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Sökning: WFRF:(Abrahamsson Kajsa H. 1956 )

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1.
  • Abrahamsson, Kajsa H., 1956, et al. (författare)
  • Altered expectations on dental implant therapy; views of patients referred for treatment of peri-implantitis
  • 2017
  • Ingår i: Clinical Oral Implants Research. - : Wiley. - 0905-7161 .- 1600-0501. ; 28:4
  • Tidskriftsartikel (refereegranskat)abstract
    • © 2016 John Wiley & Sons A/S.Aim: The aim was to explore patients' reactions on being diagnosed with peri-implantitis, their opinions on dental implant therapy and expectations on treatment of the disease. Material and methods: The study subjects were patients referred to a specialist clinic for treatment of peri-implantitis. The method of grounded theory was used in collecting and analyzing data. Audiotaped, thematized open-ended interviews were conducted. The interviews were transcribed verbatim and consecutively analyzed in hierarchical coding processes that continued until saturation was met (n = 15). Results: In the analysis, a conceptual model was generated that illuminated a process among patients. From having very high initial expectations on dental implant therapy as a permanent solution of oral/dental problems, patients realized that dental implants, such as teeth, require continuous care and that there is no guarantee for that dental implants provides a treatment alternative free from future problems. The core concept of the model "altered expectations on dental implant therapy" was composed of three main categories: "initial expectations on dental implant therapy and living with dental implants", "being referred to periodontist and become diagnosed with peri-implantitis" and "investing again in an expensive therapy with no guarantee for the future". Conclusion: Patients may have unrealistically high expectations on dental implant therapy. The results illuminate the importance of patient-centered communication in dentistry and that treatment decisions should be based not only on professional expertise but also on expectations, abilities, wishes and life circumstances of the individual patient.
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2.
  • Dimenäs, Sandra L., 1989, et al. (författare)
  • A person-centred, theory-based, behavioural intervention programme for improved oral hygiene in adolescents: A randomized clinical field study
  • 2022
  • Ingår i: Journal of Clinical Periodontology. - : Wiley. - 0303-6979 .- 1600-051X. ; 49:4, s. 237-387
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: To test the effectiveness of a person-centred and theory-based educational intervention to increase adolescents′ adherence to adequate oral hygiene behaviour, that is, self-performed periodontal infection control. Materials and Methods: Data were derived from a prospective, multi-centred, two-arm, quasi-randomized field study in which treatment was performed by dental hygienists (DHs) within the Public Dental Service, Västra Götaland, Sweden. Adolescents with poor oral hygiene conditions were invited to participate. The test intervention was based on cognitive behavioural theory and principles, and the DHs used a collaborative communicative approach, inspired by motivational interviewing. The control intervention consisted of conventional information/instruction. Clinical assessments and oral hygiene behaviours were evaluated at 6 months. Results: Three-hundred and twelve adolescents were enrolled, of whom 274 followed the treatment to 6-month follow-up. There were significant improvements in gingival bleeding and plaque scores for both treatment groups at 6 months, with significantly greater improvements in the test group. Adolescents in the test group brushed their teeth and used interdental cleaning aids more frequently compared to participants in the control group at 6 months. Conclusion: A person-centred and theory-based oral health education programme is more effective than conventional oral health education in improving adolescents' oral hygiene behaviour and periodontal infection control. ClinicalTrials.gov (NCT02906098). © 2022 The Authors. Journal of Clinical Periodontology published by John Wiley & Sons Ltd.
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3.
  • Abrahamsson, Kajsa H., 1956, et al. (författare)
  • Ambivalence in Coping with Dental Fear and Avoidance: A Qualitative Study
  • 2002
  • Ingår i: Journal of Health Psychology. - : SAGE Publications. - 1359-1053 .- 1461-7277. ; 7:6, s. 653-664
  • Tidskriftsartikel (refereegranskat)abstract
    • Dental phobia is a widespread problem, which can have significant impact on the individual's health and daily life. This grounded theory study aims to explore the situation of dental phobic patients: how dental phobia interferes with their normal routines and functioning, social activities and relationships, what factors contribute to the maintenance of dental fear and how they cope with their fear. In the qualitative analysis of thematized in-depth interviews four main categories were developed: threat to self-respect and well-being, avoidance, readiness to act and ambivalence in coping. The results show that several psychological and social factors interact in determining how dental phobic individuals cope with their fear, and demonstrate in what way dental fear affects their daily lives.
