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Cited by 43Dental Health and Care UtilizationOral microbiology and periodontitis researchBehavioral Health and Interventions

Factors influencing oral hygiene behaviour and gingival outcomes 3 and 12 months after initial periodontal treatment: An exploratory test of an extended Theory of Reasoned Action

Jönsson, Birgitta, Baker, Sarah R., Lindberg, Per, Oscarson, Nils, Öhrn, Kerstin·2012·Journal Of Clinical Periodontology
DOI 10.1111/j.1600-051x.2011.01822.x
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Abstract

AIM: The aim was to empirically test the extended Theory of Reasoned Action (TRA) and the prospective direct and indirect role of attitudes, beliefs, subjective norms, self-efficacy, and a cognitive behavioural intervention in adult's oral hygiene behaviour and gingival outcomes at 3- and 12-month follow-up. MATERIALS AND METHODS: Data were derived from an RCT evaluating the effectiveness of oral hygiene educational programs integrated in non-surgical periodontal treatment (n = 113). Before baseline examination, participants completed a self-report questionnaire. Structural equation modelling using maximum likelihood estimation with bootstrapping was used to test the direct and indirect (mediated) pathways within the extended TRA model. RESULTS: The extended TRA model explained a large amount of variance in gingival outcome scores at 12 months (56%). A higher level of self-efficacy at baseline was associated with higher frequencies of oral hygiene behaviour at 3 months. Being female was linked to more normative beliefs that, in turn, related to greater behavioural beliefs and self-efficacy. Gender was also related to behavioural beliefs, attitudes and subjective norms. Both frequency of oral hygiene behaviour at 3 months and the cognitive behavioural intervention predicted gingival outcome at 12 months. CONCLUSIONS: The model demonstrated that self-efficacy, gender and a cognitive behavioural intervention were important predictors of oral hygiene behavioural change.

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  • At three months, having a higher level of self-efficacy at baseline was coupled with achieving a higher frequency of OH behavior.

    “At three months, having a higher level of self-efficacy at baseline was coupled with achieving a higher frequency of OH behavior [85].”

    From Behavioral Interventions on Periodontitis Patients to Improve Oral Hygiene: A Systematic Review (2023) · cites this paper as [85]

  • In the Jonsson and colleagues studies, the intervention was delivered by a dental hygienist and took more clinical time than the brief interventions in the present study.

    “In contrast to the present study, in the studies conducted by Jonsson and colleagues the intervention was delivered by a dental hygienist and took more clinical time than the brief interventions introduced here.”

    From The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (2019) · cites this paper as [26]

  • Jonsson and colleagues demonstrated that individualized patient communications including goal setting and discussion of individual risk factors reduce plaque and decrease bleeding on probing.

    “Jonsson and colleagues 22-26 have demonstrated the benefits in terms of plaque reduction and decreased bleeding on probing of individualized patient communications which include goal setting and discussion of individual risk factors.”

    From The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (2019) · cites this paper as [26]

  • The benefits in the Jonsson and colleagues studies were maintained at two years.

    “The benefits sustained in these latter studies were maintained at two years.”

    From The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (2019) · cites this paper as [26]

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Authors
Jönsson, B., Baker, S. R., Lindberg, P., Oscarson, N., & Öhrn, K.
Affiliations
  • Dalarna University (SE)
  • University of Sheffield (GB)
  • Uppsala University (SE)
  • National Board of Health and Welfare (SE)
Corresponding author
Jönsson, Birgitta
ORCID
Venue
Journal Of Clinical Periodontology
Publisher
Wiley
Published
2011-12-06
Volume
39
Issue
2
Pages
138-144
ISSN
  • 0303-6979 (ISSN-L)
  • 1600-051X
DOI
10.1111/j.1600-051x.2011.01822.x
OpenAlex
W2012068489
Cited by
43
References
35
Citations by year
2026: 3 · 2025: 4 · 2023: 2 · 2022: 1 · 2021: 7 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 4 · 2016: 5 · 2015: 5 · 2014: 2 · 2013: 2 · 2012: 1
FWCI
1.97
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal Of Clinical Periodontology (publishedVersion)
  • PubMed (publishedVersion)
  • Figshare (submittedVersion)
Topics
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords
oral hygiene behaviour, self-efficacy, subjective norms, attitudes, behavioral beliefs, cognitive-behavioural intervention, dental hygiene education, non-surgical periodontal therapy, gender differences, behavior change
MeSH terms
Adult, Aged, Dental Prophylaxis, Female, Follow-Up Studies, Gingiva, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Models, Psychological, Oral Hygiene, Patient Education as Topic, Periodontal Index, Prospective Studies, Psychological Theory, Sex Factors, Health Behavior, Cognitive Behavioral Therapy, Likelihood Functions, Single-Blind Method, Treatment Outcome, Self Efficacy, Chronic Periodontitis

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