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Oral Health Care–Specific Self‐Efficacy Assessment Predicts Patient Completion of Periodontal Treatment: A Pilot Cohort Study

医学 自我效能感 牙周炎 队列 口腔健康 慢性牙周炎 物理疗法 牙科 内科学 心理学 心理治疗师
作者
Naoki Kakudate,Manabu Morita,Masamitsu Kawanami
出处
期刊:Journal of Periodontology [Wiley]
卷期号:79 (6): 1041-1047 被引量:46
标识
DOI:10.1902/jop.2008.070552
摘要

Whether patients complete periodontal treatment is an important matter of concern. Self-efficacy is the confidence of an individual that determines "how well he/she can take the actions necessary for producing certain results" and is a variable that forecasts behavior. This study examined whether oral health care-specific self-efficacy can predict patient completion of periodontal treatment.A total of 140 subjects with mild to moderate chronic periodontitis (64 females and 76 males; 19 to 86 years of age; mean age: 51.7 +/- 15.7 years) participated in this study. Their self-efficacy was assessed using the self-efficacy scale for self-care (SESS) and the general self-efficacy scale (GSES) scores at the initial visit. SESS consists of three subscales: self-efficacy for dentist consultations, brushing of the teeth, and dietary habits. The subjects were classified into three groups: group 1 = 87 subjects who stayed in periodontal treatment and fulfilled maintenance criteria; group 2 = 17 subjects who stayed in periodontal treatment but did not fulfill criteria; and group 3 = 36 subjects who dropped out of periodontal treatment. Clinical and demographic characteristics and scores of GSES, SESS, and their subscales were compared among the three groups using the chi(2) and non-parametric multiple comparison tests.The mean age of the subjects in groups 1 and 2 was significantly greater than the mean age of the subjects in group 3. Groups 1 and 2 exhibited significantly deeper probing depths and higher scores for SESS and its subscale, self-efficacy for dentist consultations, than did group 3.Assessment of oral health care-specific self-efficacy is effective for the prediction of patient completion of periodontal treatment.

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