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Randomized Controlled Trial on Effects of a Brief Clinical-Based Intervention Involving Planning Strategy on Self-Care Behaviors in Periodontal Patients in Dental Practice

Author

Listed:
  • Jo-Hsin Lin

    (Department of Oral Hygiene, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Yuan-Kai Huang

    (Department of Oral Hygiene, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Kun-Der Lin

    (Department of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    Division of Endocrinology and Metabolism, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan
    Department of Internal Medicine, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung Medical University Hospital, Kaohsiung 80145, Taiwan)

  • Yuan-Jung Hsu

    (Department of Oral Hygiene, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

  • Wei-Fu Huang

    (Division of Endocrinology and Metabolism, Department of Internal Medicine, Chi Mei Medical Center-Liouying, Tainan 73657, Taiwan)

  • Hsiao-Ling Huang

    (Department of Oral Hygiene, Kaohsiung Medical University, Kaohsiung 80708, Taiwan)

Abstract

Background: Strengthening adherence to self-care behaviors in patients with periodontal disease (PD) and reducing the plaque index is crucial for improving PD treatment. We evaluated the effectiveness of a theory of planned behavior (TPB)-based health education intervention involving a planning strategy on self-care behaviors in patients with PD. Methods: A randomized controlled trial was conducted; 158 and 139 patients comprised the experimental group (EG) and control group (CG), respectively. Both groups received a leaflet, and the EG also received a planning intervention, which was a brief one-on-one counseling session with a planning sheet. Data were collected using a self-administered questionnaire. Results: Between-group comparisons of TPB measures revealed significant differences in all domains when controlling for baseline covariates. The EG exhibited significantly higher levels of action and coping planning than the CG at two-week follow-up (effect size (ES) = 5.54 and 5.57, respectively) and six-week follow-up (ES = 5.66 and 5.66, respectively). Between-group differences in changes of brushing behaviors increased significantly. More frequent use of dental floss was observed in the EG than in the CG at two-week and six-week follow-ups (24.7% and 22.8%, respectively). Conclusions: The intervention involving planning strategy effectively promoted adherence to self-care behaviors in patients with PD.

Suggested Citation

  • Jo-Hsin Lin & Yuan-Kai Huang & Kun-Der Lin & Yuan-Jung Hsu & Wei-Fu Huang & Hsiao-Ling Huang, 2019. "Randomized Controlled Trial on Effects of a Brief Clinical-Based Intervention Involving Planning Strategy on Self-Care Behaviors in Periodontal Patients in Dental Practice," IJERPH, MDPI, vol. 16(20), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:20:p:3838-:d:275260
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    References listed on IDEAS

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    1. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    2. Kenneth F Schulz & Douglas G Altman & David Moher & for the CONSORT Group, 2010. "CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-7, March.
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