Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients
|dc.identifier.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.|
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.
|dc.title||Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients|
|dcterms.source.title||BMC Oral Health|
|curtin.department||School of Psychology and Speech Pathology|
|curtin.accessStatus||Open access via publisher|