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5.
  • Abrahamsson, Kajsa H., 1956, et al. (författare)
  • Attitudes to dental hygienists: evaluation of the Dental Hygienist Beliefs Survey in a Swedish population of patients and students.
  • 2007
  • Ingår i: International journal of dental hygiene. - : Wiley. - 1601-5029 .- 1601-5037. ; 5:2, s. 95-102
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim was to evaluate and test the psychometric properties of the Dental Hygienist Beliefs Survey (DHBS) in a Swedish sample of different patient groups and students. It was hypothesized that negative dental hygienist beliefs would discriminate between fearful and non-fearful study groups. The DHBS was distributed together with the revised Dental Beliefs Survey (DBS-R) and the Dental Anxiety Scale (DAS). The study sample included 394 subjects (130 students, 144 general dental patients, 90 periodontal patients and 30 patients on a waiting list for dental fear treatment). The results verified that the DHBS discriminates well between dentally fearful and non-fearful study groups. The DHBS had high internal consistency (Cronbach's alpha = 0.96-0.98) in all the groups. The correlation between the DHBS and the DBS-R was high (rho = 0.82, P < 0.001). Furthermore, the DHBS correlated significantly with the DAS, as well as with a low but significant correlation to age (more negative attitudes in younger age groups) and gender (more negative attitudes amongst women). Regression analysis showed that gender and the DHBS items: 23, 16 and 28, i.e. items related to feeling helpless, worries/fears not being taken seriously and fear about 'bad news' possibly preventing treatment, were the most important predictors of dental fear. The results suggest that the DHBS may be a valid and reliable scale to use in order to assess patient's specific attitudes to dental hygienists. However, the psychometric properties including test-retest analysis and the underlying factor structure of the DHBS need to be further explored.
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7.
  • Abrahamsson, Kajsa H., 1956, et al. (författare)
  • Dental beliefs: evaluation of the Swedish version of the revised Dental Beliefs Survey in different patient groups and in a non-clinical student sample.
  • 2006
  • Ingår i: European journal of oral sciences. - : Wiley. - 0909-8836 .- 1600-0722. ; 114:3, s. 209-15
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to evaluate and to test the psychometric properties of a Swedish version of the revised Dental Beliefs Survey (DBS-R) in different patient groups and in a non-clinical sample of students. It was hypothesized that negative dental beliefs, assessed using the DBS-R, would discriminate between fearful and non-fearful study groups. The questionnaire was distributed together with the Dental Anxiety Scale (DAS). The sample included 550 adults who responded to the questionnaires (206 students, 177 general dental patients, 105 periodontal patients and 62 patients at a waiting list for dental-fear treatment). The internal drop-out rate was low. The results confirmed that the DBS-R discriminates well between fearful patients and the other study groups. The DBS-R had a high internal consistency in all the study groups. Furthermore, the DBS-R correlated significantly with age (higher values in younger age groups) and the DAS. Regression analyses showed that the DBS-R subdimensions of 'communication' and 'control'/or 'trust', respectively, were significant predictors for dental fear. The results suggest that the DBS-R is a reliable and valid instrument for use in different Swedish patient- and non-clinical population groups in order to assess attitudes to dentists. However, the underlying factor structure of the DBS-R needs to be further explored and established.
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9.
