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- Abrahamsson, Kajsa H., 1956, et al.
(författare)
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Attitudes to dental hygienists: evaluation of the Dental Hygienist Beliefs Survey in a Swedish population of patients and students.
- 2007
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Ingår i: International journal of dental hygiene. - : Wiley. - 1601-5029 .- 1601-5037. ; 5:2, s. 95-102
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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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| 5. |
- Hellqvist, Lena, 1960-, et al.
(författare)
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Tobacco use in relation to socioeconomic factors and dental care habits among Swedish individuals 15-70 years of age, 1983-2003.
- 2009
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Ingår i: International journal of dental hygiene. - : Wiley. - 1601-5037 .- 1601-5029. ; 7:1, s. 62-70
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: The aim of this study was to describe the use of tobacco and changes in its use over time among individuals living in Jönköping, Sweden, and to analyse tobacco habits in relation to socioeconomic conditions, personality aspects and dental care habits. METHODS: This study comprised three epidemiological cross-sectional studies, involving a random selection of individuals aged between 15 and 70 years, and was conducted in 1983, 1993 and 2003. The participants were asked to complete a questionnaire. RESULTS: The results revealed a statistically significant reduction from 34% tobacco users in 1983 to 27% in 1993 and 28% in 2003. The main decrease was seen among smokers. At the same time, the number of users of snuff increased in all the age groups between 20 and 60 years of age. The use of tobacco was therefore largely unchanged in 1993 and 2003. In 2003, there was a statistically significant difference between users and non-tobacco users when it came to the frequency of dental visits; more tobacco users than non-tobacco users did not visit a dentist at all or did not visit a dentist regularly. In 1993, non-tobacco users brushed their teeth more frequently than tobacco users and this difference was statistically significant. CONCLUSIONS: During the 20-year study, there was a reduction in the number of smokers and an increase in the number of snuff users. There was a difference between tobacco users and non-tobacco users when it came to the frequency of dental visits and oral hygiene habits.
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- Jönsson, Birgitta, et al.
(författare)
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An individually tailored treatment programme for improved oral hygiene : introduction of a new course of action in health education for patients with periodontitis
- 2009
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Ingår i: International Journal of Dental Hygiene. - Oxford : Wiley. - 1601-5029 .- 1601-5037. ; 7:3, s. 166-175
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To describe and evaluate an individually tailored treatment programme based on a behavioural medicine approach to oral hygiene self-care for patients with chronic periodontitis.Methods: Two experimental single-case studies with multiple-baseline design across different self-administered oral hygiene behaviours were conducted. Cognitive Behavioural techniques were used to organize the strategies for the intervention and the approach to counselling was inspired by and structured in accordance with Motivational Interviewing. The central features in the programme were the individual analysis of knowledge and oral hygiene habits, individually set goals for oral hygiene behaviour, practice of manual dexterity for oral hygiene aids, continuous self-monitoring of the behaviour and prevention of relapse.Results: Both participants reached the predecided criteria for clinical significance in reducing plaque and bleeding on probing. Reductions of periodontal probing depth were achieved as well. The positive results remained stable throughout the 2-year study period.Conclusion: The successful application of this educational model suggests that it could be used as a method for tailoring interventions targeted to oral hygiene for patients with periodontal conditions. The programme will now be tested in a larger randomized controlled trial.
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| 9. |
- Karlsson, E, et al.
(författare)
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Periodontitis from the patient's perspective, a qualitative study.
- 2009
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Ingår i: International journal of dental hygiene. - : Wiley. - 1601-5037 .- 1601-5029. ; 7:1, s. 23-30
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Tidskriftsartikel (refereegranskat)abstract
- Periodontitis is an infectious disease that impacts people's oral health and can lead to the loss of teeth. There are several factors that explain why some people develop this disease. PURPOSE: The aim of this study was to describe patients' perceptions of living with periodontitis. METHOD: A qualitative method inspired by phenomenography was chosen, because the focal point was the patients' perceptions of this phenomenon. A total of 10 patients, all of whom were being treated at a specialist clinic for periodontology in the south of Sweden, were interviewed. RESULTS: Two main categories were identified: perceptions of disease and perceptions of having the disease under control, together with subcategories. The first category highlights the patients' perception of what causes periodontitis, being given the diagnosis, after the diagnosis and the consequences of periodontitis. The other main category highlights the patients' perception of their own responsibility and the professionals' responsibility. The patients' oral health-related quality of life had been influenced by periodontitis. There is no guarantee that the patient has understood what is actually required of him/her during treatment, despite information about the diagnosis. It can often take some time for patients to understand the nature of their disease. CONCLUSION: Acceptance and control of the disease result in less inconvenience in the patients' daily lives. It creates an optimistic future perspective, despite feelings of anxiety about facing consequences such as tooth loss.
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- Mårtensson, Carina, et al.
(författare)
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Factors behind change in knowledge after a mass media campaign targeting periodontitis
- 2006
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Ingår i: International Journal of Dental Hygiene. - 1601-5029 .- 1601-5037. ; 4:1, s. 8-14
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate changes in knowledge before and after a mass media campaign, in relation to social attributes, care system attributes and oral health aspects. The study was based on a questionnaire in a cohort design, sent out to 900 randomly sampled people aged 50–75 in Sweden. The response rate to the questionnaire before and after the campaign was 70% and 65% respectively. Sixty-four percent answered both questionnaires. Two questions addressed knowledge, while 10 questions aimed to measure social attributes, care system attributes and oral health aspects. Data were analysed for bivariate relations as to change in knowledge and social attributes, care system attributes and oral health aspects. Data were also analysed in multiple regression analysis with knowledge before, knowledge after and knowledge differences as dependent variables. The results showed that there were a number of independent variables with influence on the dependent variables. Of the social attributes, secondary education gave almost 10% (P < 0.001) better knowledge both before and after the campaign. Among care system attributes, high care utilization was related to knowledge both before and after the campaign. The most important factors for knowledge about periodontitis were education, care utilization and perceived importance of oral health. In conclusion, this study demonstrates that mass media might increase knowledge about periodontitis as a health promotion strategy.
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