September 2012

Volume 29, Issue 3

Oral hygiene education in adolescence based on the Precaution Adoption Process Model

Authors: J. Aleksejūnienė V. Brukienė
doi: 10.1922/CDH_2749Aleksejūnienė04


Objective: The present study hypothesised that interventions based on the Precaution Adoption Process Model (PAPM) are more effective than the conventional approach in modifying oral hygiene behaviour in adolescents. Method: A stratified random sampling method was used with subject groups (classrooms) randomly allocated to a control or to one of intervention groups (conventional instruction or PAPM). Short-term and long-term results were assessed after 3 and 12 months. The study sample comprised 254 12-13 year olds whose plaque levels were assessed by two outcome measures, namely the Quantitative Plaque Percent Index and its derivative the Ratio of Plaque % Change. Results: Subject retention rate was 69%. The most substantial decrease in plaque scores was in the PAPM group (12% after 3 months, 18% after 12 months), while the smallest reduction was in the control group (4% after 3 months and 12% after 12 months). There was a trend of reduction in plaque levels (p<0.001) in all study groups from baseline to the 12 month follow-up. Conclusions: The intervention based on the Precaution Adoption Process Model was only slightly more effective in changing adolescent oral hygiene behaviour as compared to the conventional approach. The positive change in the control group was unexpected and needs further exploration. Key words: dental plaque index, adolescent, oral hygiene, health behaviour, Precaution Adoption Process Model


Other articles in this issue

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Editorial - Population based health and care: what does the new dental professional need to know? 194-194 Download
Dental Public Health in Action - The use of dental therapists as examiners in dental epidemiological surveys 195-197 Download
A service evaluation of patient pathways and care experiences of dentally anxious adult patients 198-202 Download
Assessment and validation of the oral impact on daily performance (OIDP) instrument among adults in Karnataka, South India 203-208 Download
The dental health of 5 year-old children living in Damascus, Syria 209-213 Download
Oral impacts and their association with tooth loss in Sri Lankan adults 214-218 Download
Oral Health Related Quality of Life among Older Adults in Central China 219-223 Download
High levels of periodontal disease among the older adult population in San Juan, Puerto Rico 224-228 Download
Caries in five different socio-economic clusters in Örebro county 229-232 Download
Root caries in 35-44 and 65-74 year-olds in Turkey 233-238 Download
Dental anxiety levels in British servicemen and women 239-242 Download
Sexual correlates of gagging and dental anxiety 243-247 Download
Oral hygiene education in adolescence based on the Precaution Adoption Process Model 248-251 Download
Professional careers of graduates from one UK dental school 252-256 Download


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