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An individually tailored treatment programme for improved oral hygiene: introduction of a new course of action in health education for patients with periodontitis
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Högskolan Dalarna.
Socialstyrelsen, Stockholm.
2009 (English)In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 7, no 3, 166-175 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: To describe and evaluate an individually tailored treatment programme based on a behavioural medicine approach to oral hygiene self-care for patients with chronic periodontitis. Methods: Two experimental single-case studies with multiple-baseline design across different self-administered oral hygiene behaviours were conducted. Cognitive Behavioural techniques were used to organize the strategies for the intervention and the approach to counselling was inspired by and structured in accordance with Motivational Interviewing. The central features in the programme were the individual analysis of knowledge and oral hygiene habits, individually set goals for oral hygiene behaviour, practice of manual dexterity for oral hygiene aids, continuous self-monitoring of the behaviour and prevention of relapse. Results: Both participants reached the predecided criteria for clinical significance in reducing plaque and bleeding on probing. Reductions of periodontal probing depth were achieved as well. The positive results remained stable throughout the 2-year study period. Conclusion: The successful application of this educational model suggests that it could be used as a method for tailoring interventions targeted to oral hygiene for patients with periodontal conditions. The programme will now be tested in a larger randomized controlled trial.

Place, publisher, year, edition, pages
Oxford: Wiley-Blackwell , 2009. Vol. 7, no 3, 166-175 p.
Keyword [en]
behavioural medicine; experimental single-case design; oral hygiene behaviour; periodontitis; social cognitive strategies
National Category
Dentistry
Identifiers
URN: urn:nbn:se:uu:diva-111541DOI: 10.1111/j.1601-5037.2008.00350.xISI: 000207895100003OAI: oai:DiVA.org:uu-111541DiVA: diva2:281542
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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