Oral health care-specific self-efficacy assessment predicts patient completion of periodontal treatment: a pilot cohort study.
BACKGROUND
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.


METHODS
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.


RESULTS
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.


CONCLUSIONS
Assessment of oral health care-specific self-efficacy is effective for the prediction of patient completion of periodontal treatment.
Kakudate
Naoki
N
Department of Periodontology and Endodontology, Division of Oral Health Science, Hokkaido University Graduate School of Dental Medicine, Sapporo, Japan.
Morita
Manabu
M
Kawanami
Masamitsu
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009910:Oral Hygiene / Q000706:statistics & numerical data; D010349:Patient Compliance; D010352:Patient Dropouts; D010518:Periodontitis / Q000523:psychology* / Q000628:therapy*; D010865:Pilot Projects; D011446:Prospective Studies; D020377:Self Efficacy; D012647:Self-Assessment; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires