title: Cost-effectiveness of an individually tailored oral health educational programme based on cognitive behavioural strategies in non-surgical periodontal treatment.
abstract: OBJECTIVE
  The aim of this cost-effectiveness analysis (CEA), performed from a societal perspective, was to compare costs and consequences of an individually tailored oral health educational programme (ITOHEP) based on cognitive behavioural strategies integrated in non-surgical periodontal treatment compared with a standard treatment programme (ST).
  
  
  METHODS
  A randomized (n = 113), evaluator-blinded, controlled trial, with two different active treatments, was analysed with respect to their costs and consequences 12 months after non-surgical treatment. Costs referred to both treatment costs and costs contributed by the patient. Consequences (outcome) were expressed as the proportion of individuals classified as having reached the pre-set criteria for treatment success after non-surgical treatment ("successful-NSPT").
  
  
  RESULTS
  More individuals in the ITOHEP group reached the pre-set criteria for treatment success than individuals in the ST group did. The CEA revealed an incremental cost-effectiveness of SEK1724 [€191.09; SEK9.02 = €1 (January 2007)] per "successful-NSPT" case, of which treatment costs represented SEK1189 (€131.82), using the unit cost for a dental hygienist.
  
  
  CONCLUSIONS
  The incremental costs per "successful-NSPT" case can be considered as low and strengthens the suggestion that an ITOHEP integrated into non-surgical periodontal treatment is preferable to a standardized education programme.
authors.affiliation: School of Health and Social Sciences, Dalarna University, Falun, Sweden. Birgitta.jonsson@tromsfylke.no
authors.forename: Birgitta
authors.initials: B
authors.lastname: Jönsson
authors.forename: Kerstin
authors.initials: K
authors.lastname: Ohrn
authors.forename: Per
authors.initials: P
authors.lastname: Lindberg
authors.forename: Nils
authors.initials: N
authors.lastname: Oscarson
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D055113:Chronic Periodontitis / Q000191:economics / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000191:economics*; D003362:Cost-Benefit Analysis; D003742:Dental Devices, Home Care; D003756:Dental Hygienists / Q000191:economics; D003773:Dental Plaque / Q000191:economics / Q000628:therapy; D012534:Dental Scaling / Q000379:methods; D005260:Female; D005382:Financing, Personal; D005500:Follow-Up Studies; D005884:Gingival Hemorrhage / Q000191:economics / Q000628:therapy; D006040:Goals; D015438:Health Behavior; D017048:Health Care Costs; D006267:Health Education, Dental / Q000191:economics*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009910:Oral Hygiene / Q000191:economics*; D057747:Periodontal Debridement / Q000379:methods; D010514:Periodontal Pocket / Q000191:economics / Q000628:therapy; D012648:Self Care; D016037:Single-Blind Method; D016896:Treatment Outcome