Application of transtheoretical model to assess the compliance of chronic periodontitis patients to periodontal therapy

Abstract

Background:The present cross-sectional survey study was conducted to assess whether the transtheoretical model for oral hygiene behavior was interrelated in theoretically consistent directions in chronic periodontitis patients and its applicability to assess the compliance of the chronic periodontitis patients to the treatment suggested.Materials and Methods:A total of 150 chronic periodontitis patients were selected for the proposed study. The selected patients were given four questionnaires that were constructed based on transtheoretical model (TTM), and the patients were divided subsequently into five different groups (precontemplation, contemplation, preparation, action, and maintenance groups) based on their answers to the questionnaires. Then, each patient was given four appointments for their periodontal treatment spaced with a time gap of 10 days. The patients visit for each appointments scheduled to them was documented. The results obtained were assessed using TTM.Results:Higher mean pro scores of decisional balance, self-efficacy, and process of change scores was recorded in maintenance group followed by action group, preparation group, contemplation group, and precontemplation group, respectively, whereas higher mean cons score was recorded in precontemplation group followed by contemplation group, preparation group, action group, and maintenance group, respectively. The difference scores of TTM constructs were statistically highly significant between all the five groups. Furthermore, the number of appointment attended in were significantly more than maintenance group followed by action group, preparation group, contemplation group, and precontemplation group.Conclusion:Within the limitations of this study, it can be concluded that transtheoretical model can be successfully applied to chronic periodontitis patients to assess their compliance to the suggested periodontal treatment.

Dental cleaning behavior and related factors among hemodialysis patients in the West of Iran: A cross‐sectional study

“…Thereby, patients did not only show reduced DCB, the average score of perceived benefits and self‐efficacy was lower in them, too. Emani et al ( 2016 ) showed that the perceived self‐efficacy score and perceived benefits are higher in the final stages of the behavior. According to the transtheoretical theory, self‐efficacy and perceived benefits as well as social support are higher in the final stages of behavior (Sardi et al, 2019 ).…”

Multiple Unhealthy Behaviors Share Equivalent Profiles of Readiness for Change in Patients with Type 2 Diabetes

“…In this study, cons and self-efficacy were common factors of stage advance in all behaviors, and the pros were specific to the reduction of saturated fats. Self-efficacy has been shown to play an important role as a predictor of higher stages of healthy behaviors [ 12 , 25 , 26 , 27 ], and pros and cons have been associated with a reduction of fat in the diet [ 25 ], but the results for exercise are mixed [ 26 , 28 , 29 ]. Notably, susceptibility or severity of complications did not make a difference in stage of readiness, contrary to what the Health Belief Model proposed [ 6 ].…”