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Effectiveness of a Web-Based Health Education Program to Promote Oral Hygiene Care Among Stroke Survivors: Randomized Controlled Trial

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dc.contributor.authorNormaliza Ab Maliken_US
dc.contributor.authorSa'ari Mohamad Yatimen_US
dc.contributor.authorOtto Lok Tao Lamen_US
dc.contributor.authorLijian Jinen_US
dc.contributor.authorColman Patrick Joseph McGrathen_US
dc.date.accessioned2024-05-29T03:25:21Z
dc.date.available2024-05-29T03:25:21Z
dc.date.issued2017
dc.description.abstractBackground Oral hygiene care is of key importance among stroke patients to prevent complications that may compromise rehabilitation or potentially give rise to life-threatening infections such as aspiration pneumonia. Objective The aim of this study was to evaluate the effectiveness of a Web-based continuing professional development (CPD) program on general intention of the health carers to perform daily mouth cleaning for stroke patients using the theory of planned behavior (TPB). Methods A double-blind cluster randomized controlled trial was conducted among 547 stroke care providers across 10 hospitals in Malaysia. The centers were block randomized to receive either (1) test intervention (a Web-based CPD program on providing oral hygiene care to stroke patients using TPB) or (2) control intervention (a Web-based CPD program not specific to oral hygiene). Domains of TPB: attitude, subjective norm (SN), perceived behavior control (PBC), general intention (GI), and knowledge related to providing oral hygiene care were assessed preintervention and at 1 month and 6 months postintervention. Results The overall response rate was 68.2% (373/547). At 1 month, between the test and control groups, there was a significant difference in changes in scores of attitude (P=.004) and subjective norm (P=.01), but not in other TPB domains (GI, P=.11; PBC, P=.51; or knowledge, P=.08). At 6 months, there were significant differences in changes in scores of GI (P=.003), attitude (P=.009), SN (P<.001) and knowledge (P=.001) between the test and control groups. Regression analyses identified that the key factors associated with a change in GI at 6 months were changes in SN (beta=.36, P<.001) and changes in PBC (beta=.23, P<.001). Conclusions The Web-based CPD program based on TPB increased general intention, attitudes, subjective norms, and knowledge to provide oral hygiene care among stroke carers for their patients. Changing subjective norms and perceived behavioral control are key factors associated with changes in general intention to provide oral hygiene care.
dc.identifier.doi10.2196/jmir.7024
dc.identifier.issn1438-8871
dc.identifier.issue3
dc.identifier.scopusWOS:000411949800017
dc.identifier.urihttps://oarep.usim.edu.my/handle/123456789/11943
dc.identifier.volume19
dc.languageEnglish
dc.language.isoen_USen_US
dc.publisherJmir Publications, Incen_US
dc.relation.ispartofJournal Of Medical Internet Research
dc.sourceWeb Of Science (ISI)
dc.subjectoral hygieneen_US
dc.subjectcomputer-aided learningen_US
dc.subjectcerebrovascular accidenten_US
dc.subjecttheory of planned behavioren_US
dc.subjecthealth care providersen_US
dc.subjectInterneten_US
dc.titleEffectiveness of a Web-Based Health Education Program to Promote Oral Hygiene Care Among Stroke Survivors: Randomized Controlled Trialen_US
dc.typeArticleen_US
dspace.entity.typePublication

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