Behavioral models for periodontal health and disease

Newton, J. T.; Asimakopoulou, Koula

doi:10.1111/prd.12236

Cited by 24 publications

(36 citation statements)

References 54 publications

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“…49 Both investigations based on visual-aided approach yielded better outcomes than conventional oral hygiene instructions, 23,29 probably due to patients' more vivid perception of biofilm composition and its effects on oral health. This is in line with what was advocated by Newton et al 21 : the motivational and capability areas are vividly stimulated when young individuals are called to look at images showing the consequences of their own poor oral hygiene habits.…”

Section: Repeated Oral Hygiene Instructions and Visual-aided Approachsupporting

confidence: 88%

Efficacy of Behaviour Change Techniques to improve oral hygiene control of individuals undergoing orthodontic therapy. A systematic review

Discepoli

Mirra

Marruganti

et al. 2020

Int J Dental Hygiene

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Aim This study aims to review the available evidence on the efficacy of behaviour change techniques to improve compliance in young orthodontic patients and to compare these with conventional oral hygiene instructions. Methods The review was conducted according to the PRISMA statement. PICO method was used to define eligibility criteria. Two independent reviewers performed the research, examined electronic databases (MEDLINE, Scopus and CENTRAL) and manually checked relevant journals. Only RCTs with more than 10 participants and 3 months follow‐up were included. Data extraction and their qualitative analysis were performed for included studies. Results Search strategy identified 320 articles. After screening for titles, abstracts and full texts, 10 articles were then selected for qualitative analysis. High methodological heterogeneity was present among studies and therefore no meta‐analysis was performed. Low risk of bias was detected for one study only. The most common intervention was “mobile phone communication,” which was investigated in five studies. Motivational interviewing, repeated reinforcements and visual‐aided approach were also examined. Conclusion The interest in remote control of patients compliance appears to be fruitful, nonetheless there is no consensus as to a unique treatment protocol. Every other treatment looks beneficial but higher methodological homogeneity should be sought for in future investigations.

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Section: Repeated Oral Hygiene Instructions and Visual-aided Approachsupporting

confidence: 88%

Efficacy of Behaviour Change Techniques to improve oral hygiene control of individuals undergoing orthodontic therapy. A systematic review

Discepoli

Mirra

Marruganti

et al. 2020

Int J Dental Hygiene

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“…Interventions for planning have been adopted in healthcare studies [30,32] and are regarded as an effective approach to enable people to translate their “good” intentions into action. Furthermore, interventions incorporating elements of goal setting, planning the behavior, and monitoring the behavior (GPS elements) were reported to be effective in creating behavior change [46]. To put motivation into action, we integrated GPS elements into the intervention design to create opportunities for patients to implement oral self-care, including setting goals to brush the teeth at least twice a day, planning for possible times to perform oral cleaning through setting a reminder, and self-monitoring to brush the teeth in a sequential order lasting up to 3 minutes.…”

Section: Discussionmentioning

confidence: 99%

Development of an intervention tool for precision oral self-care: Personalized and evidence-based practice for patients with periodontal disease

Chang

Kuo

et al. 2019

PLoS ONE

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BackgroundOral self-care plays an important role in maintaining oral health and preventing the occurrence of oral diseases. The association between good oral care and good oral hygiene is well known. However, the adherence to a proper daily oral hygiene regimen generally remains poor, so the prevalence of oral diseases remains high. Periodontal disease is the most common oral disease in the population. To enhance the adherence to good oral hygiene behaviors for patients with periodontal disease, we developed a personalized and evidence-based mobile application as an intervention tool for the purpose of initiating and improving good oral self-care.ObjectiveThe objective of this study was to demonstrate the systematic development process and content of the oral self-care mobile application, OSCA.MethodsThe systematic development process of OSCA consists of three phases: behavioral diagnosis, intervention design, and assessment of OSCA. Firstly, behavioral problem of oral self-care was identified by the experts in periodontics care. Secondly, the intervention functions and the mode of delivery were designed based on the capability-opportunity-motivation behavioral model, which is the underpinning model behind the behavior change wheel framework. Thirdly, the developed app was evaluated by the experts through a heuristics evaluation checklist by adopting Morville’s Honeycomb model, and the final version of OSCA was assessed by the patients with periodontal disease using the System Usability Scale (SUS).ResultsThe problems of target behavior were identified and incorporated into the design of intervention functions. For the beta version of the OSCA, experts proposed four main suggestions to improve the usefulness. Experts evaluated the beta and final versions of the app using a heuristics evaluation checklist, providing mean scores of 4.38 and 4.62, respectively. For usability testing, 87 participants completed both the specified tasks and the SUS questionnaire, providing an SUS median score of 77.5 (IQR = 12.5) and an overall mean completion time of 12.22 minutes for the specified tasks. The mean scores of the intervention functions for capability establishment, motivation enhancement, and opportunity creation were 6.13, 5.88, and 6.06, respectively.ConclusionsThe study presents a rigorous design process of developing an evidence-based and personalized mobile application for oral self-care. The results of the expert evaluation confirmed the validated design and the participants were satisfied with the designed app.

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“…The results revealed that interventions to enhance adherence to periodontal infection control are often complex and contain several behavioral change techniques. The most common techniques identified were “shaping knowledge,” “goals and planning,” and “feedback and monitoring.” The interventions that used goals and planning and feedback and monitoring were considered the most effective in supporting the patients to change behavior …”

Section: Psychological Consideration Of Health Behavior Changementioning

confidence: 99%

“…A systematic review by Newton and Asimakopoulou focused on the identification of behavioral change techniques used in interventions to enhance patients’ motivations for effective periodontal infection control. Only randomized controlled studies with patients aged 18 years or over and diagnosed with periodontal disease were included.…”

Section: Psychological Consideration Of Health Behavior Changementioning

confidence: 99%

Overcoming behavioral obstacles to prevent periodontal disease: Behavioral change techniques and self‐performed periodontal infection control

Jönsson

Abrahamsson

2020

Periodontology 2000

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It is well established that periodontal infection control, by means of adequate oral hygiene such as daily toothbrushing and interdental cleaning, is essential for prevention of periodontal disease. Evidence suggests that oral health behavioral intervention is more effective if based on a theoretic framework that includes behavioral change techniques based on goals and planning and on feedback and monitoring. This review focuses on factors that influence behavioral changes in oral hygiene measures (both obstacles and facilitators) and a person‐centered approach to treatment planning and communication with patients. A person‐centered model of oral hygiene is presented that can be integrated into periodontal treatment using different behavioral techniques.

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Behavioral models for periodontal health and disease

Cited by 24 publications

References 54 publications

Efficacy of Behaviour Change Techniques to improve oral hygiene control of individuals undergoing orthodontic therapy. A systematic review

Efficacy of Behaviour Change Techniques to improve oral hygiene control of individuals undergoing orthodontic therapy. A systematic review

Development of an intervention tool for precision oral self-care: Personalized and evidence-based practice for patients with periodontal disease

Overcoming behavioral obstacles to prevent periodontal disease: Behavioral change techniques and self‐performed periodontal infection control

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