  • Abrahamsson, Kajsa H., 1956 (författare)
  • Dental fear and oral health behavior. Studies on psychological and psychosocial factors
  • 2003
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The general aim of this thesis was to study psychological and psychosocial factors in relation to the development, maintenance and expression of dental fear, how individuals cope with their fear, and how dental fear may impact on health and daily life. The study samples consisted of adult dental fear patients seeking treatment at a specialized dental fear clinic. Both quantitative and qualitative research methods were used. The qualitative interview protocols were analyzed using the constant comparative method of grounded theory. It was found that dental fear patients with concomitant high general fear differ in several ways from patients with less frequent and wide-spread fear. These differences concern dental fear reactions and related emotions, as well as general psychological dimensions. The results indicated an overall more negative and complex situation for patients with high dental and general fear. Comparisons between severe dental fear patients reporting different attendance patterns showed a higher education level and more filled teeth among patients with a history of regular dental care, while patients with phobic dental avoidance behavior had more anticipatory dental anxiety, more missing teeth, and reported a stronger negative impact from dental fear/poor oral status on daily life. General fearfulness was not related to phobic dental avoidance. According to the qualitative interviews the onset of dental fear was commonly related to an individual vulnerability and to traumatic dental care experiences, where perceived negative dentist behavior played a significant role. The patient was caught in a "vicious circle" that was difficult to break, and fear and anxiety were maintained by negative expectations about treatment and about the patient's own ability to cope in dental care situations. The interviews brought out the patients' ambivalence in coping with dental fear. The ambivalence was between, on the one hand the tendency to avoid dental care, and on the other hand the need for dental care and their attempt to find active problem-solving strategies. This left patients in a state of conflict with negative consequences for self-respect and well-being. It was obvious that dental fear and deteriorated oral health status resulted for many patients in wide-spread negative life consequences. It was also obvious that several psychological and social factors interact in determining how individuals cope with their dental fear, and demonstrate how dental fear affects their daily lives. Finally, the importance of dental beliefs in dental fear treatment was investigated. The interpretation of the results suggests that the assessment of dental beliefs provides valuable information and that patients' subjective perceptions about how dentists communicate are important for treatment outcome. However, initial dental beliefs were not found to predict clinical treatment outcome, and dental beliefs are one of several factors interacting in dental fear treatment. The results emphasize the complexity of dental fear and oral health behavior, where personality characteristics and environmental factors interact. This further elucidates the need for a broad-spectrum approach in dentistry.
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10.
  • Abrahamsson, Kajsa H., 1956, et al. (författare)
  • Dental phobic patients' view of dental anxiety and experiences in dental care: a qualitative study.
  • 2002
  • Ingår i: Scandinavian journal of caring sciences. - 0283-9318. ; 16:2, s. 188-96
  • Tidskriftsartikel (refereegranskat)abstract
    • Dental phobic patients' view of dental anxiety and experiences in dental care: a qualitative study The aim of this study was to explore and describe dental phobic patients' perceptions of their dental fear and experiences in dental care. The study sample consisted of 18 participants (12 women), with a mean age of 39.4 years, selected consecutively from patients applying for treatment at a specialized dental fear clinic in G?teborg, Sweden. Dental fear, assessed by the Dental Anxiety Scale, showed score levels well over established levels for severe dental fear. The method for sampling and analysis was inspired by the constant comparative method for Grounded Theory (GT). The thematized in-depth interviews took place outside the clinic and lasted for 1-1.5 h. All the interviews were conducted by the first author (KHA), audiotaped and transcribed verbatim. Three higher-order categories were developed and labelled existential threat, vulnerability and unsupportive dentist. Existential threat was identified as the core category, describing the central meaning of the subjects' experiences in dental care. The core category included two dimensions, labelled threat of violation and threat of loss of autonomy and independence. The core category and the descriptive categories are integrated in a model framing the process of dental fear, as described by the informants. In conclusion, the onset of dental fear was commonly related to individual vulnerability and to traumatic dental care experiences, where perceived negative dentist behaviour played a significant role. The patient was caught in a 'vicious circle' that was difficult to break, and where fear and anxiety were maintained by negative expectations about treatment and about patient's own ability to cope in dental care situations.
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