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    Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients

    Access Status
    Open access via publisher
    Authors
    Lhakhang, P.
    Hamilton, Kyra
    Sud, N.
    Sud, S.
    Kroon, J.
    Knoll, N.
    Schwarzer, R.
    Date
    2016
    Type
    Journal Article
    
    Metadata
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    Citation
    Lhakhang, P. and Hamilton, K. and Sud, N. and Sud, S. and Kroon, J. and Knoll, N. and Schwarzer, R. 2016. Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients. BMC Oral Health. 16 (1): pp. 1-9.
    Source Title
    BMC Oral Health
    DOI
    10.1186/s12903-016-0164-5
    School
    School of Psychology and Speech Pathology
    URI
    http://hdl.handle.net/20.500.11937/25072
    Collection
    • Curtin Research Publications
    Abstract

    Background: Periodontal disease is a significant public health issue worldwide. Motivational techniques in combination with financial incentives are shown to lead to effective behavior change. The current study sought to examine whether a brief oral health promotion program (self-management cues that were based on self-efficacy and self-regulatory skills) in combination with an incentive (free dental treatment) would make a difference in the adoption of regular dental flossing in a population of Indian periodontal disease outpatients. Methods: One hundred and twelve participants (n = 55 oral health promotion intervention group; n = 57 control group) were assigned to the intervention (self-management cues + incentive) or control groups, and follow-up assessments were performed three weeks later. Flossing frequency, behavioral intentions, and perceived self-efficacy served as dependent variables. Data were analyzed with mixed models, ANCOVAs, and path analyses. Results: The intervention yielded effects on flossing frequency (p < 0.01) and flossing intentions (p > 0.01) at follow-up. Women developed stronger intentions than men. Moreover, by path analysis a sequential mediation chain was found that demonstrated an indirect effect of the intervention on flossing via self-efficacy and intentions: the intervention predicted changes in self-efficacy which, in turn, were associated with changes in intentions, predicting flossing frequency at follow up, while controlling for baseline behavior, gender, and age. Conclusions: Combining incentives with minimal self-management cues has been found effective in improving interdental cleaning intentions and habits in periodontal disease patients, and the facilitating role of dental self-efficacy has been demonstrated.

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