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dc.contributor.authorLhakhang, P.
dc.contributor.authorHamilton, Kyra
dc.contributor.authorSud, N.
dc.contributor.authorSud, S.
dc.contributor.authorKroon, J.
dc.contributor.authorKnoll, N.
dc.contributor.authorSchwarzer, R.
dc.identifier.citationLhakhang, 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.titleCombining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients
dc.typeJournal Article
dcterms.source.titleBMC Oral Health
curtin.departmentSchool of Psychology and Speech Pathology
curtin.accessStatusOpen access via publisher

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