Effect Instagram and e-flipbook on ECC’s KAP and oral health literacy

The use of social media for educational purposes can effectively provide parents with valuable information. This study aimed to analyze the effectiveness of two different social media-based educational approaches on the knowledge, attitude, practice (KAP) and oral health literacy (OHL) of mothers of kindergarten regarding ECC. The two approaches shared identical educational information via interactive engagement on Instagram (IG) and self-led study using a digital flipbook (DF) distributed via WhatsApp. A quasi-experimental study design with purposive sampling at the school level was conducted among mothers of similar socioeconomic status, age, and educational level. Education was provided over 2 weeks, and validated questionnaires were used both pre- and post-intervention to assess the KAP and OHL. Seventy-seven mothers of kindergarten were enrolled and divided into two groups consist of IG (n = 36) and DF (n = 41), out of which 63 (30 IG, 33 DF) completed the study. Furthermore, a statistically significant increase in OHL scores was observed in both groups (p < 0.05). A statistically significant moderate to strong positive correlation was noted between the KAP and OHL scores (p < 0.05). These findings indicate that education through both IG and DF was effective in improving the mothers' KAP and OHL, with no significant differences in scores between the two approached.