The effects of providing periodontal disease risk information on psychological outcomes – a randomized controlled trial
Open accessAbstract
Aim: In a two arm randomized controlled trial this study compared the effects of a routine periodontal assessment consultation versus a routine consultation + individualized risk assessment communication intervention on patient thoughts and emotions about periodontal disease. Materials and Methods: Adults (N = 102) with moderate/advanced chronic periodontitis referred to a Periodontology Department of a large UK dental school, completed psychological measures before a periodontal assessment and again at the end of the visit. Intervention participants received an individualized calculation of their periodontal disease risk using PreViser Risk Calculator in addition to their routine assessment consultation. Results: In routine care, patients’ thoughts about periodontal disease seriousness (p < 0.001) and susceptibility (p < 0.03) increased post‐consultation and participants felt more positive (p < 0.02) about periodontal disease. These effects were also seen in intervention participants. Additionally, the individualized risk communication intervention led to patients reporting i) periodontal disease treatment as more effective than they did pre‐consultation (p < 0.001), ii) feeling more confident in their ability to adhere to treatment as seen in increases in self‐efficacy (p < 0.05) and iii) higher intentions to adhere to periodontal management (p < 0.03). Conclusions: Individualized periodontal disease risk communication influences psychological variables that underpin adherence with periodontal instructions.
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One way to improve patients' oral hygiene-related behaviors is through the effective communication of the individual's risk of acquiring the disease.
“One way to improve patients ' oral hygiene-related behaviors is through the effective communication of the individual ' s risk of acquiring the disease 3 .”
From The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (2019) · cites this paper as [3]
The Discussion (p. 10) reports that individualised risk communication increased patients’ motivation, self-efficacy and stated intention to follow periodontal instructions. It also says the study was too short to determine whether these changes translated into sustained behaviour change, so it does not establish the claimed improvement in oral hygiene behaviour. (LLM, conf=0.89)
Experimental — accuracy not yet measuredPrevious PMT-based work on periodontal disease patients reported that the communication of individualized risk scores in patients with periodontal disease successfully influenced psychological variables that underpinned treatment adherence.
“Previous PMT-based work on periodontal disease patients, reported that the communication of individualized risk scores in patients with periodontal disease successfully influenced psychological variables that underpinned treatment adherence 3 .”
From The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (2019) · cites this paper as [3]
The previous PMT-based study did not examine the impact of the risk information on clinical indicators of periodontal disease.
“This study, however, did not examine the impact of the risk information on clinical indicators of periodontal disease.”
From The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (2019) · cites this paper as [3]
The pattern of results is similar to work previously reported by the authors.
“Although this pattern of results is similar to work we have reported previously 3”
From The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (2019) · cites this paper as [3]
Giving disease risk information to patients might prepare them psychologically to change their behavior.
“where giving disease risk information to patients might prepare them psychologically to change their behavior”
From The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (2019) · cites this paper as [3]
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“Whilst knowledge and manual dexterity may be addressed in the dental surgery fairly easily, supporting patients’ motivation to adhere with oral health instructions can be less straightforward (Asimakopoulou and Daly, 2009, Renz and Newton, 2009, Asimakopoulou and Newton, 2014).”
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The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial.
Asimakopoulou, K., Nolan, M., McCarthy, C., & Newton, J. T. (2019) · Journal of Periodontology · doi:10.1002/jper.18-0385 · Cited by 34 · see citing works
Self-citationAbbinante, A., Antonacci, A., Antonioni, M., Butera, A., Castaldi, M., Cotellessa, S., Di Marco, C., Gangale, M., Izzetti, R., Luperini, M., et al. (2024) · International Journal of Dentistry · doi:10.1155/2024/8592336 · Cited by 15 · see citing works
“The choice of appropriate goals with the patient, along with active patient engagement in behavioural change, initiates the journey towards lifestyle change under the guidance and coaching of oral health professionals [2].”
Background
- Authors
- Asimakopoulou, K., Newton, J. T., Daly, B., Kutzer, Y., & Ide, M.
- Affiliations
- Guy's Hospital (GB)
- Dental Institute at Guy's King's College and St Thomas' Hospitals Division of Population and Patient Health London UK
- St Thomas' Hospital (GB)
- Corresponding author
- Asimakopoulou, Koula
- Venue
- Journal of Clinical Periodontology
- Publisher
- Wiley
- Published
- 2015-03-24
- Volume
- 42
- Issue
- 4
- Pages
- 350-355
- ISSN
- 0303-6979 (ISSN-L)
- 1600-051X
- OpenAlex
- W2011519866
- Cited by
- 59
- References
- 5
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 8 · 2023: 6 · 2022: 3 · 2021: 2 · 2020: 7 · 2019: 5 · 2018: 6 · 2017: 5 · 2016: 8
- FWCI
- 8.58
- Type
- journal article
- Language
- en
- Open access
- green
- kclpure.kcl.ac.uk
- Licence
- Locations
- Journal Of Clinical Periodontology (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion, other-oa)
- Funders
- Oral and Dental Research Trust
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Keywords
- chronic periodontitis, perceived susceptibility, self-efficacy, medication adherence, patient education, psychological outcomes
- MeSH terms
- Adult, Anxiety, Attitude to Health, Communication, Dentist-Patient Relations, Depression, Disease Susceptibility, Emotions, Female, Humans, Male, Middle Aged, Motivation, Patient Compliance, Patient Education as Topic, Self Concept, Single-Blind Method, Risk Assessment, Self Efficacy, Intention, Chronic Periodontitis
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