world white smile - spoh-arts · cross-cultural communication, 1, 1-16. 31 . 11th national congress...
Post on 09-Jul-2020
1 Views
Preview:
TRANSCRIPT
World White Smile
Determinants and promotion of oral hygiene behavior in diverse contexts
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal. 1
On behalf of the Dutch Association of Dental Hygienists
Congratulations!
A healthy mouth for a healthy life &
the promotion of preventive oral health care
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
3
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Flag carrier at IFDH 2010 in Glasgow
4
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
President at FDI 2011 in Mexico
5
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
PhD thesis 01-04-2010
Background
• The primary goal of oral hygiene care is the prevention of dental problems, a process in which the dental hygienist plays a central role
• Oral disease consequence of inadequate oral
hygiene behavior (OHB)
• Inadequate OHB very prevalent in all populations and cultures 6
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Background • Important to establish the factors that influence
OHB (determinants)
• Determinants depend on context and culture
• “one size fits all‟” - approach will not be effective
• Identification and assessment important for developing oral health care interventions
7
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Primary focus
• Development of an
Index for Oral Hygiene Behavior
• Insight into determinants of OHB assessed with the
Theory of Planned Behavior (TPB)
8
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
9
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
“brushing your teeth twice a day (once after breakfast and once before going to sleep), using a soft-bristled toothbrush and fluoride containing toothpaste brushing softly for at least two minutes; brushing stepwise by making small strokes –sort of massage– near the gum, along the inside and the outside, and on the jackdaw areas In addition to the tooth brushing, daily interdental cleaning (i.e., use of floss, tooth sticks, or interdental brushes) and tongue cleaning is also recommended.”
Oral Hygiene Behavior (OHB)
10
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Theory of Planned Behavior Attitude: „Evaluation of the advised oral hygiene behavior, on dimensions unimportant-important, unpleasant -pleasant, unhealthy-healthy, and painful-painless‟ Social norms: „My parents think that I should perform oral hygiene self-care as advised‟ Perceived behavior control: ‘Do you succeed in taking care of your teeth based on the daily OHB‟ Expected Social Outcomes: ‘In social contacts fresh breath is important‟ Oral Health Knowledge: „Gum bleeding is a sign of a periodontal disease‟
Differences in Oral Hygiene behavior
11
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Recruits in the Dutch Army Dental care seekers in the Caribbean
Dental care seekers in Nepal
Dental care seekers in the Dominican Republic
Dental patients in Uruguay Dental patients in Spain
Dutch Adults
Determinants in OHB - Dutch Adults
12
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Social Norms
Perceived Behavioral Control
Expected Social Outcomes
Oral Health Knowledge
Attitude
Oral Hygiene Behavior
Buunk-Werkhoven Y.A.B., Dijkstra A, van der Schans C.P. (2011). Determinants of oral hygiene behavior: A study based on the theory of planned behavior. Community Dentistry and Oral Epidemiology, 39, 250-259.
Determinants in OHB - Dutch Army
13
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Social Norms
Perceived Behavioral Control
Expected Social Outcomes
Oral Health Knowledge
Attitude
Intention to perform OHB
Buunk-Werkhoven Y.A.B., Dijkstra A, Van der Wal, H., Basic, N., Loomans, S.A., Van der Schans, C.P. & Van der Meer, R. Promoting Oral Hygiene Behavior in Recruits in the Dutch Army. Military Medicine, 2009; 174, 971-976.
OHB
14
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Determinants in OHB - Caribbean
15
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Social Norms
Perceived Behavioral Control
Expected Social Outcomes
Oral Health Knowledge
Attitude
Oral Hygiene Behavior
Buunk-Werkhoven Y.A.B., Dijkstra A, Bink, P., Van Zanten, S. & Van der Schans, C.P. (2011). Determinants and promotion of oral . hygiene behaviour in the Caribbean and Nepal. International Dental Journal, 61, 267-273 DOI: 10.1111/j.1875-595X.2011.00071.x
Determinants in OHB - Nepal
16
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Social Norms
Perceived Behavioral Control
Expected Social Outcomes
Oral Health Knowledge
Attitude
Oral Hygiene Behavior
Buunk-Werkhoven Y.A.B., Dijkstra A, Bink, P., Van Zanten, S. & Van der Schans, C.P. (2011). Determinants and promotion of oral hygiene behaviour in the Caribbean and Nepal. International Dental Journal, 61, 267-273 DOI: 10.1111/j.1875-595X.2011.00071.x
Determinants in OHB - Uruguay
17
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Social Norms
Expected Social Outcomes
Attitude
Oral Hygiene Behavior
Buunk-Werkhoven Y.A.B, Dijkstra A, Bink, P., Van der Schans C.P., Jaso, M.E., Acevedo, S., Parodi Estellano, G. 2008. Evaluación y promoción de la actitud .hacia la higiene oral en pacientes de la Facultad de Odontología de la Universidad Católica del Uruguay [Evaluation and promotion of patients‟ oral hygiene behavior in the faculty of Odontology of the Catolic University in Uruguay]. Actas Odontológicas Vol. V No. 2 Julio-Diciembre 13-20.
Determinants in OHB - Spain
18
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Social Norms
Expected Social Outcomes
Attitude
Oral Hygiene Behavior
Buunk-Werkhoven Y.A.B., Dijkstra A, & Van Palenstein Helderman, W.H. Gender differences in determinants of oral hygiene behavior. (manuscript in preparation upon invitation of) International Journal of Dental Hygiene.
19
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Determinants in OHB – Dominican Republic
20
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Social Norms
Perceived Behavioral Control
Expected Social Outcomes
Oral Health Knowledge
Attitude
Oral Hygiene Behavior
Buunk-Werkhoven Y.A.B., Burrekers, S.Y., Jongboer, A., Quant, D. & Van Maanen-Schakel, N. Determinants of oral hygiene behavior in the Dominican Republic. (manuscript submitted for publication)
21
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
* in general Dutch population: attitude towards dental hygiene, social norms, perceived behavior control, and knowledge about dental care * among Dutch military soldiers: attitude and perceived behavior control
* among dental-care seekers in the Caribbean and among dental patients in Uruguay: attitude and social norms * among dental-care seekers in Nepal: perceived behavior control
* among dental patients in Spain and among dental-care seekers in the Dominican Republic: attitude
Summary primary focus
Second focus
• concerned the psychological factors related to Oral Health-Quality of Life (OH-QoL)
as assessed by the Dutch version of the Oral
Health Impact Profile-14 (OHIP-14-NL)
22
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Determinants in OH-QoL – Imprisoned forensic psychiatric patients
23
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Dental Anxiety
General Health Perception
Expected Social Outcomes
OHB
Oral Health- Quality of life
Buunk-Werkhoven Y.A.B., Dijkstra, A. Schaub, R.M.H., Van der Schans, C.P. & Spreen, M. (2010). Oral health-related quality of life among imprisoned Dutch forensic psychiatric patients. Journal of Forensic Nursing, 6,137-143
Dentition Characteristics
Determinants in OH-QoL - Students
24
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Dental Anxiety
General Health Perception
Expected Social Outcomes
OHB
Oral Health- Quality of life
Buunk-Werkhoven Y.A.B., Dijkstra, A. & Van der Schans, C.P. (2009). Oral health-quality of life predictors depend on population. Applied Research Quality of Life, 4(3) 283-293.
Determinants in OH-QoL - Patients
25
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Dental Anxiety
General Health Perception
Expected Social Outcomes
OHB
Oral Health- Quality of life
Buunk-Werkhoven Y.A.B., Dijkstra, A. & Van der Schans, C.P. (2009). Oral health-quality of life predictors depend on population. Applied Research Quality of Life, 4(3) 283-293.
Dentition Characteristics
26
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
* among forensic psychiatric patients: OH-QoL was related primarily to fear of dental anxiety and unhealthy dentition * among patients from a regular dental care clinic: OH-QoL was related primarily to fear of dental anxiety * among undergraduate students: fear was not related to OH-QoL Although not all relations could be interpreted unequivocally, the pattern of findings illustrated that differences between the samples influenced the psychological processes involved in OH-QoL
Summary second focus
27
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Overall process model of the determinants of OHB and OH-QoL with Context and Country as moderators
Intention Social Norms
Perceived Behavior Control
Expected Social Outcomes
Oral Health Knowledge Attitude
Oral Hygiene Behavior
Oral Disease versus Oral Health
Oral Health-related Quality of Life
General Health Perception
Dental Anxiety
Context and Country
Forensic Psychiatric Centre
28
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Third focus • concerned the effects of interventions aimed at
improving OHB and OH-QoL - the effect of oral health care by a dental hygienist in a
forensic psychiatric centre Buunk-Werkhoven Y.A.B., Dijkstra, A. & Van der Schans, C.P. (2009). Oral health-quality of life predictors depend on population. Applied
Research Quality of Life, 4(3) 283-293
- case report, demonstrated a short-time „effect‟ of a
tailored oral hygiene self-care intervention on an imprisoned forensic psychiatric patient‟s OH-QoL
Buunk-Werkhoven Y.A.B., Dijkstra-le Clercq, M., Verheggen-Udding, E.L., De Jong, N. & Spreen, M. (2011). Halitosis and Oral health-related Quality of Life: A Case Report. International Journal of Dental Hygiene. DOI: 10.1111/j.1601-5037.2011.00512.x 29
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Third focus • Experimental study, examined the effect of two
different persuasive oral health messages in promoting OHB
In Spain and Uruguay: the effectiveness of presenting
individuals with a positive, encouraging message depended on the country of residence, level of education and the importance individuals attached to their health
30
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Buunk-Werkhoven, Y.A.B., Dijkstra, A., Jaso, M.E., Acevedo, S., Parodi Estellano, G. & Almerich Silla, J.M. (2011). Persuasive oral hygiene communications in Uruguay and Spain. Cross-cultural Communication, 1, 1-16
31
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Oral hygiene related interventions, whether aimed at improving OHB or
OH-QoL, need to be specifically adjusted to or
designed for the population under target
Conclusion
32
11th National Congress of Associação Portuguesa de Higienistas Orais. 21 October 2011 Coimbra, Portugal.
Practical implications
The identified and mapped factors in the process model can be used for
the development of tailored oral hygiene self-care interventions for
influencing OHB and OH-QoL
Obrigada! Questions?
top related