Preprint Article Version 1 This version is not peer-reviewed

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

Version 1 : Received: 29 September 2019 / Approved: 30 September 2019 / Online: 30 September 2019 (08:15:24 CEST)

A peer-reviewed article of this Preprint also exists.

Lin, J.-H.; Huang, Y.-K.; Lin, K.-D.; Hsu, Y.-J.; Huang, W.-F.; Huang, H.-L. Randomized Controlled Trial on Effects of a Brief Clinical-Based Intervention Involving Planning Strategy on Self-Care Behaviors in Periodontal Patients in Dental Practice. Int. J. Environ. Res. Public Health 2019, 16, 3838. Lin, J.-H.; Huang, Y.-K.; Lin, K.-D.; Hsu, Y.-J.; Huang, W.-F.; Huang, H.-L. Randomized Controlled Trial on Effects of a Brief Clinical-Based Intervention Involving Planning Strategy on Self-Care Behaviors in Periodontal Patients in Dental Practice. Int. J. Environ. Res. Public Health 2019, 16, 3838.

Journal reference: Int. J. Environ. Res. Public Health 2019, 16, 3838
DOI: 10.3390/ijerph16203838

Abstract

Background: Strengthening adherence to self-care behaviors in patients with periodontal disease (PD) and reducing plaque index is crucial for improving PD treatment. We evaluated the effectiveness of a theory of planned behavior (TPB)-based health education intervention involving 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 2-week follow-up (effect size (ES) = 5.54 and 5.57, respectively) and 6-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 2-week and 6-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.

Subject Areas

action planning; coping planning; health education; oral care behavior; periodontal disease; theory of planned behavior

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