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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)
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Department of Public Health and Caring Science, Uppsala University, Sweden, Dental Health Care Administration in Uppsala County Council, 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 Psychology, Uppsala University, Sweden.
2009 (English)In: Journal of Clinical Periodontology, ISSN 0303-6979, E-ISSN 1600-051X, Vol. 36, no 12, p. 1025-1034Article 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
Wiley , 2009. Vol. 36, no 12, p. 1025-1034
Keywords [en]
adherence, behavioural medicine, cognitive behavioural strategies, oral health educational programme, oral hygiene behaviour, periodontitis
National Category
Dentistry
Research subject
Hälsa och välfärd, Beteendemedicinska modeller för prediktion och förändring av patienters munhälsobeteende vid parodontal behandling.
Identifiers
URN: urn:nbn:se:du-4280DOI: 10.1111/j.1600-051X.2009.01453.xISI: 000271777400005PubMedID: 19930092OAI: oai:dalea.du.se:4280DiVA, id: diva2:520109
Available from: 2009-11-24 Created: 2009-11-24 Last updated: 2017-12-07Bibliographically approved

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Jönsson, BirgittaÖhrn, Kerstin

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