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

£10 single article

Other articles in this issue

Article Pages Access
Editorial - Population based health and care: what does the new dental professional need to know? 194-194 £10 single article
Dental Public Health in Action - The use of dental therapists as examiners in dental epidemiological surveys 195-197 £10 single article
A service evaluation of patient pathways and care experiences of dentally anxious adult patients 198-202 £10 single article
Assessment and validation of the oral impact on daily performance (OIDP) instrument among adults in Karnataka, South India 203-208 £10 single article
The dental health of 5 year-old children living in Damascus, Syria 209-213 £10 single article
Oral impacts and their association with tooth loss in Sri Lankan adults 214-218 £10 single article
Oral Health Related Quality of Life among Older Adults in Central China 219-223 £10 single article
High levels of periodontal disease among the older adult population in San Juan, Puerto Rico 224-228 £10 single article
Caries in five different socio-economic clusters in Örebro county 229-232 £10 single article
Root caries in 35-44 and 65-74 year-olds in Turkey 233-238 £10 single article
Dental anxiety levels in British servicemen and women 239-242 £10 single article
Sexual correlates of gagging and dental anxiety 243-247 £10 single article
Oral hygiene education in adolescence based on the Precaution Adoption Process Model 248-251 £10 single article
Professional careers of graduates from one UK dental school 252-256 £10 single article


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