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Background <p>Entertainment platforms have become more popular among children since the COVID-19 outbreak. The entertainment designed for education; “edutainment” could be a promising learning tool on oral health education (OHE). This study aimed to evaluate the effectiveness of edutainment use for OHE in school-age children.</p> Methods <p>A total of 210 students (age range 9.2–10.8 years) were included. The three-arm parallel randomized controlled trial was conducted in three schools, receiving the same contents of OHE with different learning methods; classroom learning (CL), edutainment in video-based learning with and without repetition at a three-month follow-up (EVBL and EVBL-R). The knowledge, behavior, behavioral intention score, and oral health (OH) status; visble plaue (VPI) and gingival index (GI) were evaluated at baseline, immediate post-intervention, 3, and 6 months. Differences within and between groups for knowledge scores and OH status were analyzed by repeated measures and one-way ANOVA, respectively, and for both behavior and behavioral intention scores, Friedman’s two-way analysis of variance and Kruskal-Wallis test were analyzed, respectively, at a significant level of 0.05.</p> Results <p>The knowledge score was significantly higher in CL for two out of three content domains (<i>p =</i> 0.01, <i>p</i> &lt; 0.001) yet immediately improved within all groups (<i>p</i> &lt; 0.001) with the range of 26.58–53.35% vs. 4.12–29.77% of both EVBLs. No significant difference was found in the behavior and behavioral intention scores among groups. EVBL and EVBL-R had significantly improved behavior scores throughout their follow-ups (<i>p</i> = 0.017, <i>p</i> = 0.006) with the range of 1.19–28.13% vs. 1.90-15.16% of CL and had a significant improvement for VPI (<i>p</i> &lt; 0.001) or 32.5-57.08% vs. 36.45–38.79% of CL. There was no significant difference in GI, but it significantly improved only within the EVBL-R group after the repetition.</p> Conclusion <p>EVBL was comparable to the CL in encouraging positive behaviors, while the CL was preferable for providing core knowledge. EVBL was more applicable to how-to content, and the repetition at least every three months might be able to promote a better OH status.</p> Trial registration <p>The trial was registered in the Thai Clinical Trials Registry under the number TCTR20240816001 on 16/08/2024 (retrospective registration).</p>

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Effectiveness of edutainment use in video-based learning on oral health education for school-age children: a randomized clinical trial

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  • 发表日期：

    2025年3月13日

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  • Wanwisa Lekaram,
  • Pattarawadee Leelataweewud,
  • Pornpailin Kasemkhun

摘要

Background

Entertainment platforms have become more popular among children since the COVID-19 outbreak. The entertainment designed for education; “edutainment” could be a promising learning tool on oral health education (OHE). This study aimed to evaluate the effectiveness of edutainment use for OHE in school-age children.

Methods

A total of 210 students (age range 9.2–10.8 years) were included. The three-arm parallel randomized controlled trial was conducted in three schools, receiving the same contents of OHE with different learning methods; classroom learning (CL), edutainment in video-based learning with and without repetition at a three-month follow-up (EVBL and EVBL-R). The knowledge, behavior, behavioral intention score, and oral health (OH) status; visble plaue (VPI) and gingival index (GI) were evaluated at baseline, immediate post-intervention, 3, and 6 months. Differences within and between groups for knowledge scores and OH status were analyzed by repeated measures and one-way ANOVA, respectively, and for both behavior and behavioral intention scores, Friedman’s two-way analysis of variance and Kruskal-Wallis test were analyzed, respectively, at a significant level of 0.05.

Results

The knowledge score was significantly higher in CL for two out of three content domains (p = 0.01, p < 0.001) yet immediately improved within all groups (p < 0.001) with the range of 26.58–53.35% vs. 4.12–29.77% of both EVBLs. No significant difference was found in the behavior and behavioral intention scores among groups. EVBL and EVBL-R had significantly improved behavior scores throughout their follow-ups (p = 0.017, p = 0.006) with the range of 1.19–28.13% vs. 1.90-15.16% of CL and had a significant improvement for VPI (p < 0.001) or 32.5-57.08% vs. 36.45–38.79% of CL. There was no significant difference in GI, but it significantly improved only within the EVBL-R group after the repetition.

Conclusion

EVBL was comparable to the CL in encouraging positive behaviors, while the CL was preferable for providing core knowledge. EVBL was more applicable to how-to content, and the repetition at least every three months might be able to promote a better OH status.

Trial registration

The trial was registered in the Thai Clinical Trials Registry under the number TCTR20240816001 on 16/08/2024 (retrospective registration).