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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
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Department of Public Health and Caring Science, Uppsala University, Uppsala, Sweden and Dental health care administration in Uppsala County Council, Uppsala, Sweden.ORCID iD: 0000-0002-7781-8527
Dalarna University, School of Education, Health and Social Studies, Health and Caring Sciences/Oral Health Science.ORCID iD: 0000-0002-7972-1470
National Board of Health and Welfare, Stockholm, Sweden.
Department of Public Health and Caring Science, Uppsala University, Uppsala, Sweden and Department of Psychology, Uppsala University, Uppsala, Sweden.
2009 (English)In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 7, no 3, p. 166-175Article 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
2009. Vol. 7, no 3, p. 166-175
Keywords [en]
behavioural medicine, experimental single-case design, oral hygiene behaviour, periodontitis, social cognitive strategies
National Category
Medical and Health Sciences
Research subject
Hälsa och välfärd, Beteendemedicinska modeller för prediktion och förändring av patienters munhälsobeteende vid parodontal behandling.
Identifiers
URN: urn:nbn:se:du-4139DOI: 10.1111/j.1601-5037.2008.00350.xISI: 000207895100003OAI: oai:dalea.du.se:4139DiVA, id: diva2:520079
Available from: 2009-08-13 Created: 2009-08-13 Last updated: 2017-12-07Bibliographically approved

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Jönsson, BirgittaÖhrn, Kerstin

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