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

Jo-Hsin Lin, Yuan-Kai Huang, Kun- Der Lin, Yuan-Jung Hsu, Wei-Fu Huang and Hsiao-Ling Huang
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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
Yuan-Jung Hsu: Department of Oral Hygiene, 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

IJERPH, 2019, vol. 16, issue 20, 1-14

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.

Keywords: action planning; coping planning; health education; oral care behavior; periodontal disease; theory of planned behavior (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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