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Sunderland Repository records the research produced by the University of Sunderland including practice-based research and theses.

Exploring changes in oral hygiene behaviour in patients with diabetes and periodontal disease: A feasibility study

Jaedicke, Katrin, Bissett, Susan, Finch, Tracey, Thornton, Jared and Preshaw, Philip (2019) Exploring changes in oral hygiene behaviour in patients with diabetes and periodontal disease: A feasibility study. International Journal of Dental Hygiene. ISSN 1601-5029

Item Type: Article


Objective: Exploring the feasibility to understand changes in oral hygiene behaviour using the Health Action Process Approach (HAPA) model applied to qualitative research interviews in patients with diabetes and periodontitis undergoing standard periodontitis treatment. Methods: Patients with type 1/2 diabetes and chronic periodontitis (n = 8) received standard non‐surgical periodontal treatment accompanied with personalized oral hy‐ giene instructions by a dental hygienist. Clinical indices (% bleeding on probing (BOP), probing depth (PD), clinical attachment level (CAL), % of sites with PD ≥ 5 mm, peri‐ odontal epithelial surface area (PESA) and periodontal inflammatory surface area (PISA) were recorded pre‐ and post‐treatment. At 3 months post‐treatment, patients were interviewed using a topic guide relating to oral health. A behaviour change framework was constructed from elements of the HAPA model and used directly to map interview data to evaluate oral hygiene behaviour in these patients. Results: Data from this feasibility study suggest a clinical improvement in periodontal status, albeit only monitored for 3 months. Application of the HAPA model high‐ lighted the behavioural change pathway that diabetes patients undertake before, during and after periodontal treatment. The data suggest that patients move through all elements of the motivation phase and all elements of the volition phase except for the recovery self‐efficacy element. Conclusion: The novel approach of applying the HAPA model to qualitative research data allowed for the collection of richer data compared to quantitative analysis only. Findings suggest that, in general, patients with periodontitis and diabetes success‐ fully manage to incorporate new oral hygiene behaviours into their daily routine.

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More Information

Depositing User: Katrin Jaedicke


Item ID: 10251
Identification Number:
ISSN: 1601-5029
Official URL:

Users with ORCIDS

ORCID for Katrin Jaedicke: ORCID iD

Catalogue record

Date Deposited: 20 Dec 2018 15:55
Last Modified: 30 Sep 2020 11:17


Author: Katrin Jaedicke ORCID iD
Author: Susan Bissett
Author: Tracey Finch
Author: Jared Thornton
Author: Philip Preshaw

University Divisions

Faculty of Health Sciences and Wellbeing
Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences


Sciences > Biomedical Sciences

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