Cost components of school-based oral health-promoting programs: A systematic review protocol

PLoS One. 2023 Sep 28;18(9):e0287244. doi: 10.1371/journal.pone.0287244. eCollection 2023.

Abstract

Introduction: Oral health-promoting school programs play a crucial role in achieving universal coverage of oral health care, by addressing oral diseases and promoting the well-being and quality of life of children and adolescents. However, a lack of studies has evaluated the costs associated with implementing these programs, which hinders decision-makers in adopting them on a large scale. This review aims to assess the cost components involved in school-based oral health-promoting programs.

Methods: This review will include studies that have conducted either partial or full economic evaluations, focusing on describing the cost components of oral health-promoting programs implemented in primary schools involving students aged 6 to 14. A systematic search was conducted across multiple databases: MEDLINE, The Cochrane Library, the Virtual Health Library, the NHS Economic Evaluation Database, Web of Science, Scopus, and EMBASE. Additionally, gray literature was searched using the Health Technology Assessment Database. Two independent reviewers will screen the titles and abstracts, followed by a full-text review based on predefined inclusion criteria. Data extraction and critical appraisal evaluation will also be carried out independently by two reviewers. In case of disagreements, the reviewer team will resolve them through discussion.

Discussion: The systematic review resulting from this protocol aims to provide evidence regarding the cost components and necessary resources for implementing and maintaining oral health-promoting school programs. This information can assist decision-makers in adopting these programs on a larger scale and effectively addressing oral diseases among children and adolescents.

Protocol registration: CRD42022363743.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Cost-Benefit Analysis
  • Humans
  • Oral Health*
  • Quality of Life*
  • Review Literature as Topic
  • Schools
  • Students
  • Systematic Reviews as Topic

Grants and funding

Pró-Reitoria de Pesquisa (PRPq) and Pró-Reitoria de Pós-Graduação (PRPG) of the Universidade Federal de Minas Gerais. Raquel Conceição Ferreira receives financial support from the Pesquisador Mineiro Program (FAPEMIG: PPM-00603-18) and also receives the Research Productivity Scholarship from and National Council for Scientific and Technological Development (CNPq) (310938/2022-8).