Emani Shilpa, Thomas Raison, Shah Rucha, Mehta Dhoom Singh
Clinical Practitioner, Hyderabad, Telangana, India.
Department of Periodontics, Bapuji Dental College and Hospital, Davangere, Karnataka, India.
Contemp Clin Dent. 2016 Apr-Jun;7(2):176-81. doi: 10.4103/0976-237X.183068.
The present cross-sectional survey study was conducted to assess whether the transtheoretical model for oral hygiene behavior was interrelated in theoretically consistent directions in chronic periodontitis patients and its applicability to assess the compliance of the chronic periodontitis patients to the treatment suggested.
A total of 150 chronic periodontitis patients were selected for the proposed study. The selected patients were given four questionnaires that were constructed based on transtheoretical model (TTM), and the patients were divided subsequently into five different groups (precontemplation, contemplation, preparation, action, and maintenance groups) based on their answers to the questionnaires. Then, each patient was given four appointments for their periodontal treatment spaced with a time gap of 10 days. The patients visit for each appointments scheduled to them was documented. The results obtained were assessed using TTM.
Higher mean pro scores of decisional balance, self-efficacy, and process of change scores was recorded in maintenance group followed by action group, preparation group, contemplation group, and precontemplation group, respectively, whereas higher mean cons score was recorded in precontemplation group followed by contemplation group, preparation group, action group, and maintenance group, respectively. The difference scores of TTM constructs were statistically highly significant between all the five groups. Furthermore, the number of appointment attended in were significantly more than maintenance group followed by action group, preparation group, contemplation group, and precontemplation group.
Within the limitations of this study, it can be concluded that transtheoretical model can be successfully applied to chronic periodontitis patients to assess their compliance to the suggested periodontal treatment.
本横断面调查研究旨在评估口腔卫生行为的跨理论模型在慢性牙周炎患者中是否在理论上一致的方向上相互关联，以及其对评估慢性牙周炎患者对所建议治疗的依从性的适用性。
共选取150例慢性牙周炎患者进行本研究。为所选患者提供了基于跨理论模型（TTM）构建的四份问卷，并根据患者对问卷的回答将其随后分为五个不同组（前意向组、意向组、准备组、行动组和维持组）。然后，为每位患者安排四次牙周治疗预约，间隔时间为10天。记录患者对每次预约治疗的就诊情况。使用TTM对所得结果进行评估。
维持组的决策平衡、自我效能和改变过程得分的平均赞成得分较高，其次分别是行动组、准备组、意向组和前意向组，而前意向组的平均反对得分较高，其次分别是意向组、准备组、行动组和维持组。所有五组之间TTM结构的差异得分在统计学上具有高度显著性。此外，就诊预约次数显著多于维持组的是行动组、准备组、意向组和前意向组。
在本研究的局限性范围内，可以得出结论，跨理论模型可以成功应用于慢性牙周炎患者，以评估他们对所建议的牙周治疗的依从性。
