{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T17:28:50Z","timestamp":1787074130529,"version":"build-2736575974"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>\n                    Dental caries in elementary school children can be prevented through dental health education and promotion in schools. Teachers play an important role in supporting children\u2019s oral health behaviors. The use of web-based applications as a health promotion medium is expected to improve the effectiveness of dental health education by providing easier access and broader reach. This study aimed to assess the effectiveness of a web-based application in improving teachers\u2019 knowledge, attitudes, and practices regarding dental health promotion among elementary school children. This randomized controlled trial (RCT) employed a pretest\u2013posttest control group design involving 120 primary school teachers in Aceh Province, Indonesia, who were randomly assigned to intervention and control groups. The intervention group received education through a web-based application, whereas the control group received conventional education. Teachers\u2019 knowledge, attitudes, and practices were assessed using a validated questionnaire at baseline, one month, and two months after the intervention. Data were analyzed using paired and independent t-tests with SPSS version 22.0. The intervention group demonstrated significantly greater improvements in knowledge, attitudes, and practices than the control group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05), with progressive increases observed from the pretest to both post-intervention assessments. The findings indicate that the web-based application is effective in improving teachers\u2019 knowledge, attitudes, and practices related to dental health promotion in elementary schools.\n                  <\/jats:p>","DOI":"10.4103\/jehp.jehp_822_25","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T15:00:29Z","timestamp":1785510029000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of web-based application for dental health promotion among elementary school teachers: A randomized controlled trial"],"prefix":"10.4103","volume":"15","author":[{"family":"Mufizarni","sequence":"first","affiliation":[{"name":"Graduate School of Mathematics and Applied Sciences, Syiah Kuala University, Banda Aceh 23111, Indonesia"},{"name":"Department of Dental Nursing, Health Polytechnic Aceh, Health Ministry, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cut","family":"Soraya","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Syiah Kuala University, Banda Aceh, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Mudatsir","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Faculty of Medicine, Syiah Kuala University, Banda Aceh, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poppy","family":"Andriany","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Syiah Kuala University, Banda Aceh, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7]]},"reference":[{"key":"R1-20260818","doi-asserted-by":"crossref","first-page":"1316","DOI":"10.3390\/ijerph21101316","article-title":"Why is caries prevention in children so difficult? A narrative opinion","volume":"21","author":"Twetman","year":"2024","journal-title":"Int J Environ Res Public Health"},{"key":"R2-20260818","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/j.jobcr.2023.05.002","article-title":"Impact of dental caries and nutritional status on oral health related quality of life in young Indian adolescents","volume":"13","author":"Singh","year":"2023","journal-title":"J Oral Biol Craniofacial Res"},{"key":"R3-20260818","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12955-023-02170-6","article-title":"Impact of oral conditions on oral health-related quality of life among Indians- A systematic review and Meta-analysis","volume":"21","author":"James","year":"2023","journal-title":"Health Qual Life Outcomes"},{"key":"R4-20260818","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1111\/idj.12537","article-title":"Risk indicators of dental caries and gingivitis among 10-11-year-old students in Yangon, Myanmar","volume":"70","author":"Kyaw","year":"2020","journal-title":"Int Dent J"},{"key":"R5-20260818","first-page":"303","article-title":"The effect of dental caries in children on the quality of life in students in suburban and urban neighbourhood schools","volume":"53","author":"Thioritz","year":"2020","journal-title":"Health Media Makassar Health Polytechnic"},{"key":"R6-20260818","doi-asserted-by":"crossref","first-page":"104691","DOI":"10.1016\/j.amsu.2022.104691","article-title":"Dental health promotion among Nigerian school children: Why a priority","volume":"82","author":"Alufa","year":"2022","journal-title":"Ann Med Surg"},{"key":"R7-20260818","doi-asserted-by":"crossref","first-page":"338","DOI":"10.5005\/jp-journals-10005-2395","article-title":"Effectiveness of oral health educational methods among school children aged 5-16 years in improving their oral health status: A meta-analysis","volume":"15","author":"Gurav","year":"2022","journal-title":"Int J Clin Pediatr Dent"},{"key":"R8-20260818","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1186\/s12903-022-02239-6","article-title":"Primary school teachers\u2019 contributions to oral health promotion in urban and rural areas of the Gulu District, Northern Uganda: A qualitative study","volume":"22","author":"Akera","year":"2022","journal-title":"BMC Oral Health"},{"key":"R9-20260818","first-page":"98","article-title":"Effectiveness of an oral health training program for school teachers in India: An interventional study","volume":"9","author":"Khurana","year":"2020","journal-title":"J Educ Heal Promot"},{"key":"R10-20260818","first-page":"e28865","article-title":"Effectiveness of a training program in school teachers on the role of sugars in oral and general health","volume":"14","author":"Bhadauria","year":"2022","journal-title":"Cureus"},{"key":"R11-20260818","doi-asserted-by":"crossref","first-page":"105612","DOI":"10.1016\/j.ijmedinf.2024.105612","article-title":"Evaluation of the quality of oral hygiene mobile apps for children using the mobile app rating scale","volume":"192","author":"Meri\u00e7","year":"2024","journal-title":"Int