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Self-Efficacy Predicts Future Oral Hygiene Self-care Behavior
Uppsala University. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
(English)Manuscript (preprint) (Other academic)
Abstract [en]

When oral health interventions for behavior change are evaluated psychological outcomes ought to be included. The study evaluate the effects of two different oral hygiene interventions on attitudes, subjective norms and self-efficacy, and examined the predictive value of these individual factors for interdental cleaning (IC), plaque control (PlI) and bleeding on probing 12-months after non-surgical periodontal treatment Participants (n=113) were randomly allocated to an experimental or a control group. The experimental intervention was an individually tailored treatment based on participants’ cognitions and beliefs, behavioral goals, and oral health status. In the experimental group, the intention to perform IC daily increased. High self-efficacy (SE) scores at baseline predicted daily IC and PlI scores ≤ 20%, 12-month after treatment. Individuals with low SE had a higher probability of attaining a successful level of oral hygiene if treated with experimental intervention rather than standard treatment.

Keyword [en]
Randomized controlled trial; Oral hygiene behavior; Periodontitis; Cognitive behavioral strategies; Theory of Reasoned Action
National Category
URN: urn:nbn:se:uu:diva-111535OAI: oai:DiVA.org:uu-111535DiVA: diva2:281529
Available from: 2009-12-16 Created: 2009-12-16 Last updated: 2015-11-23Bibliographically approved
In thesis
1. Behavioural Medicine Perspectives for Change and Prediction of Oral Hygiene Behaviour: Development and Evaluation of an Individually Tailored Oral Health Educational Program
Open this publication in new window or tab >>Behavioural Medicine Perspectives for Change and Prediction of Oral Hygiene Behaviour: Development and Evaluation of an Individually Tailored Oral Health Educational Program
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis is about a behavioural medicine approach in periodontal treatment and oral hygiene self-care. The aim of this thesis was to develop, describe, and evaluate an individually tailored oral health educational program on oral hygiene behaviour and non-surgical periodontal treatment success, and to determine factors of importance for predicting oral hygiene behaviour.

Two separate studies, both conducted at a specialist clinic for periodontics in a Swedish county council are described. In the first study, the program was developed and described in two experimental single-case studies with multiple baseline designs (Paper I). The second study was a randomised controlled single-blinded trial [n = 113, mean age 51.2, 53% female] in which, the effectiveness of the program was compared with standard treatment on oral hygiene habits, plaque control, and gingivitis (Paper II), periodontal status (Paper III), and attitudes, subjective norms, and self-efficacy (Paper IV). The tailored oral health educational program included a motivational interviewing method and cognitive behavioural techniques, and the individual tailoring for each participant was based on participants’ thoughts and cognitions, intermediate and long-term goals, and oral health status.

Participants in the individually tailored program reported higher frequency of daily interdental cleaning and were more confident about maintaining the attained level of behaviour change, had better oral hygiene, and healthier gingival tissue, particularly interproximally. There was a great reduction in periodontal pocket depth and bleeding on probing scores (BoP) for participants in both programs with a greater reduction in BoP scores in the tailored-treatment group. A lower dental plaque score at treatment start increased the predicted probability of attaining treatment success, and self-efficacy towards interdental cleaning predicted oral hygiene behaviour.

These studies demonstrate an individually tailored oral health education program is preferable to standard program as an oral hygiene behaviour change interventions in non-surgical periodontal treatment.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2010. 76 p.
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 510
Behavioural medicine, oral health education, Periodontitis, tailored treatment, self-efficacy.
National Category
urn:nbn:se:uu:diva-111546 (URN)978-91-554-7690-8 (ISBN)
Public defence
2010-02-12, Universitetshuset, Sal IX, Övre Slottsgatan 2, Uppsala, 10:00 (Swedish)
Behavioural medicine perspectives for change and prediction of oral hygiene behaviour
Available from: 2010-01-22 Created: 2009-12-16 Last updated: 2010-01-22Bibliographically approved

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Lindberg, Per
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Uppsala UniversityDepartment of Public Health and Caring SciencesDepartment of Psychology

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