Document Type : Original Article


1 Department of Public Health, School of Health, Rafsanjan University of Medical Sciences, Rafsanjan, Iran

2 Department of Health Education and Health Promotion, School of Health, Occupational Safety and Health Center, NICICO, World Safety Organization and Rafsanjan University of Medical Sciences, Rafsanjan, Iran


BACKGROUND: Mothers play an important role in oral health of children. The present study was 
planned, implemented, and evaluated to determine the impact of mothers’ educational program based 
on PRECEDE–PROCEED model on oral health promotion of Rafsanjan 3–6‑year‑old children, in 2020.
MATERIALS AND METHODS: This quasi‑experimental study was conducted on 100 mothers with 
children aged 3–6 years divided into two groups. The research tool was developed and approved 
based on the model phases in the form of demographic information, predisposing, enabling, and 
reinforcing factors. At phase five, intervention planning was conducted and the program was 
implemented in four sessions (45 min each) in 30 days. Follow‑up was done 2 months after the last 
training session. The data were analyzed by SPSS18, using Chi‑square, paired t‑test, and independent 
t‑test at the significance level of 0.05.
RESULTS: After implementing the program, a significant difference was observed between 
predisposing, enabling, and reinforcing factors, as well as oral health‑related behaviors of the two 
groups (P < 0.05). Finally, 30.4% of the changes in oral health‑related behavior resulted from the 
implementation of the designed educational program.
CONCLUSION: Considering the importance of planning to promote children’s oral health and 
hygiene, it is recommended that the PRECEDE–PROCEED model be used to design, implement, 
and evaluate health evidence‑based interventions.


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