J Med Inform"},{"key":"R12-20260818","first-page":"1","article-title":"App-based oral health promotion interventions on modifiable risk factors associated with early childhood caries: A systematic review","volume":"4","author":"Ajay","year":"2023","journal-title":"Front Oral Heal"},{"key":"R14-20260818","first-page":"143","article-title":"School-based oral health promotion: A thorough review","volume":"35","author":"Khoshnevisan","year":"2017","journal-title":"J Dent School"},{"key":"R15-20260818","doi-asserted-by":"crossref","first-page":"89","DOI":"10.5005\/jp-journals-10005-1413","article-title":"Knowledge, attitudes, and practices of school teachers toward oral health in Davangere, India","volume":"10","author":"Satish","year":"2017","journal-title":"Int J Clin Pediatr Dent"},{"key":"R16-20260818","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1111\/cdoe.12325","article-title":"Effectiveness of oral health education on oral hygiene and dental caries in schoolchildren: Systematic review and meta-analysis","volume":"46","author":"Stein","year":"2018","journal-title":"Community Dent Oral Epidemiol"},{"key":"R17-20260818","doi-asserted-by":"crossref","first-page":"437","DOI":"10.4103\/ijdr.IJDR_805_18","article-title":"Effectiveness of school dental health education on the oral health status and knowledge of children: A systematic review","volume":"30","author":"Geetha","year":"2019","journal-title":"Indian J Dent Res"},{"key":"R18-20260818","doi-asserted-by":"crossref","first-page":"426","DOI":"10.5005\/jp-journals-10005-2380","article-title":"Evaluation of knowledge, attitude, and practices of government primary school teachers in Faridabad City regarding oral health","volume":"16","author":"Cyriac","year":"2023","journal-title":"Int J Clin Pediatr Dent"},{"key":"R19-20260818","doi-asserted-by":"crossref","first-page":"7293","DOI":"10.3390\/ijerph19127293","article-title":"Oral-hygiene-related mobile apps in the french app stores: Assessment of functionality and quality","volume":"19","author":"Carrouel","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"R20-20260818","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12903-020-01374-2","article-title":"Development and evaluation of a gamified smart phone mobile health application for oral health promotion in early childhood: A randomized controlled trial","volume":"21","author":"Zolfaghari","year":"2021","journal-title":"BMC Oral Health"},{"key":"R21-20260818","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1186\/s12903-021-01995-1","article-title":"Effectiveness of web application as educational media in increasing the caries risk knowledge and decreasing the caries risk score among dental students in Indonesia","volume":"21","author":"Darwita","year":"2021","journal-title":"BMC Oral Health"},{"key":"R22-20260818","doi-asserted-by":"crossref","first-page":"2680","DOI":"10.3390\/jcm12072680","article-title":"Digital application for promoting evidence-based children\u2019s oral health to control early childhood caries: Randomized control trial on parental acceptance and efficacy","volume":"12","author":"Abdul","year":"2023","journal-title":"J Clin Med"},{"key":"R23-20260818","doi-asserted-by":"crossref","first-page":"1594","DOI":"10.4103\/jfmpc.jfmpc_1100_19","article-title":"Knowledge and attitude of male schoolteachers towards primary dental care","volume":"9","author":"Gowdar","year":"2020","journal-title":"J Fam Med Prim Care"},{"key":"R24-20260818","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1093\/jamia\/ocw045","article-title":"Effectiveness of computer-aided learning in oral health among patients and caregivers: A systematic review","volume":"24","author":"Malik","year":"2017","journal-title":"J Am Med Informatics Assoc"},{"key":"R25-20260818","first-page":"39","article-title":"SLR: Peran guru pada kegiatan UKGS terhadap karies gigi anak SD","volume":"3","author":"Wijaya","year":"2022","journal-title":"Jurnal Ilmiah Keperawatan Gigi (JIKG)"},{"key":"R26-20260818","doi-asserted-by":"crossref","first-page":"12","DOI":"10.26650\/eor.20199213","article-title":"Evaluation of the knowledge, attitudes and behaviors of pre-school teachers on oral and dental health in the city center of Trabzon","volume":"53","author":"Baltac\u0131","year":"2019","journal-title":"Eur Oral Res"},{"key":"R27-20260818","doi-asserted-by":"crossref","first-page":"101189","DOI":"10.1016\/j.imu.2023.101189","article-title":"Informatics in medicine unlocked mobile health applications for children\u2019s oral health improvement: A systematic review","volume":"37","author":"Mohammadzadeh","year":"2023","journal-title":"Informatics Med Unlocked"},{"key":"R28-20260818","doi-asserted-by":"crossref","DOI":"10.1007\/s40368-019-00457-1","article-title":"Smartphones and tooth brushing: Content analysis of the currently available mobile health apps for motivation and training","author":"Hotwani","year":"2020","journal-title":"Eur Arch Paediatr Dent"},{"key":"R29-20260818","doi-asserted-by":"crossref","first-page":"13","DOI":"10.31983\/jkg.v5i2.3857","article-title":"Teacher\u2019s role on oral health promoting school","volume":"5","author":"Nugraheni","year":"2018","journal-title":"J Kesehat Gigi"},{"key":"R30-20260818","doi-asserted-by":"crossref","first-page":"101429","DOI":"10.1016\/j.cegh.2023.101429","article-title":"Impact of smartphone application \u2018Dent-O-Xpert\u2019 on oral health related knowledge, attitude and behavior of young adults-A randomized control trial","volume":"24","author":"Nagarajappa","year":"2023","journal-title":"Clin Epidemiol Glob Heal"}],"container-title":["Journal of Education and Health Promotion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_822_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T17:01:36Z","timestamp":1787072496000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jehp.jehp_822_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":29,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jehp.jehp_822_25","relation":{},"ISSN":["2277-9531","2319-6440"],"issn-type":[{"value":"2277-9531","type":"print"},{"value":"2319-6440","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2025-05-04","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}