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规划预测牙科服务的就诊情况,而这种影响受到牙科焦虑和教育状况的调节:一项为期一年的前瞻性研究结果。

Planning predicts dental service attendance and the effect is moderated by dental anxiety and educational status: findings from a one-year prospective study.

机构信息

Qazvin University of Medical Sciences, Iran.

出版信息

Appl Psychol Health Well Being. 2014 Jul;6(2):214-29. doi: 10.1111/aphw.12025. Epub 2014 May 15.

DOI:10.1111/aphw.12025
PMID:24832018
Abstract

BACKGROUND

The aim of this study was to investigate whether planning a dental appointment is a predictor of actual dental visits over a one-year period when controlling for past attendance, demographic factors, and dental health beliefs. In addition, the planning-attendance association was explored to determine whether dental anxiety and educational status moderated this relationship.

METHODS

A total of N = 1,422 adults with a mean age of M = 44.4 (SD = 11.0) years and resident in Iran participated in a prospective study over a one-year period. The primary outcome was self-reported dental appointment attendance at one-year follow-up, which was validated using clinical records. Action planning, coping planning, health beliefs, age, dental insurance, income, dental health status, dental anxiety, and years of education were assessed at baseline by self-report questionnaire. Data were analysed using multivariate logistic regression.

RESULTS

Action planning and coping planning were significantly associated with dental appointment attendance at one-year follow-up. Planning a dental appointment was more predictive of dental appointment attendance for people with higher levels of education and lower dental anxiety.

CONCLUSIONS

The findings of this study suggest that implementation of the behaviour change technique planning into routine dental practice may have the potential to increase dental appointment attendance rates.

摘要

背景

本研究旨在探讨在控制过去就诊情况、人口统计学因素和口腔健康信念的情况下,计划看牙是否可以预测一年内的实际看牙次数。此外,还探讨了计划就诊与就诊的相关性,以确定牙科焦虑和教育程度是否调节了这种关系。

方法

共有 1422 名年龄均为 44.4(SD=11.0)岁、居住在伊朗的成年人参与了一项为期一年的前瞻性研究。主要结局是在一年随访时自我报告的看牙就诊情况,通过临床记录进行验证。在基线时通过自我报告问卷评估了行动规划、应对规划、健康信念、年龄、牙齿保险、收入、牙齿健康状况、牙科焦虑和受教育年限。使用多元逻辑回归分析数据。

结果

行动规划和应对规划与一年后的看牙就诊情况显著相关。对于教育程度较高和牙科焦虑程度较低的人来说,计划看牙对看牙就诊的预测性更高。

结论

本研究结果表明,在常规口腔临床实践中实施行为改变技术规划可能有潜力提高看牙就诊率。

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