TY  - JOUR
T1  - Using psychogical theory to design a health promotion intervention delivered by primary care dentists
A1  - Bonetti,D.
A1  - Clarkson,Janet
A1  - Young,L.
A1  - Ramsay,C.
AU  - Bonetti,D.
AU  - Clarkson,Janet
AU  - Young,L.
AU  - Ramsay,C.
PY  - 2008/9
Y1  - 2008/9
N2  - Background: Little is known about how best to impart oral hygiene advice in primary care. The main objective of this study was to use psychologcal theory to design a health promotion intervention that could be delivered by primary care dentists.<br/><br/>Methods: Design – A cluster RCT. Measures were assessed by questionnaire and by clinical examination at baseline and at eight weeks (+-2 weeks). Participants 50 general dental practitioners across Scotland/489 patients attending for a check-up. Outcome measures –Cognitive: Self-efficacy; Behavioural: Toothbrushing; Clinical: Plaque. Procedure – Dentists in the intervention group delivered oral hygiene advice framed using Social Cognitive Theory (Bandura) and action planning (Gollwitzer). Participants in the control group received<br/>routine care.<br/><br/>Findings: The intervention group had significantly higher self-efficacy (CI=0.01 to 1.8), better timing and method of toothbrushing (CI=1.9 to 4.8; CI¼3.6 to 7.8) and a better clinical outcome (plaque CI=25.7 to 7.7).<br/>Discussion: A simple, theory-based intervention delivered within the constraints of a primary care environment was more effective than routine care in influencing oral hygiene cognitions, behaviour and health.
AB  - Background: Little is known about how best to impart oral hygiene advice in primary care. The main objective of this study was to use psychologcal theory to design a health promotion intervention that could be delivered by primary care dentists.<br/><br/>Methods: Design – A cluster RCT. Measures were assessed by questionnaire and by clinical examination at baseline and at eight weeks (+-2 weeks). Participants 50 general dental practitioners across Scotland/489 patients attending for a check-up. Outcome measures –Cognitive: Self-efficacy; Behavioural: Toothbrushing; Clinical: Plaque. Procedure – Dentists in the intervention group delivered oral hygiene advice framed using Social Cognitive Theory (Bandura) and action planning (Gollwitzer). Participants in the control group received<br/>routine care.<br/><br/>Findings: The intervention group had significantly higher self-efficacy (CI=0.01 to 1.8), better timing and method of toothbrushing (CI=1.9 to 4.8; CI¼3.6 to 7.8) and a better clinical outcome (plaque CI=25.7 to 7.7).<br/>Discussion: A simple, theory-based intervention delivered within the constraints of a primary care environment was more effective than routine care in influencing oral hygiene cognitions, behaviour and health.
U2  - 10.1080/08870440802299543
DO  - 10.1080/08870440802299543
M1  - Book/Film/Article review
JO  - Psychology and Health
JF  - Psychology and Health
SN  - 0887-0446
IS  - Supplement 1
VL  - 23
SP  - 70
ER  -