Department of Oral Hygiene, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Department of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Int J Environ Res Public Health. 2019 Oct 11;16(20):3838. doi: 10.3390/ijerph16203838.
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.
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.
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).
The intervention involving planning strategy effectively promoted adherence to self-care behaviors in patients with PD.
强化牙周病（PD）患者的自我护理行为并降低菌斑指数，对于改善 PD 治疗至关重要。我们评估了基于计划行为理论（TPB）的健康教育干预措施，该措施包含了计划策略，对 PD 患者的自我护理行为产生了影响。
进行了一项随机对照试验；实验组（EG）和对照组（CG）分别纳入了 158 名和 139 名患者。两组均接受了宣传册，实验组还接受了计划干预，即与计划单的简短一对一咨询。使用自我管理问卷收集数据。
在控制基线协变量后，两组 TPB 措施的组间比较显示出所有领域的显著差异。在两周和六周随访时，EG 在行动和应对计划方面的得分均显著高于 CG（效应量（ES）分别为 5.54 和 5.57）。刷牙行为变化的组间差异也显著增加。在两周和六周随访时，EG 比 CG 更频繁地使用牙线（分别为 24.7%和 22.8%）。
包含计划策略的干预措施可有效促进 PD 患者自我护理行为的依从性。
