Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients
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 tha...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
| Published: |
2016
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| Online Access: | http://hdl.handle.net/20.500.11937/25072 |
| _version_ | 1848751606178250752 |
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| author | Lhakhang, P. Hamilton, Kyra Sud, N. Sud, S. Kroon, J. Knoll, N. Schwarzer, R. |
| author_facet | Lhakhang, P. Hamilton, Kyra Sud, N. Sud, S. Kroon, J. Knoll, N. Schwarzer, R. |
| author_sort | Lhakhang, P. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T07:55:24Z |
| format | Journal Article |
| id | curtin-20.500.11937-25072 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:55:24Z |
| publishDate | 2016 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-250722017-09-13T15:21:25Z Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients Lhakhang, P. Hamilton, Kyra Sud, N. Sud, S. Kroon, J. Knoll, N. Schwarzer, R. 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. 2016 Journal Article http://hdl.handle.net/20.500.11937/25072 10.1186/s12903-016-0164-5 unknown |
| spellingShingle | Lhakhang, P. Hamilton, Kyra Sud, N. Sud, S. Kroon, J. Knoll, N. Schwarzer, R. Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients |
| title | Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients |
| title_full | Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients |
| title_fullStr | Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients |
| title_full_unstemmed | Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients |
| title_short | Combining self-management cues with incentives to promote interdental cleaning among Indian periodontal disease outpatients |
| title_sort | combining self-management cues with incentives to promote interdental cleaning among indian periodontal disease outpatients |
| url | http://hdl.handle.net/20.500.11937/25072 |