Universität zu Köln

Reinhardt, C. H., Noack, M. J., Wassmer, G., Dumit, J., Rolfs, A. and Klein, K. (2012). Comparison of three forms of teaching - a prospective randomized pilot trial for the enhancement of adherence. Int. J. Dent. Hyg., 10 (4). S. 277 - 284. HOBOKEN: WILEY. ISSN 1601-5037

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Abstract

To cite this article: ? Int J Dent Hygiene 10, 2012; 277283 ?DOI: 10.1111/j.1601-5037.2011.00543.x ?Reinhardt CH, Noack MJ, Wassmer G, Dumit J, Rolfs A, Klein K. Comparison of three forms of teaching a prospective randomized pilot trial for the enhancement of adherence. Abstract: Objective: Adherence of young adults to preventive programmes is low. The following study compares three different educational concepts to increase toothbrushing adherence in young adults. Methods: Nine vocational school classes (157 young adults) were randomly assigned to three different 60-min approaches: (I) Education by a dentist, (II) Peer-teaching and (III) Adherence triangle concept uniting dentists, teachers and participants as equal partners in intervention planning combined with peer teaching. Follow-up was 1 week for approaches I and II, and 1 week, 3 and 9 months for approach III. Adherence was defined as reported change from the childhood toothbrushing technique to adult technique. Adherence was evaluated using anonymous questionnaires and by diary analysis. Results: After instruction, 90% of participants (approaches IIII) showed the desired behaviour in practice and theory. Reported adherence after 1 week with approach I was 28.5%, with approach II 39% and with approach III 95%. Prolonged follow-up of approach III yielded 76% after 3 months and 68% after 9 months. Adherence using approach III was significantly higher (P = 0.001) than using approach I and II after 1 week. Adherence rates with approach III after 9 months were still higher than those of approaches I and II after 1 week. Conclusions: The adherence triangle concept enhanced reported adherence significantly in comparison with previous studies and the one-dimensional concepts of approaches I and II. The tools of the adherence triangle concept seem worthwhile to be considered when planning new preventive action.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Reinhardt, C. H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Noack, M. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wassmer, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dumit, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rolfs, A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Klein, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-480228
DOI:	10.1111/j.1601-5037.2011.00543.x
Journal or Publication Title:	Int. J. Dent. Hyg.
Volume:	10
Number:	4
Page Range:	S. 277 - 284
Date:	2012
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1601-5037
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ORAL-HEALTH PROMOTION; PROGRAM; EDUCATION; BEHAVIOR; ADULTS; CARIES Multiple languages Dentistry, Oral Surgery & Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48022