00 | 9.37 |
Source | Type III Sum of Squares | df | Mean Square | F | Sig. | Partial Eta Square |
---|---|---|---|---|---|---|
Pre-test score | 328.024 | 1 | 328.024 | 34.345 | <0.001 | 0.214 |
Group | 58.196 | 1 | 58.196 | 6.093 | 0.015 | 0.046 |
Error | 1203.403 | 126 | 9.551 | |||
Corrected total | 1580.326 | 128 |
MOHL-AQ Level | EZ to Read Material (n%) | General Text Material (n%) | p Value between Group | |||
---|---|---|---|---|---|---|
Pre-Test | Post-Test | |||||
Pre-test | Post-test | Pre-test | Post-test | 0.525 | 0.014 | |
Inadequate | 66 (91.7) | 23 (31.9) | 50 (87.7) | 23 (40.4) | ||
Marginal | 4 (5.6) | 8 (11.1) | 3 (5.3) | 15 (26.3) | ||
Adequate | 2 (2.8) | 41 (57) | 4 (7) | 19 (33.3) | ||
p value within group | p < 0.001 | p < 0.001 |
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Sun, K.-T.; Shieh, T.-M.; Hsia, S.-M.; Ningrum, V.; Lin, X.-Y.; Shih, Y.-H. Easy to Read Health Education Material Improves Oral Health Literacy of Older Adults in Rural Community-Based Care Centers: A Quasi-Experimental Study. Healthcare 2021, 9, 1465. https://doi.org/10.3390/healthcare9111465
Sun K-T, Shieh T-M, Hsia S-M, Ningrum V, Lin X-Y, Shih Y-H. Easy to Read Health Education Material Improves Oral Health Literacy of Older Adults in Rural Community-Based Care Centers: A Quasi-Experimental Study. Healthcare. 2021; 9(11):1465. https://doi.org/10.3390/healthcare9111465
Chicago/Turabian StyleSun, Kuo-Ting, Tzong-Ming Shieh, Shih-Min Hsia, Valendriyani Ningrum, Xin-Yi Lin, and Yin-Hwa Shih. 2021. "Easy to Read Health Education Material Improves Oral Health Literacy of Older Adults in Rural Community-Based Care Centers: A Quasi-Experimental Study" Healthcare 9, no. 11: 1465. https://doi.org/10.3390/healthcare9111465