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Promoting oral health: knowledge of periodontal disease and satisfaction with dental care
Kristianstad University, School of Health and Society. (Avdelningen för Hälsovetenskap)
2012 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The general aims of this thesis were to evaluate if a mass media campaign, aimed as a health promoting campaign, and visits to a specialist clinic in periodontology could increase the knowledge of periodontitis, symptoms and treatment. A further aim was to analyse expectations and satisfaction with care among patients referred for comprehensive treatment to specialist clinics. Paper I and II evaluating if a nationwide mass media campaign increased the knowledge of periodontitis (paper I) and factors associated with knowledge (paper II). The evaluations were done using a mail questionnaire in a before and after design. The questionnaireswere sent out to 50-75 years old people in Sweden, randomly sampled from the population register. Paper I showed an improvement of correct answers about symptoms and treatment of periodontitis after the media campaign. In paper II, it was shown that education, utilization and perceived importance of oral health were related to knowledge both before and after the mass media campaign. Age and information about periodontitis from dental clinics were associated with knowledge before the mass media campaign. Paper III and IV evaluated the knowledge of periodontitis, and analysed self-perceived oral health (paper III), expectations on and satisfaction with care (paper IV), and evaluations were also done using a questionnaire in a before and after design. Patients referred to specialist clinics in periodontology for comprehensive periodontal treatment were consecutively sampled for the study. The results in 9 paper III showed an improvement in correct answers to the knowledge questions after visiting the specialist clinic. The most common self-perceived troubles were bleeding gums and sensitive teeth. Many of the patients experienced their oral health as rather good. In paper IV, the patients expected it to be very important or important to achieve healthy teeth and improved well-being after treatment. In general, many of the patients were satisfied with their dental visits. The patients also appeared be satisfied with the relationship to and the perception of the caregiver. In conclusion, there was an improvement of knowledge about periodontitis, possibly due to the media campaign and also after visiting a specialist clinic in periodontology. Even if the patients reported troubles from their mouths, they rated their self-perceived oral health as rather good. Achieving healthy teeth and improved wellbeing were important issues for the patients. Having a good relationship with and confidence in the caregiver seems to indicate satisfied patients.

Place, publisher, year, edition, pages
Malmö: Department of Oral Public Health, Faculty of Odontology, Malmo Univeristy , 2012. , 64 p.
Series
Doctoral dissertation in odontology
National Category
Dentistry
Identifiers
URN: urn:nbn:se:hkr:diva-9904ISBN: 978-91-7104-429-7 (print)OAI: oai:DiVA.org:hkr-9904DiVA: diva2:575560
Available from: 2012-12-10 Created: 2012-12-10Bibliographically approved
List of papers
1. Knowledge on periodontal disease before and after a mass media campaign
Open this publication in new window or tab >>Knowledge on periodontal disease before and after a mass media campaign
2004 (English)In: Swedish Dental Journal, ISSN 0347-9994, Vol. 28, no 4, 165-171 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to evaluate if a mass media campaign regarding periodontal disease could increase the knowledge in the general population of diagnoses, symptoms and treatment options of periodontal disease. More specifically, the aim was to investigate the number of correct answers to knowledge questions before and after the campaign. The Swedish Association of Periodontology conducted the campaign through brochures, newspapers, radio and TV. The effect of the campaign was evaluated by a pre- and post campaign questionnaire with a cohort design. From a national population register of 50-75 year olds in Sweden, 900 persons were randomly sampled for the study. A total of 64% of the sample answered both questionnaires. The result of the study showed an improvement among the respondents. There was a significant increase in the number of correct answers regarding diagnoses, symptoms and treatments of periodontitis. In the questionnaire, correct answers regarding "Mobile teeth" increased from 57% to 65% (p=0.003) and "careful dental hygiene" from 65% to 73% (p=0.001). Kappa value's were calculated for consistency in the reply and all kappa values were low especially for the questions "X-ray" (0.36) and "Cleaning between the teeth" (0.38). It was concluded that the campaign probably was successful from a public health knowledge standpoint.

Keyword
periodontitis, oral health promotion, oral health, mass media campaigns
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-5533 (URN)000229423700002 ()15779493 (PubMedID)
Available from: 2009-12-15 Created: 2009-12-15 Last updated: 2017-12-12Bibliographically approved
2. Factors behind change in knowledge after a mass media campaign targeting periodontitis
Open this publication in new window or tab >>Factors behind change in knowledge after a mass media campaign targeting periodontitis
Show others...
2006 (English)In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 4, no 1, 8-14 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to investigate changes in knowledge before and after a mass media campaign, in relation to social attributes, care system attributes and oral health aspects. The study was based on a questionnaire in a cohort design, sent out to 900 randomly sampled people aged 50–75 in Sweden. The response rate to the questionnaire before and after the campaign was 70% and 65% respectively. Sixty-four percent answered both questionnaires. Two questions addressed knowledge, while 10 questions aimed to measure social attributes, care system attributes and oral health aspects. Data were analysed for bivariate relations as to change in knowledge and social attributes, care system attributes and oral health aspects. Data were also analysed in multiple regression analysis with knowledge before, knowledge after and knowledge differences as dependent variables. The results showed that there were a number of independent variables with influence on the dependent variables. Of the social attributes, secondary education gave almost 10% (P < 0.001) better knowledge both before and after the campaign. Among care system attributes, high care utilization was related to knowledge both before and after the campaign. The most important factors for knowledge about periodontitis were education, care utilization and perceived importance of oral health. In conclusion, this study demonstrates that mass media might increase knowledge about periodontitis as a health promotion strategy.

Keyword
education, mass media and campaigns, oral health and knowledge, promotion, social impact
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-5243 (URN)10.1111/j.1601-5037.2006.00158.x (DOI)16451434 (PubMedID)
Available from: 2009-11-05 Created: 2009-11-05 Last updated: 2017-12-12Bibliographically approved
3. Knowledge of periodontitis and self-perceived oral health: a survey of periodontal specialist patients
Open this publication in new window or tab >>Knowledge of periodontitis and self-perceived oral health: a survey of periodontal specialist patients
2013 (English)In: Swedish Dental Journal, ISSN 0347-9994, Vol. 37, no 1, 49-58 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to investigate changes in knowledge of periodontal disease among patients referred to periodontal specialist clinics. A further aim was to investigate the patients' self- perceived oral health before the treatment. Patients referred to five specialist clinics in periodontology for comprehensive periodontal treatment were consecutive sampled. The study was based on a questionnaire in a before and after design. The first questionnaire was sent to the patients before visiting the specialist clinic and the second was sent after six months. Four questions were analysed, two to measure knowledge about periodontitis and two to measure the patients self- perceived oral health. The first questionnaire was sent by post to 273 patients with a response rate of 31%. The second questionnaire was sent to 85 patients with a response rate of 73%. The results of the study showed a statistically significant improvement of correct answers on the knowledge questions after six months was found for scaling (p = 0.006), X-ray examination (p = 0.001) and increased space between the teeth (p = 0.001). The most frequent self-perceived trouble from the mouth was bleeding gum (70%) and sensitive teeth (51%). In conclusion knowledge of periodontitis improved after visiting the specialist clinic of periodontology. Many of the patients experienced some problems of the mouth.

Keyword
Periodontitis, knowledge, self- perceived oral health
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-9903 (URN)000319787700006 ()23721037 (PubMedID)
Available from: 2012-12-10 Created: 2012-12-10 Last updated: 2017-12-07Bibliographically approved
4. Expectations and satisfaction with care for periodontal specialist patients
Open this publication in new window or tab >>Expectations and satisfaction with care for periodontal specialist patients
2013 (English)In: Acta Odontologica Scandinavica, ISSN 0001-6357, E-ISSN 1502-3850, Vol. 71, no 3-4, 799-806 p.Article in journal (Refereed) Published
Abstract [en]

Objective. The aim of this study was to investigate expectations on and satisfaction with treatment among patients referred for comprehensive treatment to specialist clinics in periodontology and to explore factors associated with satisfaction in regression analysis.

Materials and methods. Patients referred for comprehensive periodontal treatment were sampled for the study. The study was based on a questionnaire in a before-and-after design. The first questionnaire was sent to the patients before their first appointment at the specialist clinic. The second questionnaire was sent after  6 months. Three questions were used to measure expectations and four questions to measure satisfaction. The first questionnaire was sent to 273 patients with a response rate of 31% and the second questionnaire was sent to 85 patients with a response rate of 73%. In non-response analysis, no difference between respondents and non-respondents were detected as to age and gender.

Results. Many of the patients viewed it as important or very important to have healthy teeth (98%) and improved well-being (93%) after periodontal treatment. More than 50% of the patients were satisfied with the relation to the caregiver. When measuring the satisfaction in general, 42% indicated the highest score on the summarized Dental Visit Satisfaction Scale. Having confidence (p ≤ 0.001) and a good relation (p = 0.001) to the caregiver indicated higher satisfaction.

Conclusion. Having a good relation to the caregiver and having confidence in the caregiver seems to indicate satisfied patients receiving periodontal treatment at periodontal clinics.

Keyword
expectation, oral health, periodontitis, satisfaction
National Category
Dentistry
Identifiers
urn:nbn:se:hkr:diva-9878 (URN)10.3109/00016357.2012.734402 (DOI)000322832200063 ()23140519 (PubMedID)
Available from: 2012-11-28 Created: 2012-11-28 Last updated: 2017-12-07Bibliographically approved

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