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The effectiveness of an individually tailored oral health educational programme on oral hygiene behaviour in patients with periodontal disease: a blinded randomized-controlled clinical trial (one-year follow-up)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Högskolan Dalarna.
Socialstyrelsen, Stockholm.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
2009 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 36, no 12, 1025-1034 p.Article in journal (Refereed) Published
Abstract [en]

Aim   To evaluate the effectiveness of an individually tailored oral health   educational programme for oral hygiene self-care in patients with   chronic periodontitis compared with the standard treatment.   Material and Method   A randomized, evaluator-blinded, controlled trial with two different   active treatments were used with 113 subjects (60 females and 53 males)   randomly allocated to an experimental or a control group. The   individually tailored oral health educational programme was based on   cognitive behavioural principles and the individual tailoring for each   participant was based on participants' thoughts, intermediate, and   long-term goals, and oral health status. The effect of the programmes   on gingivitis [gingival index (GI)], oral hygiene [plaque indices (PlI)   and self-report], and participants' global rating of treatment was   evaluated 3 and 12months after oral health education and non-surgical   treatment.   Results   Between baseline and the 12-month follow-up, the experimental group   improved both GI and PlI more than the control group. The mean   gain-score difference was 0.27 for global GI [99.2% confidence interval   (CI): 0.16-0.39, p < 0.001] and 0.40 for proximal GI (99.2% CI:   0.27-0.53, p < 0.001). The mean gain-score difference was 0.16 for   global PlI (99.2% CI: 0.03-0.30, p=0.001), and 0.26 for proximal PlI   (99.2% CI: 0.10-0.43, p < 0.001). The subjects in the experimental   group reported a higher frequency of daily inter-dental cleaning and   were more certain that they could maintain the attained level of   behaviour change.   Conclusion   The individually tailored oral health educational programme was   efficacious in improving long-term adherence to oral hygiene in   periodontal treatment. The largest difference was for interproximal   surfaces.

Place, publisher, year, edition, pages
Oxford: Wiley-Blackwell , 2009. Vol. 36, no 12, 1025-1034 p.
Keyword [en]
adherence, behavioural medicine, cognitive behavioural strategies, oral health educational programme, oral hygiene behaviour, periodontitis
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-111540DOI: 10.1111/j.1600-051X.2009.01453.xISI: 000271777400005PubMedID: 19930092OAI: oai:DiVA.org:uu-111540DiVA: diva2:281535
Projects
Behavioural medicine perspectives for change and prediction of oral hygiene behaviour
Available from: 2009-12-16 Created: 2009-12-16 Last updated: 2017-12-12Bibliographically 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.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 510
Keyword
Behavioural medicine, oral health education, Periodontitis, tailored treatment, self-efficacy.
National Category
Dentistry
Identifiers
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)
Opponent
Supervisors
Projects